HomeMy WebLinkAbout05060019-ApplicationGCity of Carmel/aay Township ~ ;~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
j~.. PHONE FAX
PROPERTY
OWNER:
LOCATION
PROJECr
SUBDIVISION NAME
INFO: ADDP, ES~ OF CONSTRUC'flON
PHONE
CONTRACTOR; PLAN COMMISSION / BZA/BPW DOCY, L~
NUMBERS; TAC DATE(S); AND/OR COUNT~ WELL AND/OR SEPTIC PERMIT ~'S ([F APPLICABLE):
SINGLE FAMILY [~] ~EW STRUCTHRE
. ~::~LL~/1~ O PORCH ADDiTION(S)
.,.~,Of_u_ni?.:~ ~h~/~. ~] REHOOEL
F1ULI 1-LI .[-PAM~.LY JL y
h.~. 0 ACCESSOR
/ #ofUnits' ~1 [~r DETA"HEDG,
[~ RESIDENTIAL (For ~d~ [] ATTACHED
Additions, Remodels, Etc.) 0 ~I~I~-L~
BEST METHOD OF CONTACT:
zip
ZONING:
SQUA~
FOOTAGE:
Permit:
Trusses: Y _
sump Pump:
lie within a special Flood
structure permits are subject to thc General Administrative
tLmc
k BEAM /
WALKOUT:__Y L///N
permit is valid only
12) regarding expiration
~eq, General Assembly of the State of
the sanitary sewer, I further certify that the construction will not be
Depaxl~nent of Community Services, Canael. Incl~
OFFICE USE ONLY: ************************************************* Filing Fees:
Inspections: # Onarged Re-
Reviews
of Occupancy: _
~munib/Services
(Date)
TOTAL:
AddiUonal Fees