HomeMy WebLinkAbout05050109-ApplicationBUILDER of
RECORD:
City of Carmel/Clay Township
RESIDENTIAL IMPRO~MENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS
BUILDER'S EMAIL ADDRESS
PROPERTY NAHE
OWNER:
PHONE
~eSTM~ODO~CO.T^Cr: /~j~j ~hO
(s)
'BU]LD]NG
C~ DEHOL1TION
PLUMBING CONTRACTOR:
Plumber's Indiana State Ucense #:
/~-~I>? _
Which plumbing codes will be applied to the construction:
[] International Residential Code w/Indiana Amendments
[~Uniforrn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Permit: Y ~
Lot Split: Y ~N
Does any part of the properly
Trusses:
(Check all that apply for the new
[] POST & BEAM
13~/BASEMENT
WALKOUT: Y._~
(See 675 IAC 12) regarding expiration
:of landor
Carmel
sewer. I further certify that ~ :onstruct~on will not be
by the Department of Community Sexviees, Carmel, Indiana.
OFFICE USE ONLY: ************************************************************************
Filing Fees: '~ ~
Base Inspections: # Charged
Reviews
Cert. of Occupancy: ~ 5~0
P.R.I.F.: .~"~c~ ~. ~] Additional Fees
Site
of Community Services (Date}