HomeMy WebLinkAbout05110004-ApplicationOCity of Carrnel/Clay Township Permit #:.
R SiDENTIAL IMPRo EMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Famlly, & Two Family: New Structures, Additions, Remodels, & Accessory Structu~s
NAME PHONE FAX
PRO PHONE FAX
s~Er ADORESS ~.'bl¢. Wq~r~,OAI. ~ ~ s-ra~ nP
LOCATZON
& PRO3ECT
INFO:
ADDRS~S. OF CONSTRUCTION
NAME OF UT~LHY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAq~'(S); AND/OR COUNTY WELL AND/OR S~C PERMIT #'S (IF APPLICABLE):
Early
Permit:
- , : _ MENI:
NEW STRUCTURE
[] ROOM ADDH/ON($)
[] PORCH ADDlqqON(S)
[] REMODEL
[] ACCESSORY BUILDING
HED GARAGE
GARAGE
lie within
Ucense #:
Which plumbing codes will be a
[] ZntemaUonal Residential Code w
~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construc'don Code)
FOUNOATJ: NTY : (Check all that apply for L'he new
construcUon area)
[] CRAWLSPACE [] POST & BEAM
[] BASEMENT
~Y N WALKOUT: Y N
wirJti~ 18 mont]m of the
he C~meral Administrative Rules of the State of Indiana (See 675 1AC 12) regard/ng expkation
time frames for beginning and completing construction.
or a~rgr ation of a structure, or any change/n the use of land or
,pplkable laws of the State o£ lJadimla, and the "Zoning OMinance o£ Cannd
· of LC. 36-7 et s~q, General Assembly of the State of ~clL~m, and all Acts amendatory
to the sanitary sewer. 1 f~et her certify that the construction w/Il not be
)y the Department of Community Services, Carmel, Indiana
........... Di/Base Inspections: "7'~ # ~.,~wsRe
Upper I-OOting Lower looting unaer ~l~ e
~ ;.eR~; :f:Occupan :cy:
Rough In Meter Base Final /' ~ .
[mm)