HomeMy WebLinkAbout05110080-ApplicationCity of Carmel~Clay Township ~?{.,) Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUTLDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
PHONE FAX
/ 5
STREET ADD SS
BEST METHOD OF CONTACT:
PHONE FAX
ziP
pSEWER UT[LFFY ~
R0VlOER: ~.~:/~ ~ L~
0o0, oO
N CONTRACTOR: PLAN COMMISSIOh BZA BPW DOCKET
); AND/OR COUNTY WELL AND OR SEPTIC PERMiT #'S (IF APPLICABLE:
F -~ - R : -' .N: TYPE OF IMPR VEMENT: ~ONTRACTOR:
SINGLE FAMILY
[] TOWN HOME
# of units: ~
[] MULTI-FAM Y
. ~ of Unim:
~ RESIDEN~AL (For
Additions, Remodels,
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
Al-I-ACHED GARAGE
DEMOLITION
Plumber's Indiana State License #:
~ ~ntemational Residential C~e w/Zndiana Amendmen~
~ Uniform PlumbingCodew/~ndianaAmendmen~
(Multi-Famil~i~n
Manufactured ~~~A~ew
Y~N Trusses: Y ~(~N construction area)
...... "'~2~~'
D~s an~
For Sin~e Family and Two Fmily dwelnngs, ad~fions, remodels, anWor acc essor ~ t~ ~b~9'~g~'~l~ commenc~
wi~in 180 days of the date of i~uance of the building permit, ~d must be com~(~Fri[ic~¢u~x~y ~g~[%~fi~nths of the
issuance date. Class I structure permits are subj<r to the GenerM Administrative Rules oF~he ~P~h~a ~S~8~5 t~ ~5~ expiration
rime frames for beginmng ~d completing cons~uctionJ
L the underM~ed, agree that an3 consrrucnon reconsrmcnon, emargem~t, rdocarion, or flrerauon afa structure, or any ch~ge in the use of ~d or
structures requested by this app~cauon w~ comply with. aad conform to ~ appScable laws m the State of lndi~a. ~d the "Zomg Or~ance of C~md
of I.C. 36-7 er seq, Gener~ AssembN ~f thc State of Mdiana. and ~ Acts amendato~
and tloor &ms are connected to the sanir~ sewer. 1 further certify that the consmcfion ~ not be
of Occupanqvhas been issued by the Department of Communit) Semices. Carmel, lnd~m.
Filing Fees: ~ _
~ RE~U~RED:
Lower Footing Under Slab
Baselnspe~ions:
~.ofOccupanw:
P.R.I.F.:
TOTAL:
= Charged Re-
Reviews
AOO(tlonal ~es