HomeMy WebLinkAbout05110007-ApplicationRESIDENTIAL
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
_-.. _
t S'IREET ADDRESS . . . OTY ~-~ STAT~ ZIP
BUILDER. BEST ME-n~oo OF CONTACT:
PHONE FAX
LOCATION SEC~ON
& PRO3ECT ~
INFO:
ZONING:
SQUARE
FOOTAGE: ,d~ 7
-P ,N - ' - I
INGLE FAMILY
TOWN NOME
[] TWO FAMI,LY
# of units:__
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
AddiUons, Remodels, Etc.)
I,- 'R, - N :
~ -E'W STRUCTURE
[] ROOM ADDITION(S) Plumber'~
[] PORCH ADDITION(S)
[] REMODEL
[] AI~ACHED GARAGE []
[] DEMOLITION
~-T¥ SERViCE~
For Single Family and Two Family dwellings, additions, rcmodcl~ory scruccur~,----~' permit is valid only ff construction comm~7
within 180 d~?s of the date of issumace of the building permit, and must be completed (Ceerific~te of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subjcct te the General Administr~ive Rules of the State of Indiana (Sec 615 IAC 12) rcg~ng e~ation
time framaes for beginning and completing construction.
I, the undersigned, agree .that an? co. nsma.c, tion, recons, trucdon, enlargement, relocation, or alteration of a structure, or any change/n the use of land or
s~ructures ~rc~.. ested by this app]icataon w/Il comply wth, and conform to, all apphcable laws of the State of Indiana, and the "Zorfing Ord/nance of Carmel
Indiana ~ 1993 (Z-289) and ~mendmcnts. adopted under anthotity of I.C. 36-7 et seq, Geueral Assembly of the State of Indiana. and all Acts amendatory
~er~to. I furtl~.er cer~ that only kitchen, bath, and rigor drains are connected to the sanita~ sewer. I further certify that thc construction will not be
/u~rr~cupicdu~,a~rc o[Occ,,p,~c?has been i~,,~,.u~y thc Depart~¢nt of Community Services, .Carmel, Indian~. / /
TNSPE~IRED:
' q,9~ng Under Slab
of Community .~rvices
Base Inspections: ~ # ChargedRevlewsRe-
Cert. of Occupancy: ~
P.R.I.F,: ~ Addltiona~ Fees
TAL:~ ~~.~/
Fee Received bY: [~ ' -