HomeMy WebLinkAbout06090137 Application
City of Carmell Clay Township Permit #Ob{?q 0 I-~ 1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
NAME: ..t>fuj
STREET ADDRESS:
n;S2
LOCATION
& PROJECT
INFO:
LOT #:
GS
PHONE:
S ~-;)'-ft
FAX:
ZIP:
Lfb;2.:;).
SUBDIVISION NAME:
EIV\t:::Mt,,1?
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
(J/ RESIDENTIAL (For
Additions.. Remodels. Etc.)
PROJECT INFORMATION:
_v -'-;P
Early Release
Permit:
Lot Split:
_v -LN
TYPE OF IMPROVEMENT:
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IfIJ lL()fK
at~~
Plumber's Indiana State Licen e #:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
9'. DECK ADDITION(S)
\tl REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be applied to the construction: W' \ \ ~
o International Residential Code w/lndiana Amendme~
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
constructi)'" area) /
-1"1 CRAWLSPACE Ii POST & -.L BEAM ~PIER
'l\Zf SLAB fiiiI' BASEMENT (WALKOUT:_vLN )
Manufactured
Trusses:
Sump Pump:
_V_N
--J-V_N
Signature of Owner / thorized Age
// -'
OFFICE USE ONLY: ****** ****** It:-******~*****************************3*************************
INSPECTIONS REQUIRE~ Filing Fees: /'3 . ~ tJ
Base Inspections: (/ /. If 0
I ,
Cert. of Occupancy: S-7 5""{)
Upper Footing Lower Footing Under Slab
~eterBase~Slte
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Date
# Charged Re-
Reviews
P.R.I.F.:
Additional Fees
/
\...___/ /TOTAL:""
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S:Permits/FormS/ILP
(Date)
Fee Received by: