HomeMy WebLinkAbout05050038-Applicationof Car el/ Clay To. l il Pe..it
uonm. New ~tructures~ Additions, Remodels~ Tenant Finishes, & Accessory Buildings
PHONE FAX
BEST METHOD OF CONTACT:
FAX
STATE
BUILDER'S EHAIL ADDRESS
PHONE
ADDRESS OF CONSTrUCTiON
INFO:
BU~.DING, PRO3ECT, OR TENANT NAME:
SUITE # (If Applicable)
LOt # and Subdivision (If Applicable)
ZONING:
TAX MAP PARCEL
STATE COMMERCIAL
DESIGN RELEASE #: RELEASE:
DER: PROVIDER:
FDN C3 STR C3 ARCH Q MECH 0 PLUM
E3 ELEC C3 SPRLR OTHER(S):
FOOTAGE:
-. F--- _ N
c] COMMeRCiAL
(~Ivately OWned hce~te~s
and medical offices/centers
~ are comme~al)
[~' [NSTtTUT'[ONAL
~./Munidpal/Public Bldg
~' [] Church
[] CRAWL SPACE
[]
BLDG, CONSTRUCTION TYPE:
[] NEW STRUCTURE
[] ADDITION
[] Room(s)
[] Porch
[]
[] REMODEL
DETACHED GARAGE
ATTACHED GARAGE
[] CELL TOWER (New)
[] CELL TOWER CO-LOCATE
[] DEMOLITION
OCCUPANCY CLASSIFICATION:
- E = - {-1 N:
Permit:.
Sump Pump:
dnslgnation area: YN
Indiana State License #:
REQUIRED:
:onstrucrion will not be used or occupied until a Cert"cate ot'
Community Services, Carmel, Indian~
Prtet Dar
~to~y
Base Inspections:
Cert. of Occupancy:
Re,4ews
Additional Fees