HomeMy WebLinkAbout05100139-Application@
BUZLDER of
RECORD:
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME PHONE FAX
PROPERTY NmE PHO,E FAX
LOCATION ,o;* SUBD~SZO, .mE
INFO: ADDRESS OF CONSTRUCTION I SQUARE
PROVIDER: C "'T j~ LL,../ PROVIDER: ~k.J (.,.- //
NAME OF UT[LFr~ EXCAVA~ON CONTRACrOR PLAN COMIqISS[ON / SZA / ~PW~ OOCY, ET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S ([F APPLICABLE).. ~/~ O~ ,J~~, ", ~. L (~ ~ ~,~r · /~ ~- c/.~
TY- : -~- : .--N.: TY E F~ : P MBZN - TRACTOR:
(~-TOWN HOME C~ ROOM ADDTrLON(S) Plumbers Z~di n~ State License .: - --
C~ TWOFAM[LY C~ PORCHADDT~ON(S) -" ~ O0 ' .: - _
# of units: [] REMODEL --
[~ MULTi-FAMILY [] ACCESSORYBU[LD[NG Which/J~lumbina ende~ will be applied to the construcUom
# of Units:__ [] DETACHED GARAGE [~)~ntemational Residential Code w/Zndiana Amendments
[] RES[DENT[AL (For
[] AT~ACHED GARAGE [~ Uniform Plumbing Code w/Zndiena Amendments
Additions, Remodels, Etc.) {~ DEMOI_rHON
(Multi-Family Construction Code)
/ FOUNDS: (Check all that apply for the new
Permit: rrusses: _Y N construction area)
Lot Split: _ _ . · ~- [] CEAWLSPACE [] POST & BEAM
aumpl.ump. Y ~N .~(~.S, LA~ . ~
-- BASEMENT
Does any part of the properb/lie within a spadal Flood designation area. y. ~ WALKOUT:_ Y __
Fo~. Si~. ~]e Fa~y amd Two F~y dweJlinBs, ~_ddido~s, ~od¢}s, emd/o~ ~coossot7 s~encm~s, rids p¢~t ~s va]ici only ff coas~mcdon commences
v~dda 180 days of thc d~[e nf' ~c~ of the b~ldJn~ pemnic, and must be complaced (Ce.~ce[e o£ Occupemcy issued) w~Lr~ 18 momths of r~e
issua, ncc date. Clar~ I seruecure permits are subject to the General Admlniserative Rules of the State of Indiana (See 675 IAC 12) lxegarding expiration
time frames for beginning and completing construction.
1, the tmder~gned, agree Oat ~.y c~nstru.c, tion, recomtmction, enlargement, relocation, or alteration of a slamcmre, or any change in the use oiland or
st~,.cmre~ r,~e~,.ested by this applicauon will comply v~th, and conform to, all applicable laws o£ the State of Indiana, and the 'Zoning Ordinance of Carmel
Indiana ~ 199~ (Z-289) and am~dments, adopted under authotity o£ LC. 36-7 et seq, General Assembly o£ the State of Indiana, and all Acts amendatory
thereto. I flard~.~ certify that only !dtchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or ocenpi~ until a CerriBcare o£Occu~cj, has been issued by the Department of Community Services, Carmel, Indiana.
OFF[CE USE ONLY: **************** ~*************
ZNSPECT[ONS REQUIRED: #
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