HomeMy WebLinkAbout05080071-Application City of Camel~Clay Township Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of ~,ONE
RECORD:
BUILDER'S
OWNER:
LOCATION ~o~,
& PROJECT
D OF CONTACT:
- /
PHONE FAX
CTrY STATE ;UP
SECTION ZONING:
INFO:
~JSINGLE FAMILY f STRUCTURE _
TOWN HOME [] ROOM ADDITION(S)
TWO FAMILY~ ~/
~JMULTi-FAMZ~r~.J?j ~ c~ ~ ~i~~ ~h'~h plumbl~ ~es will ~ appli~
'0 s, Rem~,~,~ ~.~..~D=~, ~ .............. imm mumang ~ew/ZndianaAm~me~
INDIANA
Early Release Manufactured(~,~"~'- N
Permit: __~_~-~ _-N~' Trusses:
lot Split: Y ~ N
Does any part of the property lie within a special Flood
F_.Q.I~JpAT~ON TYPE: (Check all that apply for the new
construction area)
[] [] POST & BEAN
~ BASEMENT .~
.~ WALKOUT: Y~_~
~models, and/or accessot7 srtuc~ares, chis permit is va[id only ff consr~acCion commences
· . : of r~be bnildnig permit, and must be completed (CerlzLficate of Occupancy ~ed) wit. kin 18 monr~hs of chc
~ssuance date. Class I structure ~errm~s are subject ~o the General Administra~ve Rules of thc State of Indiana (Sec 675 iAC 12) r~g e~on
· ~me frames for be~aning ~nd completing collscc[tction,
I, r~e undersigned, agree cha~ any constxuc~on, reconscrucdon, enlargement, reIocadon, or akera~ion o£ a sCmc~are, or any clxange in ~e use o[land or
~macm~es ~eq~ested by this application w~ comply wi~, and conform to, al~ appl~cablelaws o£che S~ate o£ Indiana, and che'Zoning ~ce of Carmet
}93' (Z-289) and amendments, adopted under aud~o~ty o£ I.C. 36~7 e~ seq, Genera[ Assembly nf the S~ate of I~diana, and all Ac~s ame_~datory
archer c~ chat only ld~cben, bach, and floor drains axe counected to the sa~tary sewe~. I further certify ~bet the consrtuc~ion will not be
anal a Cerr~l~cate o[Occul~mC. Vhes been ~ssuedJ~ f~he Department of Community Services, Carmel, lnd~ana.
Base Inspections:
Cert. of Occupancy:
P.R.I,F.:
;lab
Filing Fees:
# Cha rc~ed
Reviews
'~ddJt:tonat Fees-
TOTAL: