HomeMy WebLinkAbout05030070-ApplicationOCity of Carmel/ Clay Township ~ ~:' : Permit
RE$IDEN~.IMPRO~.~NT LOCATION PERMIT APPLICATION
For Single Family, Multi Family, & Two Family. New Structures, Additions, Remodels, & Accessory Structures
; PHONE FAX
/,~/
& PRO~ 3ECT
~ S~NGLE FAMI'LY
~m'?~T~OWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
NANE OF UTILITY EXCAVATION CONTRACTOE; PLaN COMMISSION / BZA / BPW DO~
UNTY WELL AND/OR SEPTIC PER/lIT/~'S (IF APPLIC~):
- Fl': R: . M T:
WR~MSTRU~RE
ADDITION(S)
C~] PORCH ADDITION(S)
~] REMODEL
[] ACCESSORY BUILDING
C~] DETACHED GARAGE
~ACHED GARAGE
OLITION
Early Release
Permit:
~__N
Sump Pump: .Y~
Does any part of the property lie within a special Flood designation area:
CON _-CT- -:
Plumber's Zndiana ~
[]
(MulU-Family Construc~on Code)
~,~: (Checkall that apply for t
construction area)
[] POST & BEAM
[:] BASEMENT
s, addit/ons, remodels
I. the undersigned, agree th
xuctums ~re~q.u. ested by this
~di~a - 1993 (Z~289) and
~erero. I farther cern7
~ed or occupied until
time frames for beginning and completing
a~.? co. nstru.c, tion, reconsrxuction, enlargement, relocation, or alteration of ~
~plicatlon wi~ comply with, and conform to, all al~licable laws of the State o
xe~dments, adopted under authority of LC. 36-7 et secb General Assembly of the ~
My kitchen, bath, and floor drains are connected to the sanitary sewer. 1 fi~rthca
bCicate o£Occu]~imcyhas been issued by the Detmrunent of ,C_ommunity Services. Carmel. Indiaz~a.
zed A~ent Print
otbe
Filing Fees: ~
) Base Inspections: ~ # Charged Re-
Cert. of Occupancy: .~--._~ {~ ~ Reviews
P.R.I.F.: ~ Additional~
TOTAL~ ~!~//7r_~-,,~. ~} t.~