HomeMy WebLinkAbout060300116 Application
- -;CityofCarme//Clay Township V.l~ ' Permit#: V~(J3(J//~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
SUBDlVljIDN NAM~
"3 Gut of
ADDRESS OF CONSTRUCTION
., 5~ ft'lU.J\
SEWERlJTIUTYn-;-.(LI, I WATERlJTIUTY T' .~'~..l ESTIMATED COST OF CONSTRUCTION: (")/\
PROVIDER: L-,' "\.I PROVIDER: ....J.-/VtJll '{(ve (EXCLUDING LAND VALUE) aU
NAME OF lJTIUTY EXCAVATION CONTRACTOR: PLAN COMf:II~SjOW~~~NSTRUCTI
NUMBERS: TAC DATE(S): AND/OR COUNTY WELLAND/~tE~~'SCl!"A~pn~lfilall regulations
TYPE OF CONSTRUCTION: TYPE OF IMPRb~';'-E~ Local Pf6
o SINGLE FAMILY ~~U~!Y'MUNI
'09. TOWN HOME ~i~~dMm)~~t I C
b TWO FAMILY 0 PORCH ADDm~~ANA
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INFO:
NAME 4/0 C PHONE j;-7J - t doc) FAXS-7 f-.;ftJ If
ISTRE-{9?:?tY7t/;fi;JcY~ g/tfJ s~l!1o' Ov~ STArN' ZlP'tINl-
BUlor';;ttftR,4Sg ML ,('(YV\ lE:r~':/Dr~O;'AC{;j( n9- J']/O
NAM&auJforJ ])t?/'eirfJ~NE :) ~ FAX 5 ~
STREET ADDRESS 5 A UAf>
CITY
STATE
ZIP
LOT #
SQUARE .., I (j I
FOOTAGE: 0{ W Co
~CTIf
ZONINGfJt{ b
tJ1W
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code w/lndiana Amendments
''\!Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
OFFICEUSEONLY:***********************************************,************************
Filing Fees: b ;i3 . (<?O
INSPECTIONS REQUIRED: ') _ '--0
/II. ' ~_ Base Inspections: ~ (, ? .,) # Charged Ro-
C Upper Fo~ Lower Footin U ~/l Reviews
~- Cert, of Occupancy: S I -' u
In, eter Final /0'02 6'/,
P R I F ' Additional Fees
IJJd .. ..,
ReVlew4!t,! 0;;.-; Community Services (Date)
S:PermIts/FormS/ILP RESIDENTIAL
Lot Split:
_Y_N
_Y_N
Manufactured v
Trusses: ~Y N
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