HomeMy WebLinkAbout05100138-ApplicationOWNER:
City of Camel/Clay Township ~ permit #.~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels,
5-73- 8c O
NAME
LOT #
& PRO.1ECT
INFO:
PROVIDER: ~T ~ ~ PROVIDER: --.~----¢L~ ~__
NAME OF Lrr[LITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / ~PW DOCKET
NUMBERS; TAC DA'IT. CS); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S (IF APP~CABLE):
[] ROOM ADDITION(S)
[] PORCH ADDiTION(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] AIFACHED GARAGE
[] DEMOLITION
Manufactured _~YN
:AMILY
TOWN HOME
T~NO FAMILY
# of units:__
[] MULTi-FAMILY
~ Of Un's:I
[] RESIDENTL6.L (For
AddiUons, Remodels, Etc.)
Early Release
L or AuthorizecI Agent
S~CI'iON ZONING:
: CONTRACTOR:
[~'~ntematlonal Ra;~ddenfial Code w/~ndlana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MuiU-Family Constru~on Code)
F~: (Check all that apply for the new
consb'uctlon ama)
POST & BEAM
BASEMENT
WALKOUT: ¥._~
~ l:~nnk ~s vaUd only ff construction comme~ce~
ma mu~t be completed (C~tfficat¢ of Occupancg issued) witl'~ 18 montl~ of the
General Adnfin~strative Rule~ of the State of Indiana (See 675 IAC itl) regard~g expiration
for be~nnh~g and eompledng consrrucdon.
and the 'Zoning Ordim.nce of Cmrmd
se% General Assembly of the State of Indiana, and all Acts amendatory
~ the sanitary sewer. I furthe~ cerr.~ tlmt the construcdon ~ not: be
been ~ued by the Deparmen~ of Community Semc~, C.~md, Indiana.
OFI~CE USE ONLY: **************************************** *************
INSPECTIONS REQUIRED:
Fees:
Inspections:
# c~arg--~--~-~
Reviews
Add~onal Fee~