HomeMy WebLinkAbout05020086-ApplicationGCity of Carmel/Clay Township Permi~ #:
RESIDENTIAL IMPROVEMENT
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
PROPERTY
OWNER:
STREET,aDDRESS
/-rco
LOCATION
& PRO3ECT
INFO: ADDRESS
WATER UTiLiTY
PROVIDER:
TOWN HOME
'WO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
NAME OF UTILITY EXCAVATION CONTRACTOR PLAN COMMISSION / BZA / BPW DOC~-r
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPT[C PERMIT #'S (IF APPLICABLE):
TYPE FIMPR:V~:- - :
~ NEW STRUCTURE
C~ ROOM ADDTF[ON(S)
[] PORCH ADDiTION(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
ZONING:
SQUARE
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ~
PLUMBIN NTRA =--R:
Plumbers Indiana State Licease #:
/0qCooo
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
[] ATTACHED GARAGE ~ Uniform Plumbing Code w/Indiana Amendments
[] DEMOLITION
(Multi-~l~C~nstruction~ . Code)
Manufarh,red ~.~ PE. (Check all that apply for the new
Tr.L T-
_ ~ T~' [] CRAWLSPACE [] POST&BEAM
LotSplit: Y. bumpPump: ~ ~ N [] SLAB ~ BASEMENT
Does any part ofthe property lie within a speclal FIood designaUon area: Y /N WALKOUT: Y A/_N
OFFICE USE ONLY
Under Slab
Services (Date)
P RES~0E~r. AL