HomeMy WebLinkAbout05050176-Application RES ENTIAL IMlaRO rEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUZLDER of , . PHONE
RECORD: C~O
STREET ADDRESS STATE
PHONE FAX
OWNER: ~O(~
STATE
LOCATZON SUBD~SZON .mE s~oN
& PROJECT z~
INFO:
OF
WATER UTILITY
PROVIDER:
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION: ~ .,~,
(EXCLUDING~/.AND VALUE) ~
TOWN HOME
C3 TWO FAMILY
# of units:
[] MULTI-FAMILY
of Umts.~
[] RESIDENT~L (For
Additions, Remodels, Etc.)
T~ '~V -
~]"-N-EW STRUCTURE [] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] Al-rACHED GARAGE
[] DEMOLITION
Permit: Y ~_N Trusses:
Lot Split: Y ~._N
Does any part of the property lie within a
issuance date. Ciasa ]
OFF/CE USE ONLY: ********
XNSPECTIONS REQUIRED:
Plumber's Zndlana State L
will be
Uniform Plumbin,
(MulU-Family Construction
FOUNDATION TYPE:
N construction area)
[] CRAWLSPACE
SLAB
:,ma: Y .~N
y ff consrtuctinn commences
~ months of thc
irate of Indiana (See 675 IAC 12) regarding exp'mtion
e of land or
and the "Zoning Ordinance of Carmel
,y of the State of Indiana, and all Acts amendatory
z sewer. I further certify that the construction will not be
y thc)p~artmcnt of Coramunity Services, Carmd, Indiana,
InspecUons: ~ ~
P.R.I.F.: , Additional Fees
Feel