HomeMy WebLinkAbout05110090-ApplicationOWNER:
' TOWI $hJ_p Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
E1TEEF ADDRESS
BUILDER'S EMA/L ADDRESS
PHONE FAX
.' k:_
_ce-..ll
[] TVVO FAMILY
# of units:
[] MULTI-FAMILY
__/4 # of Units:__
L.~ RESIDENTLad. (For
Additions, Remodels, Etc.)
P~- _:, - - -:A ::
Early Release
Permit:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
P
ORCH ADD..,THON(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATFACHED GARAGE
[] DEMOLITION
Manufactured / N
Y _
ZONING:
$-
Which plumbing codes will be applied to the construction:
(~[ntemational Residential Code w/~ndlana Amendments
[] Unif~,b~,~ ~.c~de w/Tndiana Amendments
(Mul ~
r the new
construction area)
[] CRAWLSPACE []_ POST & BEAM
Lot Split: 1Y. Pump: ~/'Y N [] (~ BASEMENT
Does any part of the property lie within a spedal Flood designation area: V~i~
construcdon, reconstruction, enlargement, relocation, ~ the use 0£ ~E or
~ comply with, and conform to, all applicable laws of thc State of tnddm~ ~,~ ~ontng ~ 6~ ~,~mel
adopted under authority of LC. 36-7 et seq, General Assembly of the State of Incliafi~ and all Acts amendatory
bath. and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
Deparunent of Community Services, Carmel, Indiana.
OFI~CE USE ONLY: *****:
Upper Footing Lower Footing
Meter_ Base
,Fees: ~Z~./--.~ ' 7,5 --
/~ J~ # Charged Re-
Base
TnspecUons:
Reviews
Cert. of Occupancy:
Additional Fees
P.R.I.F.: ~_
Fee Recetved by: