HomeMy WebLinkAbout05100142-ApplicationTownship ~ Permit #:
For Single Family, Hulti-Family, & Two Family: Ney
BUILDER
RECORD:
JER:
BUILDEE'$ EMAiL ADDRESS
BEST ME'~qOD OF CONTACT:
FAX
INFO:
; PLAN CONHISSION / BZA / BPW DO~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERNTr #'S (IF APPLICABLE):
SINGLE FAMILY
# of units:__
C3 MULTi-FAMILY
# of Units:
C~ RESIDENTTA~/~ ~i,
Additions, Rem~:xlels, E~i)
- -.~c F I- -VE.- - T:
,~NEW STRUCTURE
ROOM ADDH'ION(S)
I ADDTffON(S)
S~CUON
; Xndiana State License #:
Residential Code w/Indiana Amendments
Uniform Plumbing Code W/Indiana Amendments
(Multi-Family Construction Code)
for the new
:~:~ [] CRAWLSPACE [] POST & BEAM
.{~ SLAB [] BASEMENT
F~g.le F.a~y and Two F .a~.' y clwellhag$, ~adclttions, remodels, and/or accessory structures, this permit is valid only ff construction commences
· thin ?0 cla.~ of ~e date of ~-u~, ce of the .building permit, .anti must be completed (Certificate of Occupancy issu~cl) within 18 mont~ o~ ~e
zssuance oatc. Class I structure penmts are subject to the General Adminhtrative Rule~ of the State of indiana (See 675 1AC 12) ~g ~on
time frames for beginning and completing construction.
I, the undersign~dq ,a?ee, ~hat a~,.y co. nstru.c.t/oll, re, cons .l~uct/on, enlargement, relocation, or alterat/on of a structure, or any change/n thc use of land or
structures I equ~a ~y mis appncanon wla comply witl~, and conform to, all applicable laws of the State of In&aha, and the ~Zoning Ord/nance of Carmel
Indiana - 199~fl89) and ameaxdments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Md/aaa, and all Acts amendatory
Si~al~re of Owaer or Aul~orlzed Agent PrintF Date
I Lower FooUng ..... Reviews
~pLt. of Community Services (Date)
Additional Fees