HomeMy WebLinkAbout06010003-ApplicationO, City of Carmd/ Clay Township perm~ #: ]~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structu~s, Additions, Remodels, & Accessory Structures
BUZLDER of NAME PHONE :AX
RECORD:
~ PRO3ECT
ZNFO:
FAX
ZIP
WATER UT[LrTy
NAME OF UT[LtT~ EXCAVATZON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
~IUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTZC PER, UT #$ (IF APPLICABLE):
SECTION
SQUARE
(EXCLUDING LAND VALUE)
-- .F _ - :N_:
[] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
~ MULTi-FAMILY
~ # of Units:~
III RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE FI -. M ---:
[] NEW STRUCTURE
C~ ROOM ADDTfiON(S)
[] ~ ADD[I'[ON(S)
~"~EMODEL
[] ACCESSORY BUILDING W~,a plumbing
[] DETACHED GARAGE ~ Zntemational R
[] ATTACHED GARAGE []
[] DEMOLTHON
N FOUN~: (Check all that apply for the new
Manufactured y ~-.-~ construction area)
Permit: y Trusses: __ N
[] CRAWLSPACE [] POST & BEAM
~N ~I~ BASEMENT ~
WALKOUT: Y ~
· withln 180 day? of the date ofis. suanc¢ of the builcl~ng permit. ~d mu,t ~ ¢omplct~ (C~te of O~up~c¥ i~ed) ~ 18 mon~ of the
~raanc¢ date. ~ I ~r2ucmre permits are subject to the General Admin~rra~ve Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for Beg~nmg and compledng constmc~on.
I. the undersigned, agree rlrmr an>. construction, reconstruction, enlargcmear, reloca0.o]a, or all:eradon of a srmcmre, or an~ cha~ge in ~e use of lar~d or
st:rucmres ~u~ested by ~ applica~on will comply' with. and conform to. all applicable laws o£ the State of Indiana. ~d the ~Zoning Ordnance of Camel
I~d~ana- 199~ (Z~289) a~d amendments, adopted under au~ority o£ LC. 36~7 et seq. General As~mbl¥ of ~e S~te o~ ~ ~d ~ ACB am~ro~
rllereto. I furdler cerl~ rllat only kirchen~ bath. and floor drains are coimectcd to the sanitary sewer. I further cerdfy that: the construction will nor be
Services. C. armd. Ind~na~
Fees: ~
47~ # Charged Re-
Upper Footing Lower Footing ~ Reviews
Loc,~I Codes.
Additional Fee~