HomeMy WebLinkAbout05050193-ApplicationCity of Carmel/Clay Township ~ Permit
RESIDENTIAL IMPROVEMENTLOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
STREET ADDRESS
S EHA~L ADDRESS
BUILDER of
RECORD:
CLr~r' STATE
OWNER:
NAME PHONE
.~CTION
ZIP
INFO:
NAME OF UI~LLffY EXCAVAT[ON CONTRACTOR PLAN COMMISS[ON/ BZA / BPW DOCJ(ET
NUMBERS TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMtT #'S (][F APPLZCABLE):
SQUARE
SINGLE FAMILY
TOWN HOME
TWO FAMILY
'; of units:__
· .JLTI-FAMILY
~ ' # of Units:__
[] RESIDENTIAL CFor
Additions, Remodels, Etc.)
-~_' _- . :
~ NEW STRUCTURE
C_~ ROOM ADDTffON(S)
[] PORCH ADDTr[ON(S)
[] REMODEL
~ ACCESSORY BUILDING Which
DETACHED GARAGE
~ DEMOLITION
Early Release ~ Manufa~ured
Permit: Y/C/N Trusses. ..~_._Y N/.~ construcUonarea)
[] CRAWLSPACE
Lot Split: N Sump Pump:
Does any pal'lc of the propertll Y~___N N
wit~ 180 days m one date o2iss~aac¢ m the blotting pcz~mt azaa must be comlmctc~ (
~ - 1993~ (Z~289) ~d ~, adopt~ und~ au~o~ o~ I.C. 364 et s~
&~, I ~ ~ ~a~ o~y Mtch~, ba~ ~ to~e
~ or ~pied u~ a ~r~o[Occ Deposit of Co~u~ty Sedco. ~d. ln~.
~n~m~er~ ~ent ~ ~ ~ P~ .... ~ Da~
OF~CE USE ONLY: ************************************************************************Piling F~s:
~ ~ns~ons:
~. of ~cu~n~: ~. ~ R~e~
od ~ P,R.LF,: AddiUo~