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)