HomeMy WebLinkAbout06110091 Application
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City of Carmel/Clay Township Permit #: O/P/ /t)li} /
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER lJT1LfTY
PROVIDER:
WATER UTILITY /1 LJ 4 Ail
PROVIDER: VflP,,'q~
PHONES51-Jtl# FAA:? 7- 7)
CITY: C""f;y,e STAY""""",
BEST METHOD OF CONTACT:
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FAA:
5"!"O -fit?:
STATEp.- ZlP:$O'
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S:>?-3Vtl
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SQUARE /<.113
FOOTAGE: 7 .
ESTIMATED COST OF CONSTRUcrrON: "?
(EXCLUDING LAND VALUE) at)!JJCJC!'C)
'11,;- ':-:
~'fI'.A1tr6-- .c. '-
TAA MAP PARCEL :,V", 'i i NOV I j j
!iil:: J 7 2006:! if
I l.:: .!. i'l
~;;;: Ai;;J: L__________..!~j I
Plurnbjl~s~ndiana State License #: .------~--..-.!
C :...:1 '7c..a..CL/trJ: ' . ~';:,,;I,~,},
NAME OF lfTllfTY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT "S (IF APPLICABLE):
'flrf.'\{."lnl70N.F!AB.EA.~IGN.AnON(S}
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
X time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
;V If
X Un.s~d
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
)i!:!. ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Eariy Release Y I':!anufactured
Permit: y ~N /Trusses:
Lot Split: _Y _<;.r" Sump Pump:
YK.N
>< Y _N
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wfIndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE YPOST & _ BEAM _PIER
o SLAB o--1lAsEMENT (WALKOlfT:_Y_N )
I
OFFICE USE ONLY: ******* ***********************~~********************~>>*~*******************
INSPECTI UIRED: Filing Fees: <, G !
Base Inspections' / t: (; <)'{) # Charged Re-
Upper Footing Lower Footi Under Slab ''-J ,'---)l ReViews
8 0; ~ Cert. of Occupancy: .::J. , J (/
Rough In Meter Base Final Sit
P.R.I.F.: Additional Fees
~~ Ht~ 11-'Z1-a6 ;l53~- ,;z~
Reviewed/App ved: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL
Fee Received by:
Date