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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 OFFZCE USE ONLY: ********************************************************************** Filing Fees: INSPECTZONS REQUIRED: ~ 0 # Charge~ "- R~d/Appro~d~ ~pt. oFcommunlty ~rvic~s S:~t~For~I~ ~e~n~ (Date) Fee Rece~e~ by: