HomeMy WebLinkAbout05090168-ApplicationCity of Car l/Clay Pecmlt # 3
APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
PHONE FAX
LOCATZON SUBDIVISION NAME SECTION ~ZONI:
& PRO3ECT
SQUARE
INFO: ',~
COMMISSIO~ / BZA / BPW DOa(Er
OUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
EST[MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLUMBING CONTRACTORu
ADDZT~ON(S)
C
C~ Uniform Plumbing Code w/Indiana Amendments
Remodels, Etc,) [:3 DEMOLITION (Multi-Family Construction Code)
FOUN - ' , :N TYPE: (Check all that apply for the new
Manufactured-'~ /~ N construction area)
Permit: Tresses: --~ --N [~ CRAWl. SPACE C3 POST & BEAM
Lot Split: Sump Pump: [~ SLAB [~ BASEMENT
Does any part of the property lie within a special flood designation area: Y __~_N WALKOUT:
:For Single ]Faintly and Two Family dwel]~gs, additions, temodrJs, anct/ot accessm-y sttucttttes, this l~e~ttt ts va]id only L[ consttucr, toa commences
w~t~n 180 days of the dace o£ issuance o£ ~¢ b~!d~g permit, and must be completed (Ccz'dficate of Occupancy issued) wid~ ]8 moar3~s of thc
issuance dat~ Class ! stt~ctute pe~tmits aze subject to t~¢ Gc~eta] Admio~sttarJv¢ Pules of the State of Indiana (See 675 lAC 12) tegatc~tl§
tLme ~ames for begt~gn§ and comp]er_tng coastrucr~oa.
o£r~¢$~tco£L~clL~a~ a~ct~ Zoz~t~gOtciinanc¢oi Catm~t
G~e.-~ Assembly o[ ~¢ Stare ol~ L~c~a~a. a~d ail Acrs
~Lnd Root ~taJ~s aze connected to t~e sa.nttazy sewer. ! [uttbe: cetdf7 t]~t the construction wi]] Rot be
Services, Came], l[ncltana.
INSPECTIONS REQUIRED: # Charged----~-~