HomeMy WebLinkAbout05030071-ApplicaitonRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
BEST METHOD OF CONTACT:~ ~~
PHONE FAX
LOCA'rZON
& PRO.~
~FNGLE FAMILY
~'~OWN HOME
/CD TVVO FAMILY
# of units:
MULTI-FAMILY
# of Units:
CD RESIDENTIAL (For
Additions, Remodels, Etc.)
P: ~_= - _
Permit:
TYPE- F - _-'- -ENT:
c~-'W STRUCTURE
~l~ ROOM ADDITION(S}
CD PORCH ADDITION(S)
CD REMODEL
CZ3 ACCESSORY E
~CD ~0ETACHED GARAGE
]~ ATTACHED GARAGE
'~C]] DEMO!ATION
Manufactured __~
Trusses: N
Pump:
For Single Family and Two Faraily clwcllJngs,
within 180 days of the dare of issuance c
issuance date, ~
P -'MBIN C N -- OR:
Plumber's Indiana
/ CD Uniform Plumbing Code w/Zndi~na
(Multi-Family Construction Code) ~.'~
FOUNDA'rZON TYPE: (Che~k all that
construction area)
[] CRAWLSPACE CD POST& BEAM
CD BASEMENT
WALKOUT: _Y
I, the undersigned, agree that any construction, reconstruction
structures re,,~ested by this application will comply with, and conform tpplicable laws o
Indiana- 1993 (Z-289) and amenctments, adopted under authority of LC. 36-7 et seq, General Assembly
thereto. I further certify that only kitchen~ bath, and floor drains oxe connected to the sanitary sewer. 1 further certif3
use~. pr occupied unt/1 a Cea~.cate~[Occupa~cyhas been issued by the Department of Community Services. Carmel. Indiana.
Prin~
Services (Date)
RESIDENT~
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
~ # Charged Re-
~ Reviews
~~) Additional Fees
TOTAL: