HomeMy WebLinkAbout05060123- ApplicationCity of Carmel~Clay Township Permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDERof /e/e~,~ /~'~/-'P PHONE /./~/~_O{~/~9~ FAX ~/~O~_ ~30~
RECORD:
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
__
SECTION
(EXCLUDING LAND VALUE)
F 'M . -NT:
TOWN HOME ' ~ {~ROOM [] NEW STRUCTUREADDiTiON(S)
T~O FAMILY ~)C
[] PORCH ADDITION(S)
# of units: d.~ C~ REMODEL
MULTI-FAMILY [] ACCESSORY
# of Units:
C~ RESIDENTIAL (For
Additions. Remodels, Etc.)
_: i _'- -RM' :_,:
Early Release
Permit:
Lot Split: ~ .J~N
Trusses:
Sump Pump:
Plumber's
Construction Code)
Does any part of the property lie within a special Flood designation area:
[] POST & BEAM
umendments
new
OFFICE USE ONLY: ***************~
NS REQUIRED:
g Under Slab
Ceri:. of Occupancy:
P.R.I.F.:
Filing Fees: ~ . ~
Base Inspections: '~' 0 # Char~ed Re-
~ Reviews
5~f ~0
Semices (Date)