HomeMy WebLinkAbout05080207-ApplicationCity of Cannel/Clay Township ~' ~'~ ~ ~ ~ Permit #:
R SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
P~O.~
FAX
LOCATZON
& PROJECT
INFO:
~DDRESS OF CONSTRUCTION
PROVIDER:
NAME OF UTILII~ EXCAVATION CONTRACTOR;
NUMBERS; TAC DA'I~S); AND/OR (
~SINGLE FAMILY
[J' TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL(For
Additions, Remodels, Etc.)
WATER UTILrrY
PROVIDER:
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
DEMOLITION
Uniform
[] POST & BEAM
BASEMENT
WALKOUT:YN
For Sin~e Farad' y and Two Family dwellings, additions, remodels~this permit is valid only ff const~
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
(See 675 lAC 12) regarding expiration
e In the use of land or
of the State of Indiana, and the ~Zoning Ozdinance of Carmel
of the State of Indiana, and all Acts amendator~
salliraly sewer. I further certify that the construction will not be
Services, Carmel, Indiana.
OFF[CE I
~pt. of Community Services
(Date)
Filing Fees:
Base Inspections: ~ # Charged Re-
- Reviews
Cert. of Occupancy:
P R ! F ~ Additional Fees