HomeMy WebLinkAbout05110134-Application IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Famiiy, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
b-TREET ADDRESS
INFO: o~ CO~S~UCnON
PROVIDER: ~J ~_L.
O T~VO FAMILY
# of units:
O MULTI-FAMILY
# of Units:
~ RESIDENT~L (For
AddiUons, Remodels, Etc.)
~-- -~' ; !-' ;m :
Early Release
Permit: Y N Trusses
Lot Split: __ .Y__N Sump Pump:
Does any part of the property lie within a special
TYP · ' '- ".EN :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
Which plumbing codes will be applied to the ~onstruc~on:
[] international Residential Code w/Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(MuiU-Family Construction Code)
(Check all that apply for the new
POST & BEAM
BASEMENT
WALKOUT:__ Y N
) w~r~ 18 months of the
isanance dat~ Class I srtueture permits are subject to thc General Adminiatrative Rule~ of the State of indiana (See 615 iAC 12) regardillg expiration
time frames for beginning and completing construction.
OFF/CE
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab.
Rough In Meter Base Final
Reviewed/A~broved: Dept. of Community Services (Date)
~ construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
with, and conform ua, all applicable laws ~f the State of Indiana and thc *Zoning Ordinance of Cannel
3~ of LC. 36-7 et se.q, General Assembly of the State of Indiana, and ,~t Acts amendatory
ts ate connected to the sanitary sewer. I further ccrtify that the construction will not be
~ Services, Carmel, Indian~
Print Date
Rling Fees: ~
6a~,e Z.n~pecl~jo. ns: ,~
Charged
#
, ~ Reviews
P.RA.F.: ^ddiUon~l ~
TOTAL: