HomeMy WebLinkAbout05040071-ApplicationCity of Carrnel/ Clay Township l~ Permit #: ?[
~SEDENTIAL IMPRO~MENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family:'--J'-' New Structures, AddiUons, Remodels, & Accessory Structures
NAME
PROPERTY
OWNER:
· ADDRESS
& PRO3ECT
ZNFO:
4 NA~E
PROVIDER: PROVIDER:
SINGLE FAMILY
[]~ TOWN HOME
TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
~[~ NEVV STRUCTURE
[] ROOM ADDITION(S)
PORCH ADDTI~ON(S)
[] REMODEL
[]
[] A'ri'ACHED GARAGE
[] DEMOLITION
Y
ZONING:~.- )
Jntemational Residential Code w/
[] Uniform Plumbing Code w/Zndiana Amendments
(MulU-Family Construction Code)
(Check all that apply for the new
[] M3ST & BEAM
BASEMENT
g, N
Cert. of Occupancy:
P,R.I.F.:
# Charged Re-
AddiUonaI Fees
Servic~