HomeMy WebLinkAbout05120099 ApplicationCiO' of Camel~Clay TownsMp
For Single
)CATION
New Structures
PHONE
Permit #
PROPERTY
OWNER:
PHONE
LOCATION
& PRO3ECT
INFO:
~CWER UTILITY
PROVIDER: PROVIDER:
NAME OF UTIL1TY EXCAVATION CONTRACTOR; PLAN COMMISSIOfl / BZA / 61WV D~
C DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF (
(EXCLUDING LAND VALUE)
ZONING:
SQUARE
FOOTAGE:
TOWN HOME
[] TWO FAMILY
# of units:
CJI MULTI-FAM!LY
# of Units:
CZ] RESIDENTIAL (For
Additions, Remodels, Etc.)
P:: -'- N := -!-TI:,:
EaHy Release
Permit:
Lot Split:
Does any part of the property
I, the undersigned, agree that
s~uctures ~eqnssted t:
- E ,- 'R: ~ - i:
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
St;ate Li~n~ #:
Which plumbing codes will be applied to the construction.'
~ International Residential Code w/Indiana i
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Cons~uction Code)
~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
~ SLAB · C~ BASEMENT
and/or accessory srrucrure~, this permit is valid only if construction commences
(Certificate of Occupancy issued) within 18 months of the
f the State of Indiana (See 675 IAC 12) regarding expiration
g and completing construction.
or alteration of a structure, oz any change in the use of land or
f the State of Indiana, and the 'Zoning Ordinance of Carmel
General Assembly of the State of Indiana, and all Acts amandatory
to the sanitary sewer, I further certify that the construction will not be
~ Services, Carmel, Indiana.
~rint Dato
OFFICE USE ONLY: *******************************************************--
INSPECTIONS REQUIRED:
~ ate)
Filing Fees: ~
Base Inspections: ____o~"~ ~' ~ # Charged Re-
Reviews
Cert. of Occupancy: ~ f'6
P.R.I.F.: ~ Additional Fees
/? TOT^,: