HomeMy WebLinkAbout05120145-Application Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUILDER Of ~e P,ONE FAX
RECORD:
STREET ADDRESS CiTY STATE ZIP
BUILDER'S EMA~L ADDRESS
BEST METHOD OF CONTACT:
PROPERTY PHONE
OWNER: ~ ~w~$ 0d, ~dc. __ 3 :n- ~ er~- ~ ~_~$
cTrY
FAX
[] SINGLE FAMILY
[] TOWN HOME
[] TVVO FAMILY
# of units:__
[] MULTi-FAMILY
# of Units:
-- ' - '- IE, T:
[] NEW STRUCTURE
[] ROOM ADDTHON(S)
[] PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
Early Release
Permit:
Lot Split: _Y N
Does any pa~t of the preperb/
isana, nc¢ da~ Class I sttuctarc t~rmit~ arc subject re
I, thc undersigned, agree thor any cons~ucaon
stxuct-urcs rcqucstedby chis application will comply wi~, and con[onn r~
Indiana - 1993' (Z-289) and amcndman~s, adopted under authodt7
PLUMBING
Plumber's Indiana
Which
[] International Residential Code ~
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
F- UND- N , : (Check all that apply for the new
con~t:rucflon ama)
[] CRAWLSPACE [] POST & BEAM
[] SLAB [] BASEMENT
area.' YN WALKOUT: Y N
· rJtts l~t is valid o~y tt'co~sttuctina commeaces
~fthe
Rules of the State of Indiana (See 675 IAC 12) regarding expiration
t. or alteration of a structure, or any cha~ge La the use of land or
laws of the State of L~dian~ and the ~Zoning ordinance of Carmel
of the State of Indiana, and all Acts amendacor~
thereto. I further certify that only kitchen, bath, andfloo
-- 0,-%
OFFZCE USE ONLY: ************************************************************************
Filing Fees: '-~
INSPECTZONS REQUIRED:
Upper Footing
Rough In
. ~.as,e .[nspections: ~*'3 ~ O. # ~ar.ged Re*
P.R.I.F.: ~iuoml ~
TOTAL: ) 0
FeeR