HomeMy WebLinkAbout05030066-ApplicationPermit
For Single Family, Hulti-Famlly, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
& PROJECT
INFO:
SUBDW[SZON NAME
PHONE FAX
WATER LJT[LTIY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DO~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PEP, NIT #% JIF APPLICABLE):
[] MULTI-FAMILY
# of Units:
[] RESIDENT~ (For
Additions Remodels, Etc.)
D VALUE)
-- _- FZ- R '-EM: :
~R~MSTRUCTURE
ADDITION(S)
[] PORCH ADDITION(S) ____.____~)~[~9~}
[] REMODEL
[] ACCESSORY BUILDING Which_plumbing codes will be applied to the ~
[] DETACHED GARAGE ~-~i~temational Residential Cod~
~Dq-FACHED GARAGE
EMOLITION []
(Multi-Family Construction Code)
~[~[~L~: (Check all t~at apply for
¢ of C~md
and floor drains are connected :o the san/tm7 sewer. I furth~ certify that the construction will not be
,has been issued by the Department of Community Services, Carmel, Indiana.
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Filing Fees:
Base Inspections: # Charged Re-
Cert. of OccLIpancy: ~.~"~) · ~) ~ Reviews
P.R.LF.:
Additionl~,~
(Date)
Fee Recelve~