§ 14-282. Exhibit D, building permit application.

CITY OF CARENCRO, DEPARTMENT OF REGULATORY CODES & PERMITS,
210 E. ST. PETER STREET, P.O. DRAWER 10, CARENCRO, LA 70520
[phone] OR [phone], FAX [phone] E-MAIL [e-mail]

BUILDING PERMIT APPLICATION

Owner: _____ Phone # _____ PERMIT NO._______ Date: _____

Project Location: _____ Subdivision: _____ Lot # _____

Mailing Address: _____ City: _____ State: _____ Zip Code: _____

Type of Construction:	Proposed Use:	Type of Frame:
___New Building/Residential	___One Family	___ Masonry (Wall bearing)
___Addition/Alteration/Remodeling	___Two or more Family-# of units ___	___Wood frame
___Commercial—Name of Business:	___Hotel/Motel/Dormitory/Apartments-# of Units ___	___Structural Steel
_____	___Garage/Carport	___Reinforced Concrete
___House Moving/Relocation	___Other—Specify _____	___Other—Specify _____
___Demolition (No Charge)
___Sign
___Other—Specify _____	Commercial Plan Review Fee: ___# of sheets @ $5.00 per sheet ($15.00 minimum) $___ Total

 

Type of Heating Fuel:	Type of Sewerage Disposal:	Type of Water Supply:	Will there by Central A/C ___yes ___no
___Gas	___Public or Private Company	___Public or Private Company	Will there be an elevator? ___yes ___no
___Oil	___Individual (Septic Tank)	___Individual (well, etc...)	Construction Value? $ _____
___Electricity
___Coal
___Other—Specify _____
General Information:	Contractor/Architect Information:	Flood Zone Information:	Cost of Permit: $ _____
Number of Stories _____	Name: _____	Flood Zone ___	Paid by ___ Cash or ___ Check # ___
Number of Bedrooms _____	Address: _____	Base Flood Elevation ___
Total Square Footage _____	Phone #: _____	Panel # 22055C00___G	City Official: _____
Size of home _____	License #: _____	Map Date: January 19, 1996
		Elevation Certificate Attached? ___yes ___no	Date: _____
Applicant Signature: _____		Date: _____

 

(Ord. No. 2003-048, Exhibit D, 4-22-2003)