HomeMy WebLinkAbout05040081-ApplicationCity of Carmel~Clay Townshil? Permit #:
RESIDENTIAL IMPROVEME~ LOCA~ON PERMIT APPLICATION
For Single Family, Multi-Family, &Two Family:'--""' New Structures, AddiUons, Remodels, &Accessory Structures
OWNER:
INFO:
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
BEST METHOD OF CONTACT:
PHONE FAX
PROVIDER:
/ BZA
COUNTY WELL AND/OR SEPTIC PERMrr #'S (IF APPLICABLE):
~ SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Lot Split:
Does any
ESTIMATED COST OF CONSTRUCTION:
~{EXO-UDING LAND VALUE) y~
'F;--P--' ~ - M - :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'FI'ACHED GARAGE
[] DEMOLITION
License #:
Which plumbing codes will be applied t~ the construction:
ic_s rm e~um ~e w nma mencs
(Mul~-Family ~~~c }ja~l
DEPT OF CQMMUN[VY SERV)CES
Manufactured
· usses: Y
Y-F--" [] cRAw,sPACE
-- [] m .*SEME.T
a special Flood designation area: Y N WALKOUT:__Y ~: N
, structures, this permit is valid only ffconstruction commences
I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
OFFICE USE ONLY: *************:
INSPECTIONS
Upper Footing Lower Footing
Meter Base
' sewer. I further certify that the construction will not be
by the Department of Community Services, Carmel, Indiana~
Date
¢/ S'o _
Charged Re-
Reviews
P.R.I,F.: ~dditional ~
Services