HomeMy WebLinkAbout05120046-ApplicationCity of Carrnel/ Clay Township ~'~ ~ permit #
~SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Haiti-Family, & Two Family.'--a'" New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
PROPERTY
OWNER:
~ ADDRESS
LOCATION
& PRO.]ECT
INFO:
[] SINGLE FAMILY [] NEW
[] TOWN HOME [] ROOM
[] TWO FAMILY
# of units:__ [~REMODEL
MULTI-FAMILY [] ACCESSORY
# of Units:_ [] DETACHED GARAGE
RESIDENTIAL (For [] ATTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
BEST METHOD OF CONTACT:
PHONE FAX
Amendments
For, ~i~¢ F?fly .a:qd Two F .a~.' y dwellings, add. iti~ns, remodels, ~or acc~o~ s~c~m, ~ pe~t is v~d only ff cons~c~
~m 180 aa~ of ~e ~e of m~ of the bufl~g ~t, ~d must be comple~ (~cate of Oc~pancy ~ued) ~ 18 months of the
m~ dat~ C~ I stmc~e ~ m ~bj~t to ~e ~ Ad~a~ve R~ of the State of Indi~a (See 675 1AC 12) r~g ~a~on
~e ~ for ~g ~d comple~g constmc~on.
I, ~e und~,~e ~t ~ c~Qon, r~on~cfion, ~t, ~a~o~ or ~afion of a s~cmre, or ~y c~ge m ~e u~ of ~d or
s~cm~t~ by ~s ap~canon ~comply ~, md c~o~ to, ~ apphcable hws of the S~te off.a, md ~e Zo~g ~ce of C~d
~- 993 (Z-28~)md~,a~ptedund~au~on~ofI.C. 36.7ets~,G~lyof~eS~teof~m~md~Ac~m~to~
m~to. I ~e c~ ~t oily ~tch~, ba&. md fl~r ~s ~ ~ect~ to ~e s~t~ sew~. 1 ~her e~ ~t ~e e~s~cfion ~ not ~
re o[~ccup~cy~ ~y ~e Dep~t of ~umty ~, ~fl, lng,
OF~CE USE ONLY: ***********************************************************************
INSPE~ONS REqUI~D: Filing ~s: ~ __
Upper Footing Lower Footing
(~ Meter Base
Site
Base Inspections: ~ # Charged Re-
Reviews
~ert. of Occupancy: .~-~'/ ~0
P.R.I.F.: Additional Fees
TOTAL:
(Date)