HomeMy WebLinkAbout05090170-ApplicationCity of Carmel~Clay Township Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
PHONE FAX
ADDRESS OF {
LOCAT/ON
& PRO3ECT
INFO:
~UBDIVISION NAME
CTFY STATE
NAHE OF UTILITY EXCAVATION CONTRACTOR; P~AN COHM~SS~ON / BZA / BPW DOC~-F
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
--:-C._-ti_ :-: I _:
[] SINGLE FAMILY
C] TOWN HOME
[] TWO FAMILY
# of units:
ID MULTI-FAMILY
i~ #ofUnits~
RESIDENTIAL (For
Addition% Remodels, Etc.)
p -,~.- -., :_ _:
TYPE F IH 'R- - :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
D PORCH ADDITION(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
ziP
ZIP
SQUARE
FOOTAGE:
Whic~ plumbing codes wilJ
[] Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(MultFFamily Consb'u~on Code)
FOUNDA1T.ON TYPE: (Check all that apply for the new
Early Release , Manufactured
Permit: Y '//N Trusses: __y V/~ co.~'uction area)
Split:
y UN Sump Pump: Y ~N CE3 SLAB ~/BASEMENT
Does any part of the property lie within a special Fle~xl designation area: Y __N WALKOUT:__ Y N
w~'rJfi~ I80 days of t. hc dace o[ tss~a~cc o£ t~¢ buflcit~g pcrmtc, a-nd must be
issu;mcc ~acc. C]ass~stracturcpcrT~tcsatc~ubjcc~c~cGc~cta~d~m1s~`arAvcRu1~s~£~beS~c~£~(~5~AC~2)t~g~
tLmc [t~mcs £ot beg~aJ~g aad comp]cctng co~stzucctoa.
L t~c uadctstg~cd, ag~cc r.~ac a~y co~C~uc~to~, :cco~s~ucdoa, cala~cmc~c, :c[ecadoa,
structures ~csccd by chis appltcaCto~ wi~ comply wir~, a~d co.otto co, all applicable L~ws o~ ~c State o£ I~clL~. ~ct r~c 'Zom~g C)zd~ o£ Carmd
cd b T
~i~ (Da~)