HomeMy WebLinkAbout05040046-Applicationof Cannel~Clay Township
Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
OWNER:
PHONE
QTY
STATE
SECTION
PROJECT
INFO:
PROVIDER: PROVIDER:
NAME OF UTILTTY EXCAVATION CONllIACTOR; PLAN COMMISSION / BZA / BPW DOC~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFHC PERM]H' #'S (IF APPUCABLE):
(EXCLUDING LAND VALUE)
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# Of units
C:] MULTI-FAMILY
# Of UnitS:
I::] RESIDENTIAL (For
Additions, Remodels, Etc.)
~[~ NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[:] REMODEL
[] ACCESSORY
Plumber's
[] Uniform Plumbing Cod~
(MuRi-Family
Early Release
Permit: X N
Lot Split:
Does any part of the
ew
CRAWL.SPACE []
[] BASEMENT
WALKOUT:~N
remodels, and/or accessory strucrares, this t~ermit ~s va[rd only ff construction commemces
: be completed (Certificate of Occupancy issued) witl~n 18 months of the
~.ules of the State of Indiana (See 6751AC 12) tegardSng expirar~on
t~me frames for beginning and completing consrxuction.
o, all applicable laws of the State of Indiana and the 'Zo~ Ordinance of Carmel
:t seq, General Assembly of the State of Indiana, and all Acts amendatory
to the sanitary sewer. I further cer-~ that the construction will not be
Services, Carmel, Indialla~
~ # Charged Re-
Renews
Cert. of Occupancy: ~
Site P.R.I.F.: 527_ ~, 0 (~ AdditionalFee--~
Services (Date)