HomeMy WebLinkAbout05040138-ApplicationCity of Carmel/Clay Townshil~ ~0) %~"~Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME
RD-'
PROPERTY
OWNER:
Lo~O--~T~ON
I & PRO3ECT
PLAN COMMISSION BPW DOC~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
NEW STRUCTURE
ROOM ADDITION(S)
TY ] .: N:
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
FAX
SEC~ON
= CONSTRUC'rJ[ON:
License #:
:odes will be applied to the construction:
~ w/tndiana Amendments
Split: Y~__N Sump Pump: Y~ _N
s any part of the property lie within a special
For Single Family and Two Family dwellings, additions, remodels,
within 180 days of the date of issuance of the building permit, and must
issuance date, class I structure permits are subject to the
itchen, bat}
~OUNDA~ON TYPE: (Checkall that apply for the new
construction area)
[] BEAM
[] BASEMENT
area: WALKOUT:. Y m
},issued) within 18 months of the
2) regarding expiration
structure, or any change in the use of land or
f the State of Indiana, and thc 'Zo~g OrSinance of Carmd
Genexal Assembly of the State of Indiana, and all Acts amendatory
r sewer. I hrther certify that the construction will not be
! by the Department of Community Services, Carmel, Indiana.
OFF~CE USE ONLY: ********************************************~********~******************
Filing Fees: ~
Base [nspections: _/~ O. ,.~'0 ~ ~
~/ 0 Reviews
Cert. of Occupancy: __~
P.R.I.F.: Additional Fees
Community Services (Date)