HomeMy WebLinkAbout05050107-Application City of Cam,tel/Clay Township Permit #: 7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Haiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of ~HO~E FaX
RECORD:
PROPERTY
OWNER:
STREET
S lEST METHOD OF CONTACT:
PHONE FAX
CITY STA~ ~P
SECTION ZONING:
LOCATION ,o~ #
& PROJECT
INFO:
SQUAR~
FOOTAGE:
DETACHED ~
[] All'ACHED G/
[] DEMOLITION
Uniform
Amendments
Cocle)
· NDAT~ONTYPE: (Check all that apply for the n~w
Permit:Early Release - ~rosses:Manufactured~ N construction area) ~
Lot Split: ~N [] SLAB ~--BASEMENT r .v(/~
Does any part of the property lie within a special Flood designation area: WALKOUT: Y___~
For Single Family and Two Family dweJlings, additions, remodels, and/or accessory s~mcrares, this permit is valid only ff construction commences
within 180 days of the date of issumace of the building permit, and must be icar~ of Occupa acy issued) within 18 months o.f th.e
issuance dar* Class I structure permits are subject ;tare of Indiana (See 675 lAC 12) z, egarding expLratlon
I, the undersigned, agree tha~ any or any cha~e in the use of land or
Carmel
~ of I.C. 36-7 er seq, General Assembly of the Scats of Indiana. and all Acts amendarory
bath. and floor drains are com~ected to the sanitary sewer. I further certify that the construction will not be
s been issu~l~ the Department of Community Services, Carm~, Indiana. t
OFFICE USE ONLY: ************************************************************************
· FilinO Fees: ~
!D. ~ase Inspections: ~ 7 ~ar?~------~
Under Slab . Reviews
Cert, of Occupancy: Z>~'~/_ ~-o
p,R.T,F.: ~ Additional Fees
Services ~