HomeMy WebLinkAbout05010010-ApplicationCity of Carrnel/Clay Township
~$IDENTIAL IMPROVEMENT LOCATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
PROPERTY
OWNER:
LOCAT/ON
& PRO2ECT
INFO:
NUMBERS; TAC DA~T~(S);
PLAN COMMISSION / BZ~ / I
SQUAP~
FOOTAGE:
SINGLE FAMILY
[] TOWN HOME
TWO FAMILY
# of units:
MULTI-FANILY
ROOM ADDITION(S)
-1 ACCESSORY BUILDING
[] DETACHED GARAGE
Early Release
Permit: Y _~N
Lot Split:
Does any part of the property lie within
construction area)
[] CRAWLSPACE
[] POST&BEAM
[] BASEMENT
WALKOUT:_
Y N
accessory srzuctures, this permit is valid only ffconsttucdon commences J
.8 months of the
the State of Indiana (See 675 IAC 12) regarding exp/ration
e m the use of land or
Ordinance of Canud
' of I.C, 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
kitchen, bath, and floor drams are connected to the sanitary sewer. I further ce~cff7 that the construction will not be
by the Department of Community Services, Carmel. Indiana~
r Authorized Agent Print Date
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LY: Filing Fees:
Base Inspections:
Cert. of Occupant:
P.R,I.F. '"-'
TOTAL:
Services (Date]