HomeMy WebLinkAbout06010034-ApplicationRECORD:
PROPERTY
OWNER:
LOCATION
& pRO3ECT
'[NFO:
City of Cannel/Clay Township Permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX
BUILDER'S EMAIL ADDRESS
NAME
STREET ADDRESS
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
WATER UTILITY
PROVIDER:
PHONE :AX ~-
CITY STATE ZIP
SEWER UTILITY
PROVIDER:
PLAN COMMISSION 3ZA BPW DOCKET
NAME C
NUMBERS; 'FAC DATE(S); AND/OR COUNTY WELL AND OR SEPTIC PERMIT #'S (IF APPLICABLE):
(~NEW STRUCTURE
C ROOM ADDITION(S)
[]] PORCH ADDITION(S)
[~ REMODEL
[]] ACCESSORY BUILDING
[]] DETACHED GARAGE
[]] A1-FACHED GARAGE
[] DEMOLITION
Manufactured y ~/N
Trusses:
(]] TOWN dOME
CJI TWO FAMILY
# of units:
[]] MULTI-FAMILY
# of Un ts:__
[]] RESIDENTIAL (For
Additions Rem0de s, Etc,)
P__ E INF :MA- ON:
Early Release
EXCLUDING LAND
Plumbeds indiana State License #:
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family ConstruEtiOD Code)
~ 0~~'. ~c~ll ~ ~p~ for the new
[]] CRAWLSPACE U- t-'c~r-~"or-~
Permit:
Lot Split: Y .~N Sump Pump: _~__N []] SLAB .~ BASEMENT
Does any part: of the property lie within a special Flood designation area: __Y ~
I. the undersigned
[urther certify that
Carmel
amendamry
of Community Servmes, Carmel, Indiana,
Date
Cert, of Occupancy: ~
~dot~ona~ Fees
P.R,I.F.: