HomeMy WebLinkAbout05100025-Application ¢~ ~ Permit #:
SIDENTIAL IMPROVE LOCATION PERMIT APPLICATION
For Single Family, MultirFamily, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
PHONE FAX
SUBDIVISION NAME
INFO:
ADDRESS OF CONSTRUCTION
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA j BPW DOCKI~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ JIF APPLICABL~):
NGLE FAMILY
[] T~NO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
~- :M - -NT:
.~NEW STRUCTURE
~' ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] AT~ACHED GARAGE
DEMOLITION
0ST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
Plumber's Indiana
Which plumbing code~
Trusses:
Sump Pump: ~¥__N
~~L~: (Check all that apply for t~e new
construction ama)
~ CRAWLSPACE [] POST & BEAN
[] SLAB ~ _~ BASEMENT
nation area:
r S~C~, ~ permit is va]id only if construction commences
of issuance of the building permit, and must bc completed (Certifl*Cata of Occupancy Ls~uecJ) witl'd~ 18 m~u~ths o.~ th,e
of the State o£ Indiana (See 675 lAG 12) regaramg expiration
g change in the nse of land or
and the "Zoning ordinance o£ Carmel
' o£ the State o£ Indiana, and all Acts amendatory
I further certify that the construction will not be
Service& Carmel, Indiana.
OFFICE USE ONLY: *********************
, Services (Date)
Cert. of Occupancy:
P.R.I.F.:
# Charged Re-
Reviews
Additional Fees