HomeMy WebLinkAbout05050228-ApplicationCity of Carmel/ Clay Township ~(~ permit #:
I SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER~ EMA~L ADDRESS
~F
PROPERTY PHONE
OWNER:
FAX
SECTION
5C~UARE
PROVIDER:
F-STIMATED COST OF CONSTRUCT]ON:
(EXCLUDING LAND VALUE)
NAME OF UI~LtT~ EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW ~ /~ .~/ /-,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR[ND/OR SEPT~CSEPT~C PERMIT #~ (IF APpIJCASLEp, ~PERM~T #~ (IF APpIJCASLE): ~ ~__~/~
TYPE ~ PLUMBTNG CONTRACT ,R:
[] TOWN HOME
C] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
la . - - : -
E]
[] ATI'ACH
Manufactured
;tale License #:
· will be applied to the construction:
%mendments
, Construction Code)
(Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WALKOUT: Y_.~N
~N
Lot Split: y ~X~ N ]~ CRAWLSPACE
[] SLAB ~
Does any part of the propelS/lie within a special Flood designation area: Y ~N
~~ve Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
recons:mc~ion, enlargement, reloca~o~, or altexation of a struct:u~c, or any change in rite use of land or
and conform to. all apphcable laws of the S~are of Indiana, and ~e'Zontng Onttnance of Carmel
Under Slab
OFFICE USE ONLY: *****a
seq, General Assembly of the Sate of Indiana. and all Acts amendatory
thc sanitary sewer. I further certify that the construction win not be
y Services, Carmel, Indiana.
Filing Fees. ~ __
Base InspecUons: ~ # ~aev~ie~sRe'
Ce~c. of occupancy: ___~/ T 0
~_5~'~) ~ (/C~ AddiUonal Fees
(Date)