HomeMy WebLinkAbout07030012 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:,
SEWER lJTlLITY
PROVIDER:
City of Carmel/Clay Township Permit #: 07 D3fJ/J J'd-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME: m
srREIT AD047 3 W (11
LOT #:q(p SUB~tn aemere
ADDRESS OF CONsrRUCTJON:
SEmON:
&0
$/
SQUARE "2..5' ~
FOOTAGE: c/ - uu
JctJ em
k
~lA.
ESTIMATED COST OF CONSfRUcnON:
(EXCLUDING LAND VALUE)
WATER lJTlLITY
PROVIDER:
No/A-
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S}; AND/OR CO,UNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABUE):
....'.
FLOOD ZONE AREA DESIGNATION(Sj-,',:,';' ',"
FOR THIS PROPERlY: ,,' v' ",: Lul"
,', \,'
TYPE OF CONSTRU ~ PE 0 I ROVEM T:
Jlr'"SINGLE FAMILY' 1):>\::l ~ N STRUCTURE
- d TOWN HOME '\, 'b/:D ~OM ADDITION(S)
o TWO FAMILY ~ q/PORCH ADDmON(S)
# of,u~its ~rng /0 DECK ADDmON(S)
con~~<;ted at th~V ./ I'sY"REMODEL
time: .... "/''\. Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions>Remodels.,Etc.l 0 DETACHED GARAGE
\ // 0 ATTACHED GARAGE
PROJECT INFdRMATION: 0 DEMOLITION
TAX MAP PARCEL #:
PLUMBING~CTO~
i 1uI{l bl
Plumber's In ia~ State License #: t!3
/770(; r9 () '8
. ,
Which plumbing codes will be applied to the construction:
~tematiOnal Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
y~
y vr:;'
Manufactured
Trusses:
Sump Pump:
~ry
-y~
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM ~IER
o SLAB BASEMENT (WALKOUT:_frN )
Early Release
Permit:
Lot Split:
*******************************************************
/q 3 <:'0
,
) /;- 60
,
:>3 ' :)0
OFFICE USE ONLY: ******
Upper Footing Lower Footing Under Slab
0Ug~ M~ter Base Cal ~
?.-'~~ :$--S-tT)
Rev,ewedjAppr : Dept. of Community Services (Date)
S:PermIts/FormS/ILP RESIDENTIAl
Filing Fees:
Base Inspections:
# Charged Re-
Reviews
Cert. of Occupancy:
P,R,LF,:
Additional Fees
t1iJ
Fee Received by:
Date