HomeMy WebLinkAbout05020038-ApplicationIUZLDER of
RECORD:
City of Carmel~Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
STREET ADDRESS ~ C~TY STAT~
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ZNFO:
FAX
l
NANE OF LFF[LITY EXCAVATION CONTRACTOR; pLAN COt. IH[SS[ON / BZA ! BPW DOCKET
NUNBER$; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC pEP, IVJiT #'5 (IF APPLICABLE):
TOWN HOME
0 TWO FAMILY
# of un,cs:
MULTI-FAMILY
# of Units:__
[] RESIDENTIAL(For
Additions, Remodels, Etc.)
P: -F! "-: -:
0 NEW STRUCTURE
0 ROOM ADDTF[ON(S)
P
ORCH ADDTI~ON(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLTT[ON
Manufactured
Permit: Y ./~_N
ZY N [] SLAB
Does any part of the property lie within a special Flood designation area: Y/N WALKOUT: Y___~N
n 180 days o£ the da~e of issuance of the building penmt, _and ,mu?. be c?rnp_leted (Cerut~cate o.x Occ. upancy assuca) .w~,~ ~ m, .ontns m. ,n.e
issuance da~e. Class I struccure permits are subjec~ to thc General Admmmtrauve Rules of thc State of Ind/ana (Sec 6751AC 12) regarcung ~a~°n
and completing construction,
, reconstrucdo~ or alteration of a structure, or any c h~a~.ge in the use of land or
~ply with, and~ laws of the State of Indiana. and the Zoning om;l~ance of Carmd
xl ~nder authority of LC. 36-7 et seq. General Assembly of the State of Indian~ and all Acts amendaro~y
and floor drains me cormecte~ to the sanitary t wfl] not be
OFFICE USE Filing Fees:
INSPECTIONS REQUIRED:
Base Inspections:
Upper Footing Lower Footing Under Slab
Ced:. of Occupancy:
P.R,LF.:
~mufiitv services ~ ~D~e)
Additional Fees