HomeMy WebLinkAbout05030217-Application of Carmd /Clay Township~ /(.~ g/O Permit #
IMPROVEMENT LOCATION PERMIT APPLICATION
Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
LOCATION
& PROJECT
INFO:
PHONE FAX
OWNER: ~~
S"'I~EIET ADDRESS
LOT # SUBDMSION NAME
L
WATER UTILITY~
PROVIDER: PROVIDER: ~'
NAME OF UT~L1TY EXCAVATION CONTRACTOR; pLAN COMMISSION / BZA / BPW DOQ(ET
NUMBERS; TAC DAb(S); AND/OR COUNTY WELL AND/OR SEFI1C PERH~T #'S ~[F APPLICABLE):
PHONE
FAX
L_._~GE: )T~O 5~
ESTZHATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
C~ TOWN HOME
O TVVo FAMILY
# of Units:__
C~ MULTI-FAMILY
_/ # of Un,s:
C~~ RESIDENTIAL (For
Additions, Remodels, Etc.)
- F ' VEMEN :
C~. NEW STRUCTURE
[~ ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] AFl'ACHED GARAGE
DEMOLr~ON
Manufactured
2 8 2005
~'/Y__N
yv'~N [] S~B
International ResidenUal Code w/Indiana Amendments
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family ConstrucUon Code)
FOUN ~A! -NTY : (Check all that apply for the new
con__~cflon area)
{~ CRAWLSPACE [] POST & BEAM
[] BASEMENT
v/N WALKOUT: Y /' _N
~tencmre permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time Dames for beginning and completing construction. .
reconstruction, enlargement, relocation, or alteration of a swacture, or any change m the use of land or
with, and co~form to, all applicable laws o£ the State of indiana~ and the 'Zoning Ordinance of Carmel
ndiana, and all Acts amendatory [
[ [utrher certify that the construction will not be [
tel, lndiana.
OFFICE USE ONLY: 8'*: **********************************************
Filing Fees:
~ # Charged
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