HomeMy WebLinkAbout05030136-ApplicationRECORD:
Permit ~,~
S EMAIL ADDRESS
CONSTRUCTION
g (
STATE
BEST NETHOD OF CONTACT:
FAX
STATE ZIp
sUTrE # (If Applicable)
Lot # and subdivision ([fAppllcable)
SCOPE(S) OF
RELE,a, SE: (D ELEC
PROVIDER:
AND/OR
COUNTY WELL AND/OR SEFUC PEP~I~T #~ (ff Applicable):
orUft: ~] YES BLDG. CONSTRUCT[ONTYP~:
TY - -:'.:' :_ENT:
[] NEW STRUCTURE
C3 ADD~I~ON
and medical offices/canters [] Room(s)
are commercial) [~ Porch
[] INSTITUTIONAL nine or Deck
[] ACCESSORY BU[LDXNG
[] DETACHED GARAGE
[] A'ITACHED GARAGE
[] CELLTOWER (New)
[] CELL TOWER CO-LOCATE
y N C~ DEMOLITION
permits are subject to tee General Achninistratiw
r of I.C, 36-7 et
Early Relea~
Permit:
Lot Split: Y_~ Sump Pump:
Does any part oft~e property lie withl
designation area: Y__N
_I N - :
Plumber's Indiana State Ucense #:
a (S~e 675 lAC 12) tega~d~g r~cpiration tim
g construction.
or alteration of a structure, or any change ~n the use of land or structures
State of Indiana, and the "Zonin4; Ordinance of Carmel Indiana - 1993"
te State o£ Indiana, and all Acts amendato~y thereto, I further certify that only
the construction will not be usexi or occupied until a C~c~te o~f
Indian~
OFF~CE USE ONLY:
Rough
Under Slab
S~e
Base Inspections:
Cert. of Occupancy:
jReviews