HomeMy WebLinkAbout05030041-ApplicationCity of Carmel/ Clay Township ~
RESIDENTIAL IMPROV3 [
For Single Family, Hulti-Yamily, & Two Family:
Permit
BUILDER'S EHAiL ADDRESS
PROPERTY N, ME
OWNER:
STREET ADDRESS
& PRO3ECT
INFO: ADDRESS OF CONSTRUCTION
PROV/DER:
TOWN HOME
C3 TWO FAMILY
#ofunts__
C~ MULTI-FAMILY
# of Units:
[~ RESIDENTN(L (For
Additions, Remodels, Etc.)
WATER UTILrry
PROVIDER:
PHONE
SECTION
; PLRN COMMISSION / BZA / BPW DOCKET
COUNTY WELL ANDIOR SEPTIC PERHIT #'S (IF APPUCABLE):
~NEW STRUCTURE
E3 ROOM ADDtr~ON(S)
[] PORCH ADDITION(S)
[] REMODEL
ESTIMATED COST
(EXCLUDING LAND VALUE)
Plumber's Indiana
[] ACCESSORY BUILDING Which plumbing codes will be applied to t
~ DEMO~ON ~ Uni~ Plumbing C~e w/Z~iana Amendmen~
(HuJU-Family Co~on
Manufa~
(Check all that apply for the new
[] POST & BEAM
O BASEMENT
WALKOUT: YN
~ ~ u~ ~e ~mte oI mmana (See 675 IAC 12) r~g ~ation
~e fr~ for ~ning ~d compleOng cons~cOon.
~ or cu led ~ffi a ~ -~ ~:a~ec~ to ~e s~r~ sew~ I fu~er c~ ~at
~ P ~ ~te o[ Uccu~cv~ ~en i~-oa ~--~ .... Y ~e const~c~on ~ not ~
~se Ins~ons: ~D · ~m~ R+
Final Si~
~ P.R.I.F.: ~ AddiUon~
TOTAL: ~ 0 ~