HomeMy WebLinkAbout05100160-ApplicationPermit
BUZLDER of
RECORD:
BUILDER'S EMA[L ADDRESS
MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
PROPERTY
OWNER:
STREEt ADDRESS
LOCATION
& PROJECT
INFO:
~HONE
FAX
ZIP
zoNING:
FOOTAGE:
SEWER UT~LrTY
PROVIDER:
F APPLICASLE):
(EXCLUDING LAND V
TOWN HOME
C~ T~NO FAMILY
# of units:_
[] MULTI-FAMILY
c-~-. # of Uni~:_~_
R~[DEN~L (~r
Additions, Rem~els, E~.)
p- . ;- - - I :: .:
Eady Rel~
Pe~it:
[]
E
[]
[] REMODEL
[:] ACCESSORY BUILDING
[] ~)ETACHED GARAGE
C]~ATTACH ED GARAGE
[] DEMOLTHON
Manufactured
Trusses: Y /~'
codes will be applied to the construction:
Amendments
Plumbing Code w/Indiana Amendments
Construddon Code)
(Check all that apply for the new
construction area)
~ C~BWLSPACE []POST&BEAM
[] BASEMENT
a: WALKOLrr:y N
srtuctaues, this permit is valid only ii construction commences
penult, and must be completed (Certificate of Occupancy issued) within 18 months of the
General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
or altetadon of a structure, or any change/n the use of land or
hws of the S~ate 0£ Indians and the 'Zoning Ordinance of Cannd
General Assembly of the State of Ind/an~ and all Acts araendatory
sewer. I further certify that the construction will not be
Services, Carmel, lndiano.
P.R.I.F.:
TOTAL:
AdditiOnal F~es