HomeMy WebLinkAbout05040047-Application City of Carmel~Clay Township
RESIDENTIAL IM:PROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
UILDER of NAME ~_~ __ PH F
__ q( lc,, qTSaqO
OWNER:
~ADDRESS CITY STATE ZIP
LOCATXON
& PROJECT
:
[] SINGLE FAMILY
TOWN HOME
TVVO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels,
-- :FIM V:- - -:
~ NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITiON(S)
REMODEL
ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Y ~N Manufactured
Trusses: M~ y N
Y_~N Sump Pump: Y
Does any part of the property lie within a special
PLUHBTNG CON ~ -R:
Uniform
(MulU-Famil)
: appty for the ne~
eonst:rucUon ama)
CRAWLSPACE [] POST & BEAM
SLAB [] BASEMENT
Y WALKOUT: _Y/~'"- _ N
is va]id only ff construction co~c~ce~
within 18 montha of thc
[ or
OFF~CE USE ONLY: *********************
Base Inspections: ~ # Charged Re-
Cert. of Occupancy: ~ ~ ~ ~ Reviews
~ ~ AddiUon~l Fees
(Date)