HomeMy WebLinkAbout05020138-ApplicationCity of Carmel~Clay Township Permit #:
IMPROVEMENT LOCATION PERMIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
PHONE
SECT[ON
INFO:
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION ! BZA / BF~/V DOCKET
NUMBERS; TAC DATE(S); AND/OR COUI~'Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
~ SINGLE FAMILY
'l~ TOWN HOME
'~A/O FAMI,.LY
# of units:
MULTI-FAMILY
# of Units:__
C] RESIDENTI/~L (For
Additions, RemOdels, Etc.)
! _ ENT:
~ROofiW STRUCTURE
M ADDITION(S)
CZ) PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] A'H'ACHED GARAGF
[] DEMOLITION
Manufactured
ESTIMATED COST OF CONSTRUCTIOI~
VALUED
Uniform Plumbing
(MuiU-Family Construction Code)
~IUNDATION TYPE.: (Check all that apply for the new
within 180 days of the date of issuance of the building permi
issuance date. Class I structure permits are subjees to tbe General Administrative Rules of the Sta~ 6ta~ <IS~e~g,~ ~ng ~afion
time frames for beginning and comlpletin
stwact~ms requested by this appbeataon will comply wr.h, and co~orm to, all applicable la~ 6f ~h~l,it~ ~n~ ~9~ ~uanel
Indiana - 1993" (Z-289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the St~ ~q~, and ail Acts amen~Idtory
th~_e~. I further ~ that only kitchen, bath, and floor drains exe connected to the sanitary sewer. I further c'ei-t3~ tla~r~ffie construction will not be
]as~d Ojr occupied until a Certificate o[Occupa~cy has been issu~e~ the Department of Community Services, Carmel, lnd/ana,
~ant [}ate
/Print
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Charged Re-
TOTAL:
AddiUonai Fees
Communi~