HomeMy WebLinkAbout07030152 Application
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City of Carmel/Clay Township Permit #: 6'11)3 p l~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Stru!=tures
BUILDER fJ;~AZe R... Ii [) M (5 PHONE: ! d/'1 Jlf- JDti
OF ;}/7.5(,9- 353
RECORD: 9JDl< AO~RrsM Ef.i D IAAi Srt.3t:b ~~p {,5 STATE: ZIP:
IJ t.!fao1 t, D
BUILDER'S EMAIL ADDRESS: f.x..c BEST METHOD OF CONTACT:
TfYlCrr/1-l @ . z..erc..orn
PROPERTY NA'6EFfLOc.. I-lOME5 3')';/5&9' 3531' !3~7 il F 707Y
OWNER:
BREIT AODRESM I 5rE306 CITY: STAl)O: ZIP:
/,JW Ai Ef?. i ~/PtN. r1-Jbp1.5 TN L/c'.;2 (P ()
LOCATION LOT #: \I~~~;~:~ ~ \rJ 60 b :s SECTION: ZKOSo
&. PROJECT 0 I III
INFO: ADDRESS OF CONSTRUcrrON; VI'WA tJ(2\U c.. SQUARE .3 9'
) Y2J I If\Uf2.8 1,-, - .,I'OOTAGE:. 35
" ~--._, '.~ ~. ~ ",".- .' ;:;::..~ ~, 1'\ < I
SEWER UTICA I WATER UTILITY ESTIMATED COST OF CON'STRUC!1ClN: : 2/J \' I
PROVIDER: I2Jy) E'l. PROVIDER: CAttYIfL (EXCLUDING LAND VALUE) If, to 0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA / BPW DOCKET o 1t#ftd/11J1qGi I I
t3uTTz.... 1\
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): I ,1\
, ,':1
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: - .. ) .,
FOR THIS PROPERTY: "
11
TYPE OF CONSTRUCTION:
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o
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM AODITION(S)
o PORCH ADOmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
EAR.l GRit,! l' SONS
Plumber's Indiana State License #:
/65901
Which plumbing codes will be applied to the construction:
o International Residential Code w!Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
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3/5Dl
Print
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OFFICEUSEONLY:******************************~~*********************rtt****~c1*****************
IN SPEC QUIRED: FIling Fees: ~rT,;),.. ~ I
. . Base Inspections: C2. I' 7 .:5 tJ # Charged Re-
Upper Footing Lower ootmg "'-3. .:l;(J ReViews
Cert, of Occupancy: 0 ..
~) ! ~J'/ 00 ,
"--- __~ P.R.I.F.: 0"- {7. Additional Fees
, 23 '7 ,...;)d
\ C rtJ....~a.I1J~ , 30 '28~07
'.eviewed/Appr~ved: Dept. of Community Services (Date)
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>ermlts/Forms!IlP RESIDENTIAL Date
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