HomeMy WebLinkAbout05010005-ApplicationCarmel/Clay
Township
BUILDER
STREET
Application for
Improvement LocatiOn Permit aoti
started within 180 days of the date of issuance for residential :,onstru&~0n; and for commemial projects, within one (1)
Commercial Desi.~n Rete~e. AH ~e c/om' sued~ within 2- e_ars of the issuance date.
PHONE FAX
STATE ZIP
OWNER
PHONE
CITY
LOCATION
~DDRESS OF
A. TYPE OF CONSTRUCTION Do l~lans include a porch?
1. ~le Family ;~Yes [] No
2. [] Two Family
3. [] Multi-Family Type ofFoundati0n"
4 [] Commercial / rmdnstrial [] Crawlspace
5. [] OTHER Basement I~
(Specify)__
B, SEWER:
1 [] Public
2. [] Private (County permit ~
C. WATER:
1. [] Public (Name ~
2. [] Private(Coumypermit#
D. ZONING :~
TYPE OF IMPROVEMENT
1. ~ Stmcrure
2. [] Addition: Porch Room
3. [] Remodel [] Commercial Tenant Space
4. [] Foundation Only
5. [] Demolition
6. [] Accessory Building
~Garage Detached Attached /
Plumbing Contractor
YES NO
YEs
YES ~_~NO
,,ms
E, ESTIMATED COST OF ~ON~TRUCTION IRC Plumbing Code: [] Plumber's. ~ ~
Land Value) Indiana Plumbing Code: ~!~e,e,n,se
(Excluding
I, ~e ~dersi~, a~ee that ~y cons~ction, re~ns~uction, enl~g~ent, relocation, or alteration of a s~ct~e, or ~y c~ge in &e use ofl~d ~r s~cm~
r~u~t~ by this application ~11 comply ~, ~d confo~ to, fll applicable l~s of~e State of Indi~, ~d ~e "Zoning ~in~ee ofC~l ~d~a - 199Y
(Z-289) ~ ~nd~en~, adopted ~der authofi~ of I.C. 36-7 et ~eq, G~e~ A~embly of~e State of~ ~d all Acts ~endato~ ~ereto. I ~er
~i~ ~at only ~tch~, ba~, ~d floor drains me ~at the eon~m~on wffi not be us~ or occupi~ until a
by the Depa~ment ol
~SPECTIONS NEEDED:
Agem
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Services S:Permits/Forms/ILP 5-02