HomeMy WebLinkAbout06100172 Application
City of Carmel/Clay Township Permit #:(ZJ/OO/7d-.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PHONE:
L576-
FAX:
676 ";;;3/
CITY:
,PROPERTY
OWNER:
STREET ADDRESS:
CITY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
SErno
ZONING:
is/
SEWER
PROVI
,
SQUARE
FOOTAGE:605Q
ESTIMATED COST OF CONSTRurn'll6 00
NG LAND VALUE) (
TYPE OF IMPROVEMENT:
~ STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Basement Fin;
o ACCESSORY BUIL[
o DETACHED GARAG_
o ATTACHED GARAGE
o DEMOLITION
u..uI><J
NAME OF lITlLITY EXCAVATION CONTRACTOR; PLAN COMMISSroN I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
lumber's Iniliana State License #:
cP /I)()/Y) j(J /
.
Which plumbing codes will be applied to the construction:
'EY'l"temational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Fee Received by:
Date