HomeMy WebLinkAbout06110095 Application
City of Carmel/Clay Township Permit#: own 001~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory St~uctures
OFFICEUSEONLY:**********************************~~******************~***************
RJ 'filing Fees: ~ ~ ~ {,
INSPECTIONS REQUIRED: \1> . .
iI\ Base Inspections: :z, 7- 7 . -5 # Charged Re-
I~ Lower Footing ~er~y ~ 60 Reviews
~ ~--~ Cert.ofOccupancy: v:3.
~ ~te~ F Site P.R}F.: / .1M} , q (). Additional Fees
~~. TO~ 4~A'31,foD
7.1 '. /:;(/7 /"
./ //'c:Ytf. ',/Y' H~YC
Fee Received by: ,/'
BUILDER of
RECORD:
AZE!<. /-!-OME.5
STREET ADDRE1S <'" _
9';;0;7.. )J. /VfE'J:/DI/l1'i ~ ..300
N
BUILDER'S EMAIL ADDRESS
+mern f-I. (!iJ bC(\'7-",-r. CDm
PROPERTY
OWNER:
OIZE II{)M~S
STREET ADDRESS
9~o;< Xl Nl::72.iDlflA/
, SUBDIVISION NAME !
ILL Gi: of MESTC'Lf/
- 30D
LOCATION
& PROJECT
INFO:
LOT #
/tJ15
ADDRESS OF CQNSTRUcnON
/Jl73 FDRS'HH STKEET
WATER UTILTIY
PROVIDER: CA R..M r=L
SEWER UTILITYC '/ f? \ A / "
PROVIDER: I " VV D
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY &bt-") -#fA NEW STRUCTURE
~ TOWN HOME J J,c*tl 0 ROOM ADDITION(S)
TWO FAMILY \ ~i" 0 PORCH ADDITION(S)
# of units: " 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
0' RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJEcT INFORMATION:
Early Release
Permit:
_Y ~
. '~ot Split: _Y /N Sump Pump:
. lObes any part of the property lie within a spec-
Manufactured
Trusses:
Print
Revlewed/Appr ed: Dept. of Community Se
S:Permits/Forms/ILP RESIDENTIAL
FAX '
J"1?-/07/
fIP
~C:,2/.,O
cm
1.,-jj)j7t.5
STATE
:rAI
BEST METHOD OF CONTAG:
FAX ,/
'f/Ji 70'77
cm
I"A/DfJL5
STATE
:I//'
ZIP
l/6 Z"; 0
SECTlON
t:OO/
ZONING:
51
SQUARE 3~
FOOTAGE: d J .J ~
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LANa VALUE) /53 D 00
iu ..tl:v\,
()[Q I/t1I'J"'M
PLUMBING CONTRACTOR: ~'i-<.
KfiR..L. OR-AY' (' SONS
Plumber's Indiana State License #:
'pJ/:[8Cf<. tl"
/059 D9
.
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
~ Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
~ SLAB
'gnation area: _Y V;;
o POST & BEAM
o BASEMENT
WALKOUT:_ Y---!--N
Date