HomeMy WebLinkAbout05040189-ApplicationOWNER:
City of Carmel/Clay To,.ml ip p.. it #:
NA~E
STP, EET ADDRESS ·
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
OTY ATE ~_~ Zap
SUBDMSION NAHE
TOWN HOME
TWO FAMILY
# of units:
~ MULTI-FAMILY
# of Units ~ .
RESIDENTIAL (For
Additions, Rem~adels, Etc.)
TY , -R: T:
M ADDITION(S)
[] PORCH ADDITION(S)
[]] REMODEL
Manufactured
Permit:
Lot Split:
Does any part of the proper~ lie within a special Flood designation area:
[] ACCESSORY BUILDING wbl? plumbing
C3 DETACHED GARAGE ~(?temaUonal RasidenUal Coda ~
C~ ATTACHED GARAGE []
C~ DEMOLITION
(MulU-Family Construction Code)
F - DATZON TY: : (Check all that apply for the new
_~y construction ama)
N
Y .k~.i~ 1~3.[3~/CRAWLSPACE [] POST & BEAM
~:~,,5LAB [] BASEMENT
wJu.~otrr: ¥
I, the undersigned, agree that a~y construction, reconstruction, enlargement, ~elocaQon, or flt~a~on of a s~c~e, or ~y c~ge M ~e u~ of l~d or
s~c~res ~e~ted by ~ app~cafion ~ comply ~, ~d co~o~ to, ~ app~ble ~ws of ~e State of
~ - 1993~ (Z~289) ~d am~ts, adopted und~ au~ofiW of LC. 36~7 et s~, G~ Assembly of ~e Sta~ of M~, ~d ~ Acts am~to~
~eto. I ~ c~ ~at ~y ~tch~. ba~ ~d fl~r &~s ~ ~=ec~ ~ ~e s~t~ s~. I ~r~cr c~ t~t
~ or ~cupie~un~ a ~o[occu~cz~ ~ i~ued by ~e~ent of Co~uMty ~ces, C~el.
~g~ ~er ~ ~ ~,~ ~nt ~ ]
Under Slab
Final
Filing
Fees:
Base Inspections: ~
Cert. of Occupancy: ~ ~ , (9 (~ Reviews
Additional Fees/
TOTAL: