HomeMy WebLinkAbout05090021-ApplicationCity of Carmel/Clay Township Permit #~~ /
RESIDENTIAL
FOr Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
NAME
LOCAl'[ON LOT #
~ PRO3ECT 3 7
XNFO: I ~OD~ESS OF CONSTeUCnO~
SEWER
NAME OF Lrr[LITY EXCAVATION CONTRACTOR; PLAN COMMISSION ! BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMTf #'S (IF APPLICAJ3LE):
-
: FAMILY []
r'l T W ' NEVV STRUCTURE
-- O N HOME /~y-.~ [] JtO~M ADDITION(S)
u T~..O.FA.M. ILY ,~fl [~/PORCHADDmON(S)
F or unrts:~ , [] REMODEL
[] MULTI-FAMILY [] A R
, .~ CCESSO Y BUILDING
~ of Units
~ * ~ [] DETACHED GARAGE
F~ RESIDENTIAL (For
Additions, Remodels, Etc.)-~ [] DEMOLITION
PHONE
C3t7~)
FAX
SUBD~r~SION NAHE SECTioN
N ST OF CONSTRUCTION:
D VALUE)
PLUMBZNG I
STATE Z~P
~,~f, oo0
Which plumbin
Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
Manufactured
Permit: Trusses:
Lot Split: Sump Pump: Y
Does any part of the property lie within a special Flood
[] CRAWLSP,.~E
Lk all that apply for the new
ST & BEAM~
[] BASEMENT
) bj S'~U~IT~O.~[_Y N
OFF/CE USE ONLY:
LoWer ~ooting
~ Me~r Base
i r~es: ~ ~D _
Inspections: ~ # ChargedRev~ewsRe-
2err. of Occupant: ~
P.R.I.F.: Additional Fees