HomeMy WebLinkAbout06010083-ApplicationCity of Carmel~Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Nulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME PHONE FAX
SQUAR~
/ 7
Permit:
Lot Split:
Does any part of the
For Single Family
within 180 days of the date of i~
Y N
Plumber's Tndiana State Ucense #:
Which plumbing codes will be applied to the construction:
[] ZntemaUonal ResidenUal Code w/Indiana Amendments
[] Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction
FOUNDATI N TYP ;
construction area)
[:3 CRAWLSPACE
[] SLAB
area: Y N
remodels, and/or accessory structures, this permit ~ valid ordy
WALKOUT:
within 18 months of the
I, the undersigned, agree that ally construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures re~u~ested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993 (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
, kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
,has been issued by//eh~partment of Community Services, Carmel, Indiana.
Print Date
OFF~CE USE ONLY: ****--*******************************************************************
INSPECTIONS REQUIRED:
U ppar tin0
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
,~ -# Charged Re-
- , F ~- ; ;-: --: TY E FIM _ - -:
[] SINGLE FAMILY [] NEW STRUCTURE
[] TOWN HOME [] ROOM ADDITION(S)
[] TWO FAMILY [] PORCH ADDITION(S)
# of units: [] REMODEL
[] MULTI-FAMILY [] ACCESSORY BUILDING
# of Units:__ [] DETACHED GARAGE
[] RESIDENTIAl
A~-fACHED GARAGE
Addition., ;, Etc.) DEMOLITION