HomeMy WebLinkAbout05110136-Application@
BUZLDER of
RECORD:
OWNER:
& PRO.1ECT
ZNFO:
For Single Family, MulU-Family, &Two Family: New Structures, AddiUons, Remodels, & Accessow Structures
BUILDER'S EHA~L ADDRESS BEST MEfltOD OF CONTACT:
FAX
NAME
PHONE
FAX
SECTION
' :N · :
SINGLE FAMILY
TOWN HOME
[] TWO FAMI,.LY
# of units.__
[]] MULTI-FAMILY
# of Units:
[] RESIDENTIAL ('-~-~-~--r
Additions, RemoOels, Etc.)
~ NE'VV STRUCTURI
[]Z] ROOM ADDITION(S)
C] PORCH ADDiTION(S)
[] REMODEL
[] ACCESSORY I
[] DETACHED GARAG
[] A1-FACHED GARAGE
[] DEMOLITION
for f~e new
y ,X,N construction ama)
Y N [] CRAWLSPACE [] POST & BEAM
Sump
Pump:
~ [] SLAB~ ~ BASEMENT
y lie within a special Rood designation area: Y_~LN ' WALKOUT: Y_.~N
i ' i ii ' , ~! ', : ;
thc General Administrative Rules of thc State of Indiana (Sec 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
: alteration of a structure, ~r any change in the use of land or
tpplicable hws of the State oi Indiana and the 'Zoning Ordinance of Cannel
, o£ I.C. 36-7 ~ seq, General Assembly of the State of Indiana, and all Acts amenchtoxy
and floor drains are cormeeted to the sanitary sewer. I further certify that the construction will not be
by the Department of Community Services, Carmel, Indiana.
OFFICE USE ONLY: *********; ****************************
INSPECTIONS REQUIRED: ~ --
# Charged Re*
Rev/ews
Base Insoections:
Cert. of Occupancy:
P.R.I.F.:
__~ Additional Fees
Fee Received by: