HomeMy WebLinkAbout05080258-ApplicationRECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ZNFO:
City of Carmel/Clay Township ~ permit #: O~O~ ~e-d
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
NAME PHONE FAX
SUBDMSION NAME
ADDRESS OF CONSTRUCTION
FOOTAGE:
PLAN COMMISSION / BZA,
OUNTY WELL AND/OR SEPTIC pERMIT #'S (IF APPLICABLE):
- · - : -i:
~ SINGLE FAMILY
[~2 TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL(For
Additions, Remodels, Etc.)
NEW STRUCTURE
[] ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Y ~' N Manufactured
Trusses: Y '~'N
[]
(Mul~-Family Const~cUon Code)
FOUNDA~ -~ - : (Check all that appD/ for the new
construction ama)
[] CRAWl_SPACE [] POST & BEAM
~} BASEMENT
WALKOUT: Y...~_N
I, the undersigned, agree that any construction, reconstruction, ez~argeme~r, relocation, or alteration of a sm~ct'ure, or any change in the use of laad or
structures ~e~q~.ested by th~s application ~ comply w~th, and conform to. all app~cable laws o£ the State of Lac~ana, and the ~Zonfn~ Ordinance of Carmel
ln~ana-1993 (Z-289) a~)mendmen~, adopted under anthority of LC. 36-7 et seq, General Assembly of the State of ludiana, ~d ~ Acts am~to~
thereto. I further cer~ o~y kit~d~, bath, and floor drains are comlected to the sanitary sewer. I further certify that the construction will not be
used or occupied ~p~<~occ.~c~ b~ ~ed by th~p~,t o¢ Comr~ty
I'"1~ '" 0
.... ~[ / Base Inspections: ~ ~ Charged Re-
} unoer ~laD Reviews
Cert. of Occupancy:
P.R.I.F.:
Dept. of Community Services - (Date)