HomeMy WebLinkAbout05030142-ApplicationBUZLDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
City of Carmel/Clay TownsAip Permit
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels: Tenant Finishes, &Accessory Buildings
NAME FAX ~-
~ ADD~ ~ ~A~ =P
~I~ER'S E~L ~D~SS BE~ H~OD OF C~A~:
PHONE
Building
SUHE # (If Applicable)
WATER
OF CD FDN C ~[~ ARCH ~ HE(~i Ail PLUH
~E: ~ E~c ~s~ ~ER(S):~
5~ER ~
~O~D~:
~D/OR
{ ~C PE~ ~'S (If ~li~e):
O ~ ~NO
~ SLAB CRAWL SPACE
C] POST&BEAM
(or POST & PIER)
CZ]
EffrIMATED COST OF CONSTRUC'rI~N:
~m~ ~:~ ~L__ (EXCLUDING LAND VALUE)
OCCUPANCY Q.AS$IHCATION;
PR, FO - ' :
EaHy Release $ Manufactured
Permit:. Y
Room(s)
Porch Lot Split:
HezzanJrle or DeCk Does any part of the i
designation ama: _
[] ATTACHED C~,AGE
Iflumber's Indiana State License #:
OFF[CE USE ONLY: ************************************************************************
Site
INSPECTIONS REQUIRED:
Meter Base
Filing Fees:
Base Inspections:
Cert. of Occupancy:
Additional Fees
Services (Date)