HomeMy WebLinkAbout07050052 Application
City of Carmel! Clay Township Permit #: (J 7f) ~e-05~
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:
NAME:
FAX:
7f>~~S)~'J- 7
STREET ADDRESS:
1"<..17
A/t1.
BUILDER'S EMAIl ADDRESS:
NAME:
Crl/l
U'
ADDRESS OF CONSTRUCTION:
/
SEWER U11LllY
PROVIDER: (/!4-frJ,ci--
WATER UTIlITY
PROVIDER: {/,::J/Z t,;1 , t---
0lY:
U5t//t-~
STATE:
;U
BEST METHOD OF CONTAG:
tf'otiZ
ZIP:
'76tJ6tJ
PHONE:
FAX:
CITY:
t'/.-
STATE:
ZIP:
SECTION:
ZONING:
SQUARE
FOOTAGE: ::L '7/J
ESTIMATED COST OF CONSTRU ON:
(EXCLUDING LANO VALUE) / ~ t7?1V'
NAME OF UTIlITY EXCAVAnON CONTRACTOR; PLAN COMMISSION I BZA f 6PW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
cB" RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
(!./"""'
-y
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o .,ROOM ADDITION(S)
CB'" PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION Y ~
Manufactured z;Y
Trusses:
Sump Pump: y . N
1
J ~_J I
-----ulil'ill
ilL>>1
j
, ,
TAX MAP. PARCEL #:
)/1
.: -, t
PLUMBING cON1RACrOR::AY - / 2007
'U II'
;(;It? ;G.V i J!
Plumber's In lana' State~licef)se #:
9/ (}O' i-~4---
Whic~umbing codes will be applied to the construction:
ctYIntemational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) . /
o CRAWLSPACE 0 POST & BEAM ....0IER
o SLAB 0 B~SEMENT (WALKOUT:_Y~N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction c
OFFICEUSEONLY:***** ***** ****~Ji*~Q ******~~*********************~***************************
INSPECTIONS REQUIRED: FIling Fees: /6 '1_ -:z.,O
, . I jrJ:) .rd
pper Footing Lower Footing Under Slab Base Inspections: / '/ ' :-,
E3 Cert.ofOccupancy: ~~_~O
Meter Base "nal Site
P,R,LF,: Additional Fees
TOTAL:,:(J t 3:7'-./30
~6..'1.a~ /}L. _; 'La h--<<-
Fee Receive b: v :s//ii07-
~
c..
S:Permits/FormS/llP RESIDENTIAL
S-' >7
00"
# Charged Re-
Reviews