HomeMy WebLinkAbout05110091-ApplicationRECORD:
City of Carmd/Clay Tom, ship Permit #:
RESIDENTIAL IMPROVE
For single Family, HulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
BEST
PROPERTY PHONE FAX
OWNER: -- -- --
CITY
L&O~TZON ,OT #
PRO3ECT ~
INFO:
SECTION
NAME OF UTILITY ~XCAVATION CONTRACTOR; M.AN COMMISSION / BZA / BPW ~
NUMBERS; TAC DAlE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
~ SINGLE FAMILY
E] TOWN HOME
E] TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
--'IN -~_--AT~ -:
Ea' "'l,.,.
Permit:
Lot Split: Y
Does any part,
~ STRUCTURE
C] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GAP
[] ATTACHED G/
[] DEMOLITION
Manufa ,ctured ,~,~.~
Trusses. L-Y~ N
PLUMBING
License #:
ooo /
Which pluming cedes will be applied to the
~temaUonal Residential Code w/Indiana 1
O Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDAT/ON TYPE: (Check all t~at: a for f~te new
CRAWLSPACE []
SLAB .~ ~"~-BASEMENT - ~
--: y ~ WALKOUT: Y_.~C~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this petmitis valid only ff construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Cer~ficate of Occupancy issued) within 18 months of the
issuance date. Class 1 structure permits are subject to the General Administrative Rules of the Stare of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconsmacrion, enlargement, relecarion, or aketadon of a srrucvate, or any ch~auge in thc use of land or
srructares r~q.u~ested by this apphcarion witl comply with, and conform to, all applicable laws of the State of Indi~va, and the Zoning Ordinance of Cannel
Indiana - 1993 (Z-289) and amendments, adopted under authority o£ LC, 36-7 er seq, General Assembly of thc Sra~e of Indiana, and ail Acrs amen&tory
thereto. I further cerr~ that only kitchen, bath, and floor drains aze conn¢ct~cl to the sanitary s~vet. I further certify that the construction will not be
~ ~ccu~ied unt~ a ~ett1~ca~ ~[ ~ecu~a~c~ has been ~by th¢ D~par~n~ ~f C~mmuniry Services~ Carme~ Indiana~ /
# Charged Re-
Reviews
AddiUonal Fees
INSPECTIONS REQUIRED:
Filing Fees:
Base InsPeCtions:
Cert. of Occupancy:
P.R.I.F.:
Services (Date)