HomeMy WebLinkAbout05100016-Application City of Carmel~Clay Townshil
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
)WNER: ~ ~
LOCATION LOt # ~ % SUBD~IVI$IO~N NAME SECTION
PROJECT ~/Y?g~4~ _ _~_
]'NFO.. ADDRESS OF CONS~UCTIQ$~ ~ / ,~ ~¢/ SQUARE
...... _
~ TOWN HOME
TWO FAMILY
# of units:~
[] MULTI-FAMILY
# of Units:
RESIDENTIAL (Fo-'~*7~
Additions, Remodels, Etc.)
-.~E H :" :N -T:
{~] NEW STRUCTURE
~ ROOM ADDITION(S)
[~] PORCH ADDITION(S)
t applied to the construct/on:
tesldenUal Code w/indiana Amendments
g Code w/[odiana Amendments
Trusses:
Sump Pump:
Lot Split:
Does any part of the property lie within a special Flood
For Single Family and Two Famil
with~ 180 days of thc date of issuallce of the building permit, and must
issuance date. Class I structure perlmts are subject to the Gener$
rime frames 1
L the undersigned, agree that a~y consrmc~on, mconscructim
sl~'uctures ~equested by this application w~ comply with, and conform to, all a
Indiana - 1993" (Z-289) and ameudments, adopted under authority of I.C. ~6-7 et sec
thereto. I further cer~, that only ldtcben, bath, and floor drains are connected to the s
used or occ~upied Cnt~ a C~L~ca£e o£Occu]~macyhas been issued r the Dep~
OFFICE USE ONLY:
F~$:
fthe State of Indiana (See 6
,f the State of Indiana
sewer. I further certify
(Check all that apply for the new
[] POST & BEAM
~ BASEMENT
Meter Base
P.R.I.F.:
t the use oftand or
Ordinance of Carmel
not be
~ i ~'~ Reviews
Add~onal Fees
Reviewed/Approved: C Services (Date)