HomeMy WebLinkAbout05050018-ApplicationCity of Carmel/¢lay owns*ip
LOCATION PE T PLICATION
For ginnie Famllg, Mul~-Famil~, & Two Family: flaw Stro~u~, ~ddi~ons,
BEST METHOD OF cor~rACT:
PROPERTY ~o~ F*X
OWNER: -- --
LOCATION SEC~ON
~ PRO3ECT __
INFO:
SQUARE
FOOTAGE:
NANE OF befILITY
PLAN COMMISSION / BZA / BPW DOCKEI'
,EPTIC PERNYr #'S {IF APPLICABLE):
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
~EW STRUCTURE
E3 ROOM ADDITiON(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ATI'ACHEDGARAGE
[] DEMOLITION
Manufactured
Permit: ~sses:
Lot Split: . Sump Pump:
Does any pert of the property lie within
[] Uniform Plumbing Cedew/Zndiana Amendment~
(Multi-Family Cor4~ruction Code)
constn~tionFOUNDATIONarea)TYPE: (Check all that app~0~Z~ new
[] ~OST & BEA .~
WALKOtff. ¥__.Q_~)
months of the
recons~rtlcdon e ~ the use of land or
~ply wi~, and coffo~ m, e State of h~a, ~d ~e
ed und~ au~od~ of I.C. 36-7 et seq, G~ As~bly of ~e State of h~a, ~d ~ Ac~ ~to~
~d fl~r ~s ~e co~ec~ to ~e s~ ~w~. 1 h~her ce~ t~t ~e con~tmcdon ~ not be
Co~u~ S~c~, ~d, ln~a.
OF~CE USE ONLY: ***********************************************************************
· Filing ~:
~ Ins~ions: *'~ ' ~ ~ ~a~ R~
R~e~
· Slab
Final
Services (Date)
Cert. of Occupancy:
QTAL;
Lot i n ($ubdivisi° n
recOrd with permit SerVices ,s. (Name of M°del)
will
Dept. of Community Services regard n!
1), T hereby affirm under oath that
, or intentionally
to hide, obscure or otherwise mislead the
the matters addressed therein.
Mast erPlenFile/Master Permit
. Application
Est. June 1999