HomeMy WebLinkAbout07030054 Application
Permit #:6'1030 o?f
T APPLICATION
,
&. Accessory Structures
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PE
For Single Family, Town Home, &. Two Family: New Structures, Addition
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BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
STREET ADDRESS:
I t>q O('f
LOCATION
&. PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
kitS, Vfl)
PHONE:
3('1 7
FAX:
311 7 9 1,9fO
L.(f/(L:::Vf/!"W /) Il..
cm:
STATE:
IM
ZIP:
- (P{) ,'7
I!,LoE
BEST METHOD OF CONTACT:
PHONE:
TLJI4UL VA..
cm:
CINJ./-I/fl...
FAX:
/090Q
,
STATE:
;:r'J
lIP:
4t.t:>33
ZONING: S:;)..-
SECTlON:
SQUARE
,<' I/J (PO :I 7 FOOTAGE: t: ~ 157"//(/(.
ESTIMATED COST OF CONSTRU'i]ON:
(EXCLUDING LAND VAL~E).J1 5(, 0G,'7, I q
~(.J.., CIJ-AME-t..
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
% REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release / ....1 Manufactured
Permit: Y If N~ Trusses:
Lot Split: _Y ..J N Sump Pump:
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_y~-#
_Y_N
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N, "'-. '}'/'__ .<~, !".!,0 .!.
r1 '.: J '-~:..__ t~.." ,'l ~\// ...::,_
TAX MAP PARC;ELr#:~ / ------'_'::-S' ,,'
II/ II!
/1111./
PLUMBING CONTRACTOR:
/1 ~_____~ .~~
-.-
Plumber's Indiana StareLlcense,lt.!
NAME OF UllLm EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
-----
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;: '/'1
,I,'
ilL,!,
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
---
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Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
180
3/7/0)
D.te
**~~*******************jf~*~~*~~******************
FIling Fees: ':;):) J U
11/.gO
5"3 S(
Base Inspections:
# Charged Re-
Reviews
Upper Footing Lower Footing Under Slab
~ugh I~ Meter Base € ~~
P.R,I.F.:
3-L'2~o7
ept. of Community Services (Date)
S:Permits/Forms,/ILP RESIDENTIAL
Fee Received by:
"
Date