HomeMy WebLinkAbout05080063-ApplicationOCity ofCarmel/Clay Townshi
Permit
Fol r mSnaI _EN.T ROVEMENT LOCATION PERMIT APPLICATION
· gle eamily, r4ulti-~amily, & Two Family: New Structures, Additions, Remodels, & Accessory StrUctures
BUZLDER of PHONE laX
RECORD:
ZiP
BEST METHOD OF CONTACt:
/
PROPERTY PHONE
OWNER: ~ ~-%
OTY
ZiP
~LOCATZON
PRO3ECT
TNFO:
PROVIDER:
PLAN COMMISSIO~ / BZA/BPW DOC~-'T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFT~C PERMIT #'S (IF APPI.~CABLE):
~ STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITiON(S)
REMODEL
SECllON ZONING:
SQUARE
EST]MATED COST OF CONSTRUC~ON:
e License #:
Trusses:
Sump Pump: ~LSPACL
Does any part of the properb/lie within a special Flood designation area: __y ~ WALKOUT: y~
Issuance clare. Cla~ [ structure permits are subject to the General Admtnistralave Rules of the Stare of indiana (See 675 iAC 12) ~ng ~ation
time frames for beginning and completing construction.
I, the under~gned, agree that any conslzuction, reconstruction, enla~geme~, relocation, or alteration of a sta~cmre, or any chmage in ~e use of land or
srmcmms ~e,.q~. est'ed by h~s application will comply w~rh and conform to, all apphcable laws of the Sram of Indian~, ~nd ~e ~Zo~tn Ordinance of C
~diana-1993 (Z~289) and amendments, adoptedunderau~otityoflC 36.7~sen, GeneratAssembl..of~e ..... r,_~ .... g,.. . armd
~ - Ifurthe-rcer~thatonlykitchen, ba~,andflcordrainsareconnectedto~esan~ratv~ewer · c._t ....... ry
: apply for the TW
[] POST & BEAM
[] BASEMENT
Reviewed/ Date)
Base Znspections: ~~_0 # charged a--~-
Cert. of Occupancy: ,-~_~ ~"O ~eviews
P.R.I.F.: 0---'~
· ~lditional Fe~
TOTAL: l O ~'