HomeMy WebLinkAbout05030040-Application City of Camel~ Clay Township permit # :,
RES~ENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of F~X
RECORD:
~ILDER'S EHAIL ADDRESS
PROPERTY ~.E P,ONE
OWNER: ~
STEEET ADDRESS
LOT#
SECHO~
ZONING:
ZNFO: ADDRESS OF CONS'mucao~
I
SEWER ~ WATER UTILITY
PROVIDER: PROVIDER:
. .~.. ~ .E_O_F_UI'ILrrY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DO(~
aUMUe:~b; TAC DATE{S); AND/OR OCtUNTY WELL AND/OR SEPTIC PERMrr #'S {IF APPLICABLE):
ME
~] TVVO FAMILY
# of units:
C] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
Permit:
ESTIMATED COST OF (
(EXCLUDING LAND VALUE)
S~UARE
-p I' _ .: :
~NEW STRUCTURE
[] PORCH ADDITION(S) -"~--~.
[] REMODEL
[] ACCESSORY BUILDING Which plumbing codes v, dll be applied to the consmuction ~"--
DETACHED
GARAGE
~ternaUonal ResidenUal Code w/~ndiana Amendments
[] A'O-ACHED GARAGE
[] DEMOLITION Code w/Zndiana Amendments
Hanufactured
Trusses:
Sump Pump:
property lie within a s
OFFZCE USE
For Single Family mad Two Family dwellings, additions remodels mad/or accessory structures tiffs -ermit is
withfi1180 days of thc date ofisslaancc of the building permit, mad must be corn~ted (C~i~cate ~Occu anc issued'
P Y
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning mad completing construction.
reconslmactzon, e.r~gement, relocation, or alteration of a structure, or may thmage in the use of land or
xply with, and conform to, all a ~plicable laws of the State of Indiana, and the ~Z~ag O~dinmace of Carmel
ed under authority ~ f I.e. 36-7 :t seq, General Assembly of the State of Indial~a, mad all Acts ammadatory
and floor drains are corm<ted ~o the sazlitsry sewer. I further certify that the constzalction will not be
pti~ynt . Carmel, Indiazl~
Filing Fees:
Base Inspections:
Cert. of Occupant: ~ · or0 Reviev~
Site
TOTAl.:
Communiht Se~ces (Date)