HomeMy WebLinkAbout05120011-ApplicationCity of Carmd/ Clay Township permit #~ ~) <7//
RESIDENTIAL IMPROVEME LOCATION PERMIT APPLICATIO
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
OWNER:
STREET ADDRESS
FAX
7 =N - -- -;I
.~ SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
MULTI-FAMIL"~
# of Units:
[] RESIDENTIAL (--~r
[] NEW STRUCTURE
[] OOM ADDITION~
[] PORCH ADDITIO~5
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE C]
[] A'ITACHED GARAGE
[] DEMOLITION /
/
Nanufacture~
Trusse,q y ~' N
Amendments
(MulU-Family Consb'ucUon Code)
~:~~L~[~: (Check all U~at apply for t~e new
construction area)
[] CRAWLSPACE [] POST & BEAM
[] SLAB [~ BASEMENT
Upper Footing Lower Footing Under~daff
Meter Base ~
Reviews
Cert. of Occupancy:
P.R.I.F.: /
Sump Pump: _~y N
Does any pert of the property lie within a special Flood designation area: ~Y ._~_N WALKOUT: Y--Z~_N
y ~ msuance oI me ouuomg pernnt, ann must be completed (Certificate of Occupancy issued) within 18 months of the
l~suanee date. Class I structure permits are subject to the General Administrative Rules of the State of indiana (See 675 iAC 12) r~ng ~on
time frames for beginning a. nd completing construct/on,
I, the underaigned, agree that any construction, reconstruction, enlargement, relocation or alteration of
In~; ....,~,.,-, ~Lq . rr . .~.,~..,~..y "~"~`~auc~n~rmt~a~aP~ucam~mws~theState~£Ind~ana~andth~Z~n~ng~rdinance~fCarmd
~ *==a t~-zoy) anti amenaments, aooptecl uncler authority of LC, 36-7 et seq, GeneralAssembly of the State of Indiana and allActs amendatory
I ./'7-'J~c '¥' ~.l~,cynas oeen maue~ ~y mc uepartment of Community Services. Cannd Indiana
SignBtum ..~:.
1,Nsp£CTZoNS REQUi. RED: ~*~ ii ~
~- Base Inspections: ~~ 0 # Charged Re-