HomeMy WebLinkAbout05090065-ApplicationCity of Carmd/ Clay Township Permit #:
~SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family:'--m" New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
BUILDER'S EHAIL ADDP, ESS
NAME
STREET ADDRESS
[] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
[] MULT~-FANILY
~# of Units:
Additions, Remodels, Etc.)
Release
[] NEW STRUCTURE
[] ROOM ADDITION(S)
~ PORCH ADDITION(S)
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Trusses: Y.
Sump Pump:
Does any pert of the property lie within a special Flog
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Family Construction Code)
FO-N _ --~TYPE: (Check all that apply for the new
[] POST & BEAM
lENT ~ N
¥
For Single Family and Two Family dwellings, additiom
within 180 days of thc date o£issuance of the building permit, and must b~
issuancedat~ Class I struc~re permits are subject to the Genera~ Adminlstrat~ve Rules
I, the unders)gned, agree that any conatr~ction, reconstruction. ~em~ rd~afion, or titration of a
s~c~ mqu~t~ by ~ a~cafion ~ co~ly ~, =d coMom ~, ~app~cable ~ws ol
M~ - 1993' (Z-289) ~ ~ts, ~opt~ und~ au~ofi~ of I.C, 36-7 ct ~q. G~ ~embly of fl
~d fl~r ~s ~ co~ected to ~e s~t~
OFI~CE USE ONLY:
!
/Base Inspections:
Upper Footing Lower Footing
Cert. of Occupancy:
Meter Base
_ ~ P.R.I.F.:
rvice5 Fee Received b~:
TOTAL:
Reviews
Additional Fees