HomeMy WebLinkAbout05100100-ApplicationCity of Carmel/Clay Township Permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
UILDER of taME FAX
J S1REET ADDRESS ~ /~ /q C1TY ~ ~ ~ ,S~ATE Z~p
J BUILDER'S EHAIL ADDRESS BEST METHOD~OF CONTACr:
./ PHONE FAX
OWNER:
LOCATION LOT, ~/~ SUSDmS~O, NAME ~/~_.,y_~_~ SEC-nO, ~ ZON,~:~ ~
& PRO3E~ ~ 4 __
INFO: FC / ~ ~U~ ~2 ~ '
F~TAGE:
PROVIDER: PROVIDER: ~ (EXCLUDING LAND VALUE)
# of unit:s:
..~_~EW STRUCTURE
'C~ -~OOM ADDITION(S)
1: ,N ;_.--1 - 'NJ
Early Release
Permit: Y/~N
Lot Split: Y ~
Does any part of the property I
[] A'FI'ACHED GARAGE
[]
Manufact.r~
: - :- .'N -_~TRA I OR_:
Which codes will be applied to the construction:
C~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
Rules of the S
time frames for beginning and completing consrruction~
I, thc undersigned, agree that any construction, reconstruction, enlargement, refucation, or alteration of a structure, or any c_ .h~.gc in thc use of land or
structures ~e,~qu. ested by this application will comply with, and corfform to, all applicable laws of the State of Indiana, a~d the Zoning Oxdinance of Carmel
Indiana- 1993 (Z-289) and amandments, adopted under authotity of t.C. 36-7 et seq. General Assembly of the State of Incliana. and all Acrs amendarory
thereto. I further certify that only kitchen, bath, and floor drains are connected m the sanitary sewer. I farther certify that the construction will not be
used or occupied until a C_e~FJcate o£Occupanc, yhas been issued by the Department of Community Services, Carmel, Indiana.
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~
Base Inspections: ~ Reviews
Cert. of Occupancy: ~
P.R.LF.: ~ ^clditio~l Fees