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HomeMy WebLinkAbout06110088 Application ~ ...j i i City ofCarme/lClay Township Permit #:~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures OFFICE USE ONLY: ************* ***************************************I***5'''*?******************** * INSPECTIONS REQUIRED: Filing Fees: / ~ . /0 ...r.:: .'. ~ :"C ~ ~ Base Inspections: .:;; '3 :t: d (J '<fper Fo~ng ~er Foo!!!!9-' nder Sial] ~ /'0 ~ Cert. of Occupancy: 3. oJ ough In ~er Ba~ inal / ~ (,/.. 10 P.R.I.F.: '- (7 _ ~y.<L.'" /1, (.L.../ \(-?- 7~d, iI.~(f' yy,{() Reviewed/Appr&ved: Oept. of Community Services (Oate) I -,;i( y.g () S:PermitsjFormsjILP RESIDENTIAL BUILDER OF RECORD: . C9YY1 PROPERTY OWNER: LOCATION 8< PROJECT INFO: SEWER UTILITY PROVIDER: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "S (IF APPUCABLE): /\ '\~ ~;s: . \ FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: .' o STRUCTURE 00 ADDITION(S) RC DDmON(S) DE ADDITION(S) MODEL _ Basement Finish only ACCESSORY BUILDING DETACH ED GARAGE ATTACHED GARAGE DEMOLmON PROlE ~ STATE: :::::ro D OF CONTACT: -~\ PHONE: FAX: CITY: STATE: ZIP: SECTION: :l SQUARE ) / FOOTAGE: cfb '3 / Of) PLUMBING CONTRACTOR: lliW\VV\t-~ .qL)\'\~\k(n Plumber's Indiana State License #: C\=>'rC:CD \ () Which plumbing codes will be applied to the construction: o International Residential Code w/Indiana Amendments o Uniform Plumbing Code wI Indiana Amendments # Charged Re- ReViews Additional Fees Date