HomeMy WebLinkAbout06070047 Application
City of Carmel/Clay Township Permit #:~7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
o
NAME
FAX
STREET ADDRESS
,qSO
STATE
ZIP
BUILDER'S EMAIl ADDRESS
1:rf,.jb-LEi2. ~
.~
~ ,
PROPERTY
OWNER:
NAME
~
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TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
, rZONlNG:'.s;}L /
SQUARE
!~::<H,_~:n -;fqpTA~Ecl~7'J
'II \\ I.'"'" '. ,...... j
ESTIMATED COSTrO~ COt-!STRUCTI$:': .:' ! ,'.: ~
(EXCLUDING lAND VAlUEj)' ... ". -3' eg ~-oo': .-- ! I
'11__'/, "-' .)1
ljr'll i!i If,
IV-It Iii III JUL 1 3 2006 Iii Ii!
L'-' W! ilL',;
PLUMBING CONTRAC!-TOR,------_________-1 ,-~i i
!\I-A: L__ . !
Plumber's Indiana State License #: --... ----'
SECTION
LOCATION
&. PROJECT
INFO:
$EWER'tfTIUf.Y= "
PROVlbE;~~,
/' -
NAME OF UTIU1Y EX 0 ONTRACTOR; PlAN COMMISS ON / BZA /BPWDOC1<1'T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
}6 RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
. / Manufactured /
_Y ~N Trusses: _Y ~N
/ /.' 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _Y -UN 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
o ~OST & BEAM
W BASEMENT
WALKOUT:_Y _N
-IS-bL
INSPECTIONS REQ
Upper Footing Lower Footing Under Slab
C Kough i0 Meter Base ~ite
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
*******************
.--0
00
:;-0
# Charged Re-
Reviews
,
ReviewedjApp v 0: ept. of Community Services
S:Permits{Forms{ILP RESIDENTIAL
c.
Additional Fees