HomeMy WebLinkAbout05110085-Application Permit #
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PHONE FAX
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
LaOCAiZON LOT #
PRO3ECT
INFO: ADDP,~SS o
NUHBERS; TAC DATE(S); AND/Of
PHONE FAX
Ct-fY
SECTION
ZONING:
SQUARE
ES'fiMATE~
0 TWO
#of
[]
#
0
Early Release
E
ATI'ACHED GARAGr
[] DEMOLITION
Manufactured
.icense #:
Which plumbing codes will be applied to the construction:
I RestdenUal Code w/Indiana Amendments
(Multi*Family Const~on Code)
(Check all that apply for the new
For S~g~c Family and Two Family dwellings, act~do~s, remodels, and/or accessory structures, this permit is valid only/f construction commences
· wsth~ 180 da_ys of r. he date ofissua~, cc of thc.building permit, and must be completed (Certificate of Occupancy issued) withni 18 monks of ~e
msuancc date. Class I stracrure pernuts arc subJ?ct to thc General Administrative Rules of the Sutte of In~a (See 6751AC 12) regarding expiration
· umc francs for beginning and completing construction.
I, thc undersigned, agro: ~hat a~..y c~nstru.c, uon, recon~ .t~uc~ion~ e. ala~emaut, relocation, or alteration of a structarc, or any ch. ang¢ in thc use of land or
.s~u~.cu~m~93~estcd bY this applicauon w/ll comply vath, and c?nform to, all applicabl¢ hws o£ thc S~t¢ o£ ~a, ~d ~¢ Zoning Onfin~c¢ of Cannel
umsana - (Z-289) and am~:lmemts, adopted und~ authonty of LC. 36-7 ct scq, General Assembly of thc State of Indiana, and all Acts amcndatoty
thereto. I furtl~er cert/fy that o .nl~y k/tchcn, bath, and floor dmdns arc connected to the sanitary sewer, I further certify that the construction w/ll not be
.~tsr~o r occupied until a C~'~.~c o£Occ?~paacf'has been issued by the Department of Community Services, Carmel, Indiana. _
Oate
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INSPECTZONS REQUIRED: ~ 0 # Charge~
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R~d/Appro~d~ ~pt. oFcommunlty ~rvic~s
S:~t~For~I~ ~e~n~ (Date) Fee Rece~e~ by: