HomeMy WebLinkAbout06010014-Application@
RECORD:
OW~
LOCATION
& PRO3ECT
:[NFO:
City of Carmel~Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, &Accessory Structures
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
NAME U~
o ,10r SU D WS ONNA, &ler sE oN I
TYPE F IMPROVEMENT:
~; NEW STRUCTURE
~ [] ROOM ADDITION(S)
TOWN
NOME
TWO FAMILY
[]] PORCN ADDITION(S)
~ of units:__ []3 REMODEL
C MULTI-FAMILY
# of Units: [] ACCESSORY BUILDING
[]] DETACHED GARAGE
[] RESIDENTIAL [For []]] ATTACHED GARAGE
Additions, Remodels, Etc.) ~ DEMOLITION
ZONING: ~,.I
SQUARE
WATER ~L~ E~MA~D CO~ OF CON~RU ON;
PROVI (EXCLUDING ~ND VALUE) ~ 00
NUMBER~; TAC DA~(S); AND/OR COUN~ WELL AND OR SE~C PERM~ ~ S (iF APP~BLE): ~/~ ~~ ~
~ Manufactured
Y X N Trusses: Y ~'_N
Y ~ N Sump Pump:
Plumber's
CF-3
[] Uniform Plumbing Code w/Zndiana Amendments
(MultFFamily Construction Code)
FOUN DAT~ON TYPE_: (Check all that apply for the new
construction area)
C] CRAWLSPACE []. POST & BEAM
[]] SLAB ~ BASEMENT
' of LC. 36-7ec seq, General Assembly
and all Acts amendarory
Date
OFFICE USE ONLY: ******************************--**~**********--*****'~
Filing Fees: ~
INSPECTIONS REQUIRED:
Base Inspections:
Cert. of Occupancy:
P,R.I.F,:
..... -TOTAL:
# Charged Re-
Reviews
Additional ~
of Community Services