HomeMy WebLinkAbout05100037-ApplicationCity of Carrael/ Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family:'--:"' New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
LOCAT/ON
& PROJECT
[] TWO FAMILY
# of units:
ED MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
-- -:-_ -AT[ _:
- , - ': NTt
~EW STRUCTURE
U3 ROOM ADDITION(S)
C3 PORCH ADDITION(S)
[] RENODEL
[] ACCESSOR~
[] DETACHED (~
[] A~'ACHED G
[] DEMOLITIO~
; CONTRACTOR:
Indiana
· Which plumbing codes will be applied to the construction:
~[nternational Residential Code w/~ndiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MutU-Family Construction Code)
F ,'-- N -- -, N TYPE: (Check all thai
Early Release Manufactured _-~_____N ~ /.~onstruction area)
Permit: ~~ Trusses: ~- ~~'-'~CRAWLSPACE
Lot Split: Y -hl~t-~' Sump Pump: __~---__N E~ SLAB ~;~-SASEMENT[] POST~
Does any part of the property lie within a special Flood designation area: X N
]For Si~te Fame/.~d Two Fenfi]y dwc]~ags, ad~lidoas, z~ed. ds. end/or acenssm7 srzacmz~s, r~s pcz'm~t :is vaUd only ff coas~cden comm~ces
within 180 days of the date ofissuo, nce of the building permit, and must be completed ~~~~ of the
rime frames for beginning end completing coff~lifict~oj[~fd7
I, the undersigned, agree that any construction, reconslmuctiort, enlargement, retooatiort, or alteratio~ .s.~'.t~_?~r~,~[~ a~ ~z~q~ ~a se of land or
tm.?~s ~.~m~..~t~d by t~ ~?Uon wm. enmp)y ~.'~, ,ad ,o~form to, ~U ~esU¢ hws t~ ~h£~
mcaana-1993 (Z-289) anaamen~.menrs~ac~optectun~erau~ori~y~f~C.36~7e~seq~Gene~d..~?s~s~e~b~of~`~`~A~d~4~`9~rtqry
the~to. I further esrrify that only kitchen, bath, ~d floor drains are connected to the sanitai~s~er~. ~ fit~ii- ~~~nsthtc~d' dr/~r be
~pr occupied until a C. ertJficate of Occnt~ancyhas been iss~dl~¥ the Department of Community S er vice~i~.&tigtiana.
$ififnature of Owner or Aut~ Agent ~itnt Date
OFFICE USE ON LY: ***********************~ ****************************- *************--*******
t°'~ F ling Fees: ~
INSPECTIONS REt~UIRED: -r . t
...... . ~)Jtq Base Inspections. ~ ~ ' # Charged Re-
(1JpDer Fo6tin~ ~6~ Under Slam '- ~- . ~ . Reviews
"-:~---*--~ cern. of Occupancy:
i P.R.LF.: , 45) ~ A~i~onalF~