HomeMy WebLinkAbout05100104-Application kPPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ZNFO:
STRI~Er ADDRESS
LOT#
PHONE
SUBDMSION NA~E. SECTION
(EXCLUDING
STATE
SQUARE
PLAN COMMISSION / BZA/
NUMBERS; TAC DATE(S); AND/OR COUNTY IF APPLiCAbLE):
NEW STRUCTURE
P MBZNGC _ =_'; · R:
~' ~ -,-~ ~- _
Plumber's Indiana State License #:
Permit:
Trusses: Y _~N
Sump Pump:
r lie within a special Flood designation area: ~ Y N
viii be applied to the construction:
w/Indiana Amendments
~i Plumbing Code w/Indiana Amendments
Construction Code)
FOUNDATION TYPE: (Check all that apply f~r f~e new
construction area)
__~Y N [] CRAWLSPACE ~[~]~.POST & BEAM
[] SLAB ~ BASENENT v
WALKOUT:__~Y. N
I, thc undersigned, agree that: any construction, reconstruction, eniargcmenr, relocation, or alteration of a structure, or any change in ~e usc of land or
structures :e,.q~.ested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmd
Indiana- ]993 (Z-289) and~, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and ail Acts amemdatory
thereto. I further cer~y ~t~at only ldtche~bath, and flog~ins are connected to the sanitary sewer. I further certify that the construction will not: be
u~ed or occul~;a~elz~'c, atc o£O~cu~a~c, vha~ been ~ssued by the Department of Community Services. Carmel, Indiana, _
OF ****************************************************
Filing Fees: ~
Base Inspeddons: ~ # Charged R~
Reviews
Cert. of Occupancy: /-~
P.R.I.F.: ^ddltional ~es
Services (Date)