HomeMy WebLinkAbout05030180-ApplicationCity of Carmel/Clay Township permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO.1ECT
ZNFO:
STREET ADDRESS
BUILDER'S EI~qL ADpRESS
lOT # / OO SUBDIVISION NAME
PHONE FAX
zo.m :
NAME OF I.~[I.JTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA ~ ,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S
- ~ - -i- ~- ;- : N_:
[] SINGLE FAMILY
C] TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:__
{~c RESIDENTIAL (For
Additions. Remodels, Etc.)
Permit:
·
F l, 'R, - T:
[] NEW STRUCTURE
I~ ROOM ADDTr~ON(S) : License #:
C~ PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE ~ International ResidentialCode w/Indiana Amendments
[] AT[ACHED GARAGE
[] DEMOLTTJON
Manufactured
Trusses: Y __~__N
Sump Pump: ~ .~_N
lie within a special Flood designation
[] Uniform Plumbing Code w/indiana Amendments
(MulU-Family Construction Code)
FOUND_' , .N TYPE: (Check all that apply for the new
construction area)
WALKOLrT:~__Y N
OFF/CE USE ONLY: ******************a
Cert. of Occupancy:
P.R.I.F.: Additional Fess
Services (Date)