HomeMy WebLinkAbout05050129-Application@
RECORD:
PROPERTY
OWNER:
City of Carmd /Clay
BUILDEr'S
Permit
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
NANE
STREET ~DDRESS
ziP
INFO:
//
:OUNTY WELL AND/OR SEPTIC PERMiT #'S (IF APPLICABLE):
TOWN HOME
TWO FAMILY
# of units:~
C~ MULTI-FAM!LY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
-:E= F - _-V ~:_ T:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
~.'~DETACHEDGARAGE
A'n'ACHEDGARAGE
[]
[] v/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family ConstrucUon Code)
~~,~L~e~: (Check all thatappiyfor the new
construction area)
[] CRAWl. SPACE [] POST & BEAM
~'"SLAB [] BASEMENT
__ WALKOUT.__ . N
Does any part of the property lie within a special Rood designation area: y ~N ' Y
8 months of the
of Indiana (See 675 IAC 12) regarding expiration
issuance datm Class ' ' ction
,.ornpleung constnt . .
s~cm~t~by ~s appUcafion~comply ~m,~ocomomm,~appn~me rows °~me ~7~F;~U--'~-;. _:3, a .~._:~4 .....
' a-1995' Z.28d)~d~=,adoptedund~au~ofi~ofLC. 36-Tetseq, Gen=~smmyotme~te°tm~'~u~nct= ........ z
0~[ ~8~ Offi~l ***********************************************************************
~%' o~ ~ ' T ..........
t~u,~;~ TOTAL=
Services (Date)