HomeMy WebLinkAbout05030064-ApplicationCity of Carmell Clay Township 3 -
RESIDENTIAL
For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS /
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; ~ COMMISSION / BZA / BPW DOCKL:T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~J (IF APPLICABLE):
SINGLE FAMILY
# of units:
~ MULTi-FAMILY
# of Units:
[] RESIDENTIAL (For
A~lditions, RemOdels, Etc.)
P~-' '= N -- !-' --,:
~EW STRUCTURE
[] ROOM ADDI-rION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
~'n'ACHED GARAGE
~ DEMOLITION
Sump Pump:
Does any part of the property lie within a s
PHONE
BEST METHOD OF CONTACT:
FAX
FAX
5~CUON
ZiP
ZONING:
EST[MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
Uniform
time frames for beginning and completing construction.
I, the undersigned, .a?~ t h~ my censtruction, reconstruction, enlargement, rdocacion, or alteration of a structure, or any change/n ~e u~ o£ ~d or
stractores ~,.ested by this plication will comply with, and co~forra to, a~ applicable hws of the State of Indiana, a~d the ~Zoning ~ce of Cazmel
Indiana-1993 (Z*289)and mndmen~s~ad~tadunderauth~dty~f~36~7e~seq~Genera~Assemb~y~ftheStata~f~ndiana~andaliActsamendat~ry
thereto. Ifuzi:hexce~thal alykitchen, bath, andfloordrainsaxecomaectedtothesaukarysewer. Ifurthe~cert~ythattheconstructionwfllnotbe
used or occupied until a Ce ~ca£e o£Occnpa~c, yhas been issued by the Department of Community Services. Carmel. Indiana
~ # Cha~g~d R~-
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
· AddiUonal Fees
~f Community Services (Date)
TOTAL: