HomeMy WebLinkAbout06050223 Application
City ofCarme//Clay Township t/'N),ermit #:OhOl)o~.::?3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
\
BEST METHOD OF CONTAcr:
ZIP
LJ{P1 fi'
PROPERTY
OWNER:
NAME
5
PHONE
3 3'17-
FAX
LOCATION
& PROJECT
INFO:
STATE
I~ I
SECTION
ZIP
ZONING:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSJ1'.UCTION:
(EXCLUDING LAND VALUE) n J 07 0
o
o
:rI)H C.ONI C TI
PLUMBING CONTRACTOR:
~ E. SMiTH
Plumber's Indiana State License #:
101'71'7
whi~mbing codes will be applied to the construction:
~Intemational Residential Code wI Indiana Amendments
o Unlfonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Early Release ' / Manufactured /
Permit: Y =2' Trusses: ~ N
o CRAWLSPACE
Lot Split: Y N Sump Pump: _Y _N 0 SLAB /"
Does any part of the property lie within a special Flood designation area: _Y LN
FOUNDATION TYPE: (Check all that apply for the ,new
construction area)
o ....roST & BEAM
~ BASEMENT ~
WALKOlIT:_ Y--...lC-N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date o~~<<tI\th~taNt. and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance daP\e!.@A$fiieIlFe\ptEn~~e"'SrlpjFst ~ rAA~ral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. . ct to ~ornptiance With ~~~~esTor~nning and completing construction.
I, the unde~~. 'l:. agr~<i~Fo~y~~~~ctio~e..Wargement, relocation, or alteration of a structure, or any change in the use of land or
structures req~?"t.e.d by'~J ~ppl!c.a~nlwm Pl~1g~UlG:CD;do~ to, all applicable laws of the State of Indiana. and the "Zoning Ordinance of Cannel
Indiana - li9@.,21f.l.:GrId ~am~ ~'abpted ijplU;t ~Ilt~pl.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I~,c,~ tJtaY-RPl~eP,~dl{h;6~m.~IJ~ clnmected to the sanitary sewer. I funher certify that the construction will not be
or ~ M'UMfa t'htiBjiiji3: . cy has been issued by the Depanment of Community Services, Cannel, Indiana.
- . LOR; ,ll. ();R.bSONG- J-If:I~I;NE 5/~5/01,
Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: reX / . PG
INSPE s-REOUIRED: r7 . ~O
~ Base Inspections: ~/ 2 ..s # Charged Re-
Upper Footing 'lower Footin der_Slab ,...- ',' Reviews
/~, Cert, of Occupancy: u 3 _ S U
Final S"te
I P.R,I.F,: /;J t: I (} 0 Additionai Fees
( ") ~Jf.-
~~~5IJ.,f()
~
5-? I~
(Date)