HomeMy WebLinkAbout05110002-Application¢ity of Carmel/ Clay Township ~L~ ~ ~ermit #:~_~l I 00~
?ERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
OWNER:
LOCATION
& PRO3ECT
INFO:
PHONE FAX
STREET ADDRESS
BUILDER'S EMA[L ADDRESS
CITY STATE ZIP
'~<~,~ o~//~ /~a y~7 7
BEST METHOD OF CONTACT:
//
PHONE FAX
Cm. eL
ADDRESS OF CONSTRUCTION
TYPE OF IMPROVEMENT:
[] NEW STRUCTURE
TYPE: - R CTION]
~] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units: []
[] MULTI-FAMILY [] RENO
# of Units:__ []
~ RESIDENTIAL (For
Additions, Remodels, Etc,) Cg
PLUMBING CO
Footing Under Slab
SECTION
SQUARE
FOOT^GE: ~.~
construction:
Code w/Indiana Amendments
Code w/Indiana Amendments n Code)
P : ~ ZNF' RM -~ N:
Early Release Manufactured pply for the new
Permit: Y ,~ N Trusses: y ~ C
-- -- -- /~ CRAWLSPACE H~] PI~ & BEAM
LOt Spl t: Y ~-N Sump Pump: Y ~ ~ SLAB [] BASE'~ENT
s~c[~res requested by th~s ap~cadon w~ comply ~ch, a~d comorm ~o, ~ appScab~e laws o~ ~he S~a~e of india, ~d ~he ~Zo~g Or~ce of Carmd
I~a- 1993' (Z~289) and amendmems, adD,ced under aut]~ority of LC. 36-Z et seq, Ge~er~ Assembiy of the SCare of India, and ~ Ac~s a~endaco~
E~. I ~r~er certify ~aE o~y ~c~en, ba~h, and ~oor ~ra~ns are co~ecged [o ghe sanitary sewer. ] f~lrther certify tha~ the consttuction w~l no~ be
OFFICE USE ONLY: ************************************************************************
Filing Fees:
Base Inspe~ions: ~ = ChargedReviewsRe-
Services (Date)
Cert. of Occupancy:
P,R.LF,: Additional Fees
Fee Received by: