HomeMy WebLinkAbout05110104-Application , Township
RESIDENTIAL IMPROVEMENT
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
SUBDIVISION NAME
BEST METHOD OF CONTACT:
PHONE F~J(
SECT[ON
CONTRACTOR; PLAN COMMISSION BZA / BPW DOCKET
; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE/:
SQUARE
FOOTAGE:~
ESi~MATED COST OF CONSTRUCTION:
(EXCLUDI~
SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
#of units:
c]/MULTI-FAMILY
J # of
Un~ts:__
~_J RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OFIMPR VEMENT:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
~ PORCH ADDITION(S)
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[]] ATTACHED GARAGE
[]] DEMOLITION
Which plumbing cooes
[] Uniform Plumbi
(Multi-Family
PRO3 INF RMATION~: .
.... ./ . .... ~...,.~ F~[~J~L_~, (Check all that apply for the new
~arly Kelease /' Planutac~uren / ~ ~u~ion area'
Perm t: Y / N/~rus~s: Y ~ ~' )
~ ~ - ~ / ~ C~W~PACE ~ PO~&B~M
Lot Spt --Y--N Sump Pump: --Y ~ ~ S~B ~ BASEMENT~ ~
~es any pa~ of the pmpe~ lie within a special Flood designation area: __Y ~' WALKO~Y N
~thin 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) ~thin 18 months, of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the Store of Indiana (See 675 lAC 12) regarding e~iration
~me frames for be~nning and comple~ng construction.
I. the undersigned, a relocation, or ~rerarion of a structure, or ~y ch~gc in the u~ of l~d or
State of Indiana ~d the "Zomng Ordin~ce of Carmd
Date
INSPECTZONS REQUIRED .............. , -, ....... ,.,,~,; r-~l A r"7 m ~, ~
D~;)I" ()~ (,~.)B~,I~h'~'~}v~'- ~:°/ U / * ~ ~ ~ Lnarg~ xe-
~' ' ~ ~ ~~ Reviews
Upper Footing Lower Footing U~5~ ¢:~,,~ ~N~HIP~, ~O
Meter Ba~ Site P.R.I.F.: ~ Additional Fe~
Services (Date)