HomeMy WebLinkAbout05050195-Application Permit #:_
RESIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
STATE
BUZLDER of
RECORD:
OWNER:
STATE
SECTION
INFO:
NAME OF UTILITY EXCAVATION CONllL~CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
#c
Permit: ~_N
Lot Split: N
Does any pa~t of the property lie within a
For Sin~c Famil~
within 180
rime frames
TYP -'~ ! 'EM - '.
~ NEW STRUCTURE
[] ROOM ADDITION(S)
C] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
) [] AITACHED GARAGE
[] DEMOLITION
/
~ F~: (
Manufactured
L/ construction area)
Trusses: Z~_Y N
[] CRAWLSPACE
SQUAR~
sewer. I father cerdfy that the cons~:rucr, ion
~ Services, Carmel, Indim~.
OFF[CE USE ONLY:
Lower Footing
Base Inspections: a Charged Re-
Reviews
Cer[. of Occupancy:
P.R.I.F.: ~,/~) ~ Additional Fees