HomeMy WebLinkAbout05090156-ApplicationOWNER:
BUILDER'S EMAIL AODRESS
NAME
b-r ~ET .~DR~S
Permit #
ON
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
& PRO3ECT
INFO:
PHONE
CRY
[] SINGLE FAMILY
C] TOWN HOME
[] TWO FAMILY
# of units:
C3 ~UL~-FAMILY
J # of Units:
~ RESIDENTL4"~'( For
Additions, Remodels, Etc.)
SQUARE
PLAN COMM]SSION/ BZA / BPW DOC~'T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM~ #'S (IF APPLTCABLE):~'~
TYPE OF~MP '- '1'_.
[] NEW STRUCTURE
_[]./,'ROOM ADDITION(S)
~ PORCH ADDITION(S)
O REMODEL
C] ACCESSORY BUILDING
DETACHED GARAGE
[] ATTACHED GARAGE
DEMOLT~ON
Manufactured
Trusses:
Does any part of the
Indiana
8EP 3 2005
#:
Which plumbing codes will
[] IntemaUonal ResldenUal Code w/Zndlana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(MuiU-Family Construction Code)
r:~i~[~L~: (Check all that apply for the new
cons~uction~ ama)
rJ2F CRAWLS.PACE [] POST & BEAM
[] SLABy ~ [] BASEMENT /
WALKOLrr: Y ~""N_
m
~ the sanitm7 sewe~. If r cerrJf7 that the construction will not be
e Department o£ Community Sc~ccs, Carmel, Indiana.
=r AuUmHzed Agent Print I Date
Meter Base r ~n~F -~ Site
Reviewed/Approved: Dept. of Community Services (Date)
~: Pemllts/Forms/ILP RESIDENTIAL
Cert. of Occupancy:
P.R.I.F.:
Rev Jews
AddJUonal Fees