HomeMy WebLinkAbout05050015-ApplicationPermit
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, &.Accessory Structures
_
BUILDER'S ENA[L ADDRESS BEST METHOD OF CONTACT:
PROPERTY ~ P.ONe F~
STREET ADDRESS ~ STATE
L,~r A-r~nN LOT # SUBD~/[SION NAME ~ SECTION ZONING:
TNF:O: ADD~SSOFCONSTRUCTZON ~ SQUAR~ ~ /// ,,
......_
PROVIDER: ,(., ~f (EXCLUDING LAND VALUE)
NAME OF UT/Lily EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW ~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMTr #'S (IF APPLICABLE):
~ SINGLE FAMILY
1~] TOWN HOME
C] TWO FAMI,LY
# of un~:
C/ MULTI-FAMILY
# of Units
~ RESIDENT~L (For
Add tions, Remodels, Etc.)
'~- · ~NF RMATZ N:
Early Release
Permit:
- - - P V -_ :
(~ NEW STRUCTURE
~ ROOM ADDTr[ON(S)
[] PORCH ADDFI'~ON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Y_.~L_N
Which plumbin;
~[...In~maflonal
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family ConstrucUon Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
~ BASEMENT
WALKOUT: Y Y,,N
reconstruction, enlargement, relocation, or ~ or any c_ .t~n~ _g_e in the use of land or
: State of Indiana, and thc Zoning Ordinance of Cannet
nbly of the State of Indiana, and all Acts am~_datory
r sewer. I further ce~ify that thc constr tlctioll willnot be
Services. Carmel. Ind. tana~
OFFICE USE ONLY:
Cert. of Occupancy: ~~
P.R.I.F.: C~ ~) Additional Fees