HomeMy WebLinkAbout05040130-Application@
RECORD:
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
STREET ADDRESS ~ STAT Z~P
PHONE FAX
LOCATION
& PRO3ECT
TNFO:
PROVIDER: PROVIDER:
~L~ME OF Lr~UTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCXL=T
NUMBERS; TAC DA~r~S); AND/OR COUNTY WELL AND/OR SEPTZC PERMIT #~ (IF APPUCABLE):
SECTION ZONING:
SQUARE
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
Permit:
Lot Split:
[]
[]
[] DETACHED
~TTACHED GARAGE
/C~ DEMOLITION
Manufactured
Trusses:
Pump:
_~Y N
F NDAT[ONTYP : (Check all that apply for the new
construction area)
[~ CRAWLSPACE [] POST & BEAM
[] BASEMENT
WALKOUT: Y
· this permit is vaUd only ffconstruccion commences
, issued) witttin 18 months o[ the
and or
If the State o£ Indiana, and thc "Zorfiug Ordinance o£ Carmel
seq, General Assembly o£ the State o£ Indiana. and all Acts amendatory
to the sanitary sewer. I further certify that the construction will not be
by the Department of Community Services, Carmel, Indiana.
Filing Fees:
ZNSPEC1/ONS REQUZRED: . . ~ / ~-~ ~) ' -- ed R--------~--
B~se I,spect,ons. :' & / -) c., ~
Cert. of Occupancy: 5/.
._P.R,I.F,: ,)'- . 6 5 -~ddRional Fees'
Community Services (Date)