HomeMy WebLinkAbout05120024-ApplicationCity of Carmel/ Clay Tow~shi]~ ~ ~ Permit
RESIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family. New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS CITY
& PRO3ECT
][NFO:
LC~r # SUBD]~r~SION NAHE
WATER UTIUTY ~:~
- PROVIDER: Z~
EXCAVATION CONTRACTOR; PLaN COMMISSIOI~ / BZA / BPW DOCKET
NUMBERS; TAC DATE(S)~ AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SECT]ON
SQUARE
FOOTAGE:
(EXCLUDING LAND VALUE)
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:__
~ NEW STRUCTURE
[] ROOM ADDITION(S)
[] REMODEL
[] be applied to the
a~nendments
Consrauction Code)
~: (Check all that apply for the new
construction area)
N [3 CRAWLSPACE [~ POST & BEAN
[~ SLAB {I~ BASEMENT
O~ea any par~ of the pmperb/lie within a sl~cial Flood designation area: WALKOUT: Y__L~N
~ oz msuance ot the Dufldmg permat, and must be completed (Certificate or' Occupancy issued) w~thin 18 months of the
issnance date. Class ! structure permits are subj?ct to the General Administrative Rules of the State ot' Indiana (See 675 IAC 12) regard~g expiration
...... rune frames for beginning and completing construction.
s, rne unaeeslgnea, agree that any construction, recctastraction, ~ement, relocation or alteration o£ a structure, or any change in the nse of land or
structttres re~u. estedby this application~ comply with, and con~or~ to, all al~l~l~cablelaws nE the State nE indiana, and the ~Zoi~ng Ordinance of Carmel
or occul~]ea nnm a Cett:it]c,~re ot'Occupaucy-has been msued by the Depamnent of Community Services, Carmel, Indfana.
Agent Pri~t hate
USE ONLY: ************************************************************************
Filing Fees: ~
Under Slab Base Inspections: ~ # Charged Re-
Reviews
Cert. of Occupancy: ~
Final
' ' (Date)
AddiMo~al Fees