HomeMy WebLinkAbout05040051-ApplicationOCity of Carmel/Clay Township r~ 'Pe~n'~ #:~
~S~ENT~ ~RO~~ LOCATION PE~T ~PLICATION
For Single Family, MulU-Family, & Two Family: New ~, AddiUons, Rem~els, & A~W ~ru~s
RECORD:
OWNER:
PHONE
BEST METHOD OF CONTACT:
[ NAI~ ~. PHONE FAX
~RO3ECT
SQUARE
1,N FO: ADDRESS OF CONSTRUCTION FOOTAGE:
ZIP
--I, MB : -, 'RACTOR:
TYPE ,_- -.'=;-: ' - :
~NEW STRUCTURE
~3 ROOM ADDTHON(S)
[] PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A1-FACHED GARAGE
[] DEMOLITION
C~ TOWN HOME
[] TWO FAMILY
# of units:__
ED MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Whl¢~
f Manufactured
Permit: %/'Y __N L-
[] CRAWLSPACE [] POST & BEAM
X,L~._Y __N [] SLAB {~BASEMENT
lie within a special Flood designation area: Y ~ WALKOUT: Y ~'/N
issuance date. Class I structure pexnfits are subject to the General Administrative :egarding expiration
tim
I, the undersigned, agree that any construction, reconstruction, e in the use of land or
structures ~u. ested by th/s application willcomply with, and col ng Ordinance of Crmmd
Indiana - 1993 (Z-289) and amendments, adopted under authotity of LC [all Acts amendatory
thereto. I further certify that only ~tchen, bath, and floor drains are corm ~.xuction will not be
used or occul~ied ant ~iT. err//~ o£Occ~panc?bas he~ issued by ~ i~.
-, Filing Fees:
:D.. Base Inspections:
Unaer Slab Reviews
Cer~. of Occupancy: ~