HomeMy WebLinkAbout06080176 Application
City of Carmel/Clay Township Permit #: rxdO<i?O/7&
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory StrJctures
i
TYPE OF CONSTRUcnON:
g-srNGLE FAMILY
'6 TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
BUILDER
OF
RECORD:
ZIP:
PROPERTY
OWNER:
STREET ADDRESS:
CflY:
LOCATION
&. PROJECT
INFO:
LOT #:
SUBDIVISION NAME:
---
SQUARE
FOOTAGE: 6;)
.:<
ESllMATED COST OF CONSTR mON:
CLUDING LAND VALUE)
ONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET 0
COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): F--
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
dJ-NEW STRUCTURE
'0 ROOM ADDmON(S)
o PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING_ ~
o DETACHED GARAGF
o ATTACHED GARAr
o DEMOLmON
PI;er'S Indi na ~ nse #..:...--
,/1>1bj}fJ V / t. .-JCPIt:rJ::rJ):J /
Which plumbing Codes will be applied to the construction:
~temational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
# Charged Re-
ReViews
. c
Rough I
Cert, of Occupancy:
P,R.LF.:
c
S:Permits/FormsfILP RESIDENTIAL
Fee
..... Date