HomeMy WebLinkAbout06110117 Application
(
I
\
, '~!V.QI~M..~/'
City ofCarmellClay Township Permit #:()(, /I () J /1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrOctures
,
STREET ADDRESS:
CR
BUILDER'S EMAIL ADDRESS:
C)
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
FAX:
LOCATION
& PROJECT
INFO:
SEWER IJTIlITY
PROVIDER: c: I A<.{
It:l^<,-,I
WATER UTILITY
PROVIDER: C
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
^
FLOOD ZONE AREA DESIGNATION{S . ./---:.~"~:-~ " I
FOR THIS PROPERTY: / -c, 'J2\\ ,~ /ll },(J1>lwJd
,/' '.>" .,.....,... '\' \ \\
TYPE OF CONSTRUCTION:, \\ <;,,>TYPE,OF IMPROVEMENT:
..-__/ \C,_; \.;// \'\ \\\
o SINGLE FAMILY' <j'''''" \;::> 0 Ai'EW STRUCTURE
o TOWN HOME ,::, '-::,3;,-" ~(riJl ROOM'ADDITION(S)
o TWO FAMIL y\~::-/' '), C b PORcH ADDITION(S)
# of unib,~l/(;ng ~'), 0 ECK ADDmON(S)
constructed at thil\\\S REMODEi
time: '. './.........."- \. /Basement Finish only
~ES~~ENTIA~~ ~ACCESSORY BUILDING
Additions, R ,) 0 DETACHED GARAGE
\- 0 ATTACHED GARAGE
PROJECT INFORM\TION: 0 DEMOLITION
v
Which plumbing codes will be applied to the construction:
o I~mational Residential Code w IIndiana Amendments
0"Uniform Plumbing Code w/Indiana Amendments
Early Release
Permit:
Lot Split:
_YAN
_Y K:N
Manufactured
Trusses:
Sump Pump:
_yX-N
_yXN
FOUNDATION TYPE: (Check all that apply for the 'new
constructio~a)
mRAWLSPACE 0 POST & BEAM _PIER
o SLAB
o BASEMENT (WALKOUT:_Y_N)
INSPECTIONS REQUIRED:
LY:*****************************************************
Filing Fees:
1/
Upper Footing Lower Footing Under Slab
~el~
C i
Dept of Community SelVices (Date)
S;Permits/formS/IlP RESIDENTIAL
Base Inspections:
Cert of Occupancy:
P,R,LF,:
I
I
**************************
60 '
SO
-z;
. <3yJ
.-
Da
# Charged Re-
Reviews
Additional Fees
f/,2.JO
11- c9 .O~
Date