HomeMy WebLinkAbout05080076-ApplicationCity of Carmd/Clay Township
ADDRESS
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
OWNER:
LOCAl/ON
& PROJECT ~ ~
INFO: ADDRESS OF CONSTRUCT[ON
PHONE
PROVIDER: ~Ci~ ~ PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; pLAN COMMISSZON / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM~ #'S (:E APPL[CABLE):
FAX
~NI~:
~UARE
~ TWO ~AMILY
# of units:. __
[]] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
~NE-~V STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOI.T~ON
Manufa,.ctured
_ _Y. _~_N Trusses.
LotSplit: Y_~_N Sump Pump: Y._~N
Does any pert of the property lie within a special Flood designation
Plum
Wh .i~h plumbing codes will be applied to the construction:
~'ZntemaUonal Residential Code w/Indiana Amendments
E] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
N
~ within 18 months of the
issuance date subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction,
L the undersigned, agree that any construction, reconsuuction, enlargement, relocation, or alteration of a structure, or any change in the use of land o~
s~ucmres requested by this application wilt comply with, and con[oma to, all applicable laws of the State of Indiana, and ~e 'Zoning Ordinance of C~md
Indiana - 1993" (Z-289) and amendmeaats, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts ame~.,dato~y
used or ~ecupi~ed until a~ ~.it~te o£0cc.~ D~/~m'tment or Commutat7 Ser, r,.ces, Carmel, Indian~
Date
OFF~CE USE ONLY: ************************************************************************
Filing Fees
'rNSPECT'[ONS REqUTEED; Base Inspections: ~ ~'~ # Charged ~,-
Cert. of OccuDancy: ~'~-/'__ ~_ , .,~..~ ~eviews
P.R.LF.: ~fc:~ ~' Additional Fees
TOTAL:
of Community Services