HomeMy WebLinkAbout06070096 Application
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City of Carmel/Clay Township Permit #: O~or;o~q~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME € STR rt>4 cO lbJ-A.t;;':, PHONE (;(,:j- 8!;"1 <> FAX 8'> -Z.SIL
L.'-':''TI>,lA,
RECORD:
STREET ADDRESS CITY STATE ZIP
/4300 "'- u.. -( Jl"~~ Gl,..vD CA{L,AIO<.. /,..) 4(.03'L.
BUILDER'S EMAIl ADDRESS \ c:lu.. BEST METHOD OF CONTACT:
o....,,,,,pe ....s+,,; . ",..:t e..-,-..~\ \
PROPERTY NAME v PHONE FAX
OWNER: SAMe A' A60Jc..
STREET ADDRESS CITY STATE ZIP ('
-...."
LOCATION LOT # SUBDIVISION NAME SECTION ZONING: . V'"
1"'3 VIUA(,.E <>F ""E>I 0.......'1 , eel L.- < I--
&. PROJECT .-1nol\0
INFO: ADDRESS OF CONSTRUCTION SQUARE 4:>8'11-
1'32. 55 t!:,I2-OA'> s.T. CJ..ILt-"-tl.. I ,...I FOOTAGE:
SEWER UTILITY c.l..A-{ WATER UTlL([Y___ -0 ESTIMATED COST'OF.CONSTRUCTION~
PROVIDER: PROVLllE1'<______ WMCI -'"(p (EXCLUDING LA~9fV~1Uf~~r~ nn 8, 2 , ~-:-,
0
I' ') ._-. ~.... ~ U \VI ., '1
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET :':;1-__'..' J ,'I'.:'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): {? i~~\ ~/(' t1~c(L---'liI iii
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
PLUMBING CONfrRAboWl 1 9 2006
,U U/'
~:1\ Moql.-E .
Plumber's Indiana State License #:
'.
100 S'Lo--
iil I'!
/iU)1
t I
,
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I
TYPE OF CONSTRUcnON:
5 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units;
o MULTI.FAMILY
# of Units;
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
% International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Y '" N Trusses: .L Y _N
- -r-- 0 CRAWLSPACE
Lot Split: _ Y 1...N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
~
POST & BEAM
BASEMENT
WALKOUT:_Y-LN
Print
"'1-'18.~
Date
Signature of OWner or Authorized Agent
OFFICE USE ONLY: **************************~********************"'**'70*****************
Filing Fees: / ~ LIo .
INSPECTIONS REQUIRED: Base Inspections: I .;} 1J :) & # Charged Re-
Under Slab ~ ) ReViews
Cert. of Occupancy: ') .3 ) t
P~R'I.F': I ,J.. 'I (;0
. TOTA~~/ V /!;2(tP.lu
~ {;~d..a-~
Final
Site '>
Additional Fees
v
Reviewed/Appro d: Dept. of Community Services
S:Permlts/Forms!ILP RE IDENTIAL
1
(Date)
Fee Received by: