HomeMy WebLinkAbout05120136-Application ' Permit #:
O RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of PHONE FAX
RECORD:
PROPERTY PHONE -- FAX
OWNER:
C
NAME OF UTiLiTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DO..Er
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ {IF APPUCABLE):
,.SINGLE FAMILY
TOWN HOME
CZ] TWO FAMILY
# of units:.
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Etc.)
TYP _- -: - V- -'
Early Release
Permit: Y
Lot S
Does any part of the
OFF~CE ~*~
ZNSPECT~ONS
Upper Footing Lower Footing
Rough In Meter Base Final
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] ~EMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A1FACHED GARAGE
~ DEMOLITION
N
Plumbers Zndiana State
Which plumbing
[] International
C~ Uniform Plumbing Cod,
(Multi-Family Construction Code)
: (Checkall I~at apply for the new
Y N
[] POST & BEAM
[] BASEMENT
WALKOUT: Y _N
within 18 months of thc
See 675 IAC 12) regarding expiration
ckange In the use of land or
of LC, 36-7 et seq, General Assembly of the State of Indiana, ~
connected to thc sanitary sewer. I further certi~ that the construction will not be
s been issued by the Department of Commurdty Services, Carmel, Indiana
Base Inspections: # Charged Re-
Reviews
Cert. of Occupancy:
P.R,I.F,: Additional Fees