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HomeMy WebLinkAbout05110012-Application PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: PROPERTY OWNER: LOCATION & pRO3ECT INFO: SEWER PROVIDER: ~ SINGLE FAMILY []] TOWN HOME [] TWO FAMILY # of units: '~ MULTI-FAMILY ~ of Units: [] RESIDENTIAL (For Additions, Remodels, Etc,) P - iE_- NF:RMATI:-'N: STREET ADDRESS C~P¢ ~TATE BUILDER'S EMML ADDRESS BEST METHOD OF CONTACT: NjME PHONE, FAX STREET ADDRESS NAME OF UTILIT~ EXCAVATION CONTRACTOR- PLAN COMMISSION f BZA / BPW DOCKET NUMBERS] TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S {IF APPLiCABLE): NEW STRUCTURE [] ROOM ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING C] DETACHED GARAGE [] Alq'ACHED GARAGE [] DEMOLITION FAX ZlP CITY STATE ZIP sE ON s PROVIDER: (EXCLUDING LAND VALUE) Which plumbing construction: Uniform Plumbing Code w/Indiana Amendments (Multi-Farailv Construction Code) Permit:Early Release ¢ /N Trusses:Manufactured ~Y// N constructi~FOONDATZON TYPE: (Check all that apply for the new mp: ZY CJI CRAWLSPACE []] POST & BEAM Lot Split: Y :~_N Sump Pu N ~ SLAB ~ BASEMENT Does any part of the property lie within a special Flood designation area: Y ~/N WALKOUT: Y~_N indiana - 1993" (Z~289) yard amendments, adopted under authority ot i.C. 36~7 et scq, Get, era[ Assemb y o[ tl~e State of ndiana and mtl Acts amendatory thereto. I f~rthe~ cert~[y ~hat o~ly kitchen, bath and floor dxains are connected ~o tl~e sanitaW sewer. ! l'urther certify that the construction will not be ed or occup until a ~c'a Occu, p m~c;~ has been is ued by the De p artrnent of Communit y Services , Carmel . Indiana . :)ate Filing Fees: INSPECTIONS REQUIRED: Base Inspections: . L~E?T 0 Reviewed/~¢~ ~RV~CES Chargea Re- Reviews Additional Fee~