HomeMy WebLinkAbout05020074-ApplicationCity of Carmel/Clay Township permit #: ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
BEST MEITIOD OF CONTACT:
~)I~NPERTY
ER:
LOCAl/ON
& PRO3ECT
C3 'TWO FAMILY
# of units
C~ MULT~-FA~!LY
# of Units.
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
PR: iT · .- · -:
Early Release
Permit:
I ~EVV STRUCTURE
C3'/ROOM ADDITION(S)
~ PORCH ADDZT~ON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GAW'
[:] ATTACHED GA~
[] DEMOLITION
Manufactured
'russes:
Tndiana State Ucense #:
WhiCh plumbing cedes will be applied to the construction:
'~_~Uonal ResidenUal Code w/Zndlana Amendments
C3 Uniform PlumbingCodew/IndianaAmendments
(Multi-Family Construction Code}
FOUNDATION TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST ~, BEAM
[] SLAB
expiration
I, the undersigned, agree thac any consrxuct/ox us~ o£ land or
st:rucCares requested by this application ~ comply with, and thc 'Zoning Ordinance of Came]
Indiana - 1993" (Z-289 ) and am~cLrrm~rm, adopted under authorit~ and all Acts amandatory
thereto. I further cext~y that only kitchen, bath, and floor drains are connected to the sardtary sewer. 1 further certify that the cormtruct~on will not be
--Mt --Date --
OFFtCE USE ONLY: **********************************************************************
F ing Fees: ~
.~.//~ ~') a (~ ~) # Charged Re
Base
Inspections:
Under Slab - - Reviews
ce~. of Occupancy: ~ O · O (~
Services (Date)