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HomeMy WebLinkAbout05110065-ApplicationPROPERTY OWNER: LOCA ON PE T PLICATION ~r Single Family, Hul~-Family, & Two Family: New Stru~u~, Addi~ons, Rem~els, & A~ INFO: PROVIDER: ESTIMATED COST OF PROVIDER: }'ZONING: / NUMBERS; TAC DATE(S); ~ SINGLE FAMILY [] TOWN HOME TWO FAMILY # of units: MULTI-FAMILY # of Units:__ C] RESIDENTIAL (For Additions, Remodels, Etc.) ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [2} DETACHED GARAGE [] ATTACHED GARAGE DEMOLITION Plumber's ] Which plumbing ,~J~ternaUonal I ~ Uniform Plumbing Code w/Indiana Amendments (MuRi-Famiiy Cons~Jction Code) Manufactured // t apply for the t Permit: Trusses: ~y__: Lot I Sump Pump: [] ~)ST & BEAM []~BASEMENT Does any part of the property lie within a sl~cial Flood designation area: Y ~ WALKOUT: Y ~ issuance cla- ~,. lssua~, ce of th.e .buildin .g permit, and must be completed (Certificate of Occupancy issued) within 18 months of the ce. c.mss ~ stxuesure pernuts are subject to tl~e Ganeral Admlnistrative Rnles of the State of indinna (See 675 iAC 12) reg~g ~ffa6on time frames for beginning and completing construction. I. the undersigned, agree that any construction, reconstxuction, enla~ement, relocation, or alteration of a structure, or any change in the use of land or stractures x¢,~q~esred by this application will comply with, and conform to. all applicable laws o~ the State of Indiana, and the ~Zoning Ordinance of Carmd Indiana ~ 1993 (Z`289)andamendments~ad~ptedunderauth~rity~fLC~36`?etse~Genera~Assemb~y~fthe~tate~fInc~ana.a~da~1Actsamendatury thereto. I flue. her certify that only kitchen, bath. and floor drains am connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cefti~cate o£Occup~ucyhas been issued by the Depaxtment of Community Services, Carmd, Indiana. Date )FFICE IJSIe ONLY-' *********************************************************--********* Filin9 Fees: ~ O Under Slab Base [nspactions: ~ '2. Y d # Chame~ ~e- Cert. of Occupancy: ~/. ~d P.R.I.F.: ~ Additional~ ~munity ~rvices (Date)