HomeMy WebLinkAbout05040209-ApplicationTownship Permit #:
PERMIT APPLICATION
For Single Family, HulU-Yamily, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUILDER of
RECORD
OWNER:
& PRO3ECT
INFO:
NA~E
PHONE F
BUILDEP,~ EMA]L ADDRESS BEST METHOD OF CONTACT:
NAME PHONE FAX
SUBDIVISION NANE
ADDRESS OF CONSTRUCTZON
PRO~DER: ~ - ' ' J (~UDING ~ND VALUE)
m
m
/ STRUCTURE
1 ADDTI~ON(S)
4 ADD[I-ION(S)
ACCESSORY BUILDING
DETACHED GAPAGE
[] ATFACHED GARAGE
[] DEMOLITIOI~
!
Early Release Manufactured
Permit: Y -- Trusses: Y ~ N
PLU -: CONTRA - :
Plumber's Indiana State License #:
ZONING:
Which plumbing codes will be applied to Ute construction:
[] IntemaUonal ResidenUal Code wflndiena Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDA~: (Check all that apply for the new
construction area)
S · / . / [~'~CRAWLSPACE [] POST & BEAM
Lot plit. _.__Y__N SumpPump. Y~___._N [] SLAB [] BA~E/~ENT
cable laws of the State of ~dim~ ~$he 'Zoning On~insnce 0fCavmel
and amendments, adopt~ under authority of I.C. 364 et seq, General Assembly of ~EE'b~J~na, and allActs amendatory
:o the sanitary sewer. I further certify that the construct, ion will not be
Department of Community Services, Carmel, Indiana, f
OFFICE USE ONLY:
3 Lower Footing
) Meter Base
Under Slab Base Inspections: ~ ~ ~ ~
Cert. of Occupancy: ~ Reviews
~-nal ~ P.R.I.F.: ~
of Community Servtces~
TOTAL: