HomeMy WebLinkAbout05040020-ApplicationCity of Carmel/Clay Township Perm, #.~~
BUILDER of
RECORD:
PROPERTY
OWNER:
& PRO.1ECT
INFO:
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
SUBDMSION NAME
SQUARE
~OTA~E= ~{ o
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / 8PW DOC~-T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~J (IF ~,PPLICAJSLE): ,8~
[] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Uni~:__
[] RESIDENTIAl. (For
F~ -~-'_~ - NT:
[] NEW STRUCI'URE
[] ROOM ADDITION(S)
(~ PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] An'ACHED GARAGE
[] DEMOLiTiON
[] Uniform Plumbin;
(MulU-Family Construction Code)
Pump: Y ~N
a special Flood
· onst:ruc~on area} [] CRAWl. SPACE
[] SLAB
(Check all that apply for the new
Cga' POST&BEAM
[] BASEMENT
WALKOUT: Y_..Jd_N
additions, remodels, and/or accessory structures, this permit is valid only ff constvacrion commences
~ o[ a structure, or any change ~ thc use of land or
# Charged Re-
Site P R I.F: Add~onal F~es' ~
~Dept, of Co~munlLy Services ( al: )