HomeMy WebLinkAbout05050121-ApplicationCity of Carmel/Clay Township Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Famlly, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
)PERTY
NER:
LOCATION
& PRO3ECT
BEST' METHOD OF ¢ONTA~_Cr:
PHONE F~ ~P
S~ON ZONING:
0 TWO FAMILY
# Of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
'-- -: I-- -- ' :
: I- PR VEMENT:
~R~MSTRUCTURE
ADDTHON(S)
[] PORCH ADDITiON(S)
[] REMODEL
[] ATTACHED GAP, AGE
[] DEMOLITION
[] Uniform Plumbing
(Multi-Family ConstmcUon Code)
FOUNDATTON TYPE: (Checkall that apply for the new
I, the undersigned, agree thaz any construction, reconstruction, enlargement, relocation, or alteration of a structure, oz any change in the use nf land or
structures tequested by this application will comply with, and conform to, all applicable hws of the State of Indiana, and the ~Zoning Ordinance of Carmd
Ind/ana - 1993' (Z-289) and amendments, adopted under anthor/ty of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amen, dato~
thereto, I further cer~ that only kitchen, bath, and floor drains are connected to thc sanitary sewer. I further c e~J~7 that the constmcuon will not be
gse~or occupied until a Cetr~care o[Occupancyhas been issgg~t by the Department of Community Services. Carmel, Indiana. --
S uthoriz Ag i
Si/ghatum ef Ortner or Authored Agent ~
OFFICE USE ONLY: ************************************************** *********************
Rl[ng Fees:
~se Inspections: ~t6~Q,"[O # Charged Re-
Under
Slab
Reviews
Cert of Occupancy: ____._~/ ~0