HomeMy WebLinkAbout05080126-ApplicationQCity of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
.,CORD:
PROPERTY
OWNER:
LOCATION JOT #
,P.OJ,CT
INFO: ~ss OF CONSTRUCTTON
PROVIDER:
PROVIDER:
NAME OF LrrIL1TY EXC~VA'T[ON CONTRACTOR; PLAN COMMISSION / BZA / ~P~,, DOCKET
NUMBERS; TAC DAT~(S); AND/OR COUNTY WELL AND/OR SEPTIC PERmiT # S (IF APPLICABUE):~EPTIC PERMIT #'S
TY E .Fl-."c:;; - - - : - - ~BI'N;- :NT;- _: : ·
FAMILY
TOWN HOME
C] TWO FAMI,,LY
# of units:
C~ MULTI-FA~.JLY
# of Un ts:
U] RESIDENTIAL (For
Additions, Remodels, Etc,)
-- _ N- - -.,: _:
Early Release
Permit:
J,;~:l-. NEVV STRUCTURE _
[] ROOM ADDITION(S) Plumber's Zndian
[~ PORCH ADDLrr[ON(S)
E] REMODEL
ED ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
DETACHED
GARAGE
'~ Zntematlonal ResidenUal Code w/Indiana Amendments
[] RTl'ACHED GARAGE
DEMOLITION
Manufactured
Trusses: ~__Y N
Y~_N
property lie within
[~) Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Consl~ction Code)
FOUNDA~ON TYPE: (Check all thatapply for thenew
construction area)
CRAWLSPACE [] POST
area: Y~__N
~ structures, this permit ts valid only if construction commences
[ expiration
and or
=armel
OFFZCE USE ONLY: **************************************************************--**
INSPECT/ONS REQUIRED: Filing Fees:
Base
Inspections:
Reviews
Cert. of Occupancy:
P.R.I.F.: ~Z~ (~76~ Addition'al Fees
~ ..~)TAL:~
, Services ~Da~e)
' RES~DE~ Fee P~/~C~J',~ bY;
Indiana- 1993' (
thereto, I further certify that
used or occupied until a ~rrdficate o£Occupancy'has been issued by the
Print ~ ~