HomeMy WebLinkAbout05090085-ApplicationOWNER:
& PRO3ECT
ZNFO:
PROVIDER:
APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
- .~- ~ PHONE FAX _
ADDR ~ CITY ATE p
~UILDERSEHA~LADDR~$5 ,/ ~ ~,. BEST HEITIOD OF CONTACT: ( pJ~
NAME ~ PHONE ~ PAY~
LOT # SUBDUeS[ON NA~E CleON
Permit
NAME OF UTiliTY EXCAVATLON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR S~PT]C PERMIT #'S (IF APPLICABLE): /%~
- E =.. - -N:
~.IcNGLE FAMILY
OWN HOME
[] TWO FAMILY
# of units:__
[Z] MULTI-FAMILY ~ich
#ofUnts /
[] RESIDENT~-~'~FOr / [][] ATTACHEDDETACHEDGARAGEGARAGE C:~ ZntemaUonal
Additions, Remodels, Etc,)
[] DEMOLTDON
%
TY-E -FIMP _---; N :
[] NEW STRUCTURE
[] ROOM ADDITiON(S)
[] PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
(Check all that apply for U~e new
POET & BEAM
BASEMENT
WALKOUT: Y_._~.N
f the State of Indiana (See 675 IAC 12) regarding expiration
· or alteration of a structure, or any change tn the use of land or
and the 'Zoning O'~inance of Camfl
t of the State of Indiana, and all Acrs mendatory
r sewer. I further certify.that the construction will not be
y the Department of Community Services, Carmel. Indiana. ~
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TNSPECTZON$ REQUIRED, gu~ ~ct to ca ~)pl~mc~ w'Lh all regutaupnsc Z,~ ; -~. ~
nf ~t~,~s~iml~.Jes / [) '/ ~ ~7 [} # Charged ~e-
Upper Footing Lower Footing Under~SJab~ .~'_ ..7 ~"i~ ~'-' ,?i~ ,~ ~ '7d.. ~ ~"'--~ ~.. ~ ~ ,._-. .~~ Rev'ews
~e~ OF CARMEL / C~AY TOW
P. P~][.F~ ...., Additional Fees