HomeMy WebLinkAbout06050188 Application
City ofCarme//Clay Township Permit #: Dlt05tJ{gt
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release ~ Manufactured 6
Permit: _Y _ Trusses: _ _N
. _.lC) 0 CRAWLSPACE 0 POST & BEAM
LotSpht: ~Y,' Sump Pump: ~~_N '" ~LAB 0 BASEMENT ".".,
Does any part of the property lie' ~~\l1~~%d designation area: y...",...~~ r~:;;Vl~'.Y " N
For Single Family an 1 aw<<!~~'Q' : re~ and/or accessory structures, ~h\?~Hfifi i't~llid:~Jlyiff5-nstrucUJn ~6inmences
within 180 d t(-~~l(~,~~~~t<<ha~ I . ~~~a8\pust be completed (Certifid.u'c ,~! €kcupancy issued) within 18Won~~s of the
issuance date. a~\ediu\Q~~t.~,:y,e)~ ~~A~inistrative Rules of the sd.t.~"pf\Ihdiana (See 675 IAG~?);regatdj,ng ~xpiration
U 0\ n\-J\t-^\, ~inria I'tJr beginning and completing construt~iori~,\ \ ~A'( 2. 4 c. V\J \ 1', j 1\
I, the underSigned~a~e ~<O'tfy~c;~t ~*,~bh"struC(iOn, enlargement, relocation, or alteration of ~\stru~tur, e, or any c,hange in the use of 1andlor
srructures requesre . lil a'pplk ~~~~th, and conform to, all applicable laws of rhe Srart..bf h\4iana, a~e.:Zoning 0rdinahce of Garme!
Indiana -1993" (Z:1:~o.'tnetrt: menrS\\bi~~under authority of I.C. 36-7 er seq, General Assemblylof the Stlife of Indiana, and all Acts amendarbry
thereto. I further ~~ that only kirchen, bath, and floor drains are connected to the sanitary sewer. I fLrther certify that the cons.truction.willn6t be
or occupied u qerei{jcaee ofOccupan~cyhas been issued by the Department of Communitt.Services;-Carrile[Indiana.
, (/Q.Y1iQ.f' 0f-eU?1;nCJu/c 5/~/(1 G
ature of Owner or Authorized Agent ~t Date
OFFICE USE ONLY: **************************************** ******7*~~~*******************
Filing Fees: b ~ 6'0
.1N~ECTIONS REQUIRED: "l.-"7J' _ ~O
_ \ Base Inspections: GL-/ _./
Up er F_l!!'tin.9 Lower Footing U ~ J --0
'''--f~ ~ Cert. of Occupancy: 6, J
R, ;;;;;;, ~ Me. r Bas Fi Site
~ , P.R.I.F.:
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT #
ADDRESS OF CONST
IJ 739
SEWER
PROVID
VAll NTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'s (IF APPLICABLE)'
TYPE F ON TRUCTION:
o SINGLE F Y
..Q3-- TOWN MeJa~hf
'tJ TWOF ILY -~
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PHONE
676-c;B5:)M38
~
FAA
675
PHONE
FAA
CITY
STATE
ZIP
85G
6'1/
Which plumbing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
Reviews
~Uvof,
ReviewedjAp oved: Dept. of Community Services (Date)
S:PefmitsjFormsjIL.: RESIDENTIAL