HomeMy WebLinkAbout06110144 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
City of Carmel/Clay Township Permit #: ()&// 0 /111/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
-
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PHONE:
FAX:
~n-e76- 1'11~
STATE:
f'iAPOl-X-.s ~
BEST METHOD OF CONTACT:
ZIP:
J-i 6268
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STREET ADDRESS:
g550
OTY:
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BUILDER'S EMAIL ADDRESS:
:s f 'E.. ::5 A....c.s Pi<.. ~ . COM..
flO,J E
FAX:
NAME:
PHONE:
TSO,.!
"3 70 2.D"1 '3
STATE:
:I:tJ
ZIP:
'7/'O
CITY:
CA(l.I'\2- <-
SECTION:
ZONING:
LOT #:
ADDRESS OF CONSTRUCTION:
(, 0 CJ.J?>rid..u..K.
SQUARE
FOOTAGE: 7 00()
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';1/11 '\1 In
TAX MAP\PARCEL #: 2006 \ . : 'I'
Ill'll NOV 3 0 ill !Ii
III HI 1'0..----' i
PLUMBING\CO TRACTOR: --7[- -/flJ I
I l----- - I,
I . I
Plumber's Inlliana.stal:e.License-#,--' .
ESTlMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
WATER lJTIUTY
PROVIDER:
c.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATIDN(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
iR RESIOENTIAL (For
Additions, Remodels. Etc.)
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
o
o
o
o
)l1l
PROJECT INFORMATION:
Early Release ~ Ma~ufactU-red
Permit: Y N Trusses:
Lot Spilt: Y ~'sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
V construction area)
_Y _N O~CRA;LSPACE 0 POST & BEAM PIER
_Y ..L~O SLAB r)tBASEMENT(WALKOUT:_Y - N)
bAl<.tr.5 0--/
If /2'1106
Daw -'
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~CE SEONLY: **************************************************7* *******~{)*****************
\ F'[' F . J 3 .:>
INSP CTIONS REQUIRED: ling ees. "
F t. Base Inspections: / / I {I 0
'er 00 Ing Lower Footing Under Slab ' .
\ Cert of Occupancy: c;- 3, :iJ
\~~ Meter Base C!i~Site
P.R.I.F,:
,
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\Hls.Q-f' 11.-\-06 ~ TOTAb;/ /J
'led: Depl.ofCommunityServices (Date) /~;:Pe~{-I}.-'1...
iSIDENTlAL Fee Received by:
Print
# Charged Re-
Reviews
Additional Fees
$?;z:JfY {lr.?
Date