HomeMy WebLinkAbout07030140 Application
City of Carmel/Clay Township permit#:07030ILfO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
i
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
STREET ADDRESS:
LOT #:
30
PHONE:
5
hSW-~ :u\f:
FAX:
'70b-O~O;)
STATE: ZIP:
%031
BEST METHOD OF CONTACT:
(() Wf1i/ or! : 5(10-46 5
PHONE:
FAX:
n Qj.-t e
CITY:
STATE:
ZIP:
~adJlem:09ft ar~Q,[ VJOrne
j I flQ PI()t?~ Lane
SECTION:
ZONING:
j
SEWER UTILITY
PROVIDER:
SQUARE
FOOTAGE: 13<0
OOD
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) r
q
NAME OF lJTllfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
0'" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc,)
PROJECT INFORMATION:
Early Release /'
Permit: Y , N
Y"--;:;
OFFICEUSEONLY:******************************~~*******************~*******~************~*****
INSPECTIONS REQUIRED: FIling Fees: if d 7, I
~ Base Inspections' ~' -n ~,f1;J7 7, S'tJtI Charged Re-
(!/pper F~ ~er 0 'ng Under Slab '. f:,~ Re~iews
~.::: 0 Cert, of Occupancy: 3 c> -0 I
ougli' eter as 'nal Si !
C ~ ~ P,R.I,F,: I J (I dO Additional Fees
~TAL:_ d-
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH AODITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o OETACHED GARAGE
o ATIACHED GARAGE
o DEMOLmON
TAX MAP PARC~L #:
MAR 2 1 2007
1:1 \
PLUMBING CONTRACTOR:
c.had P~\i() ,- cmp1(-f(des
Plumber's IndianaState'License#:
P G I QS 00000
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, ,~ :; I
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
(2(lJniform Plumbing Code wI Indiana Amendments
Manufactured
Trusses:
Y~
AN
Fee Received by:
Date
Cr::4I'(~ h'>EI $-1"-0'1-
Reviewed/Approved: Dept of Community Services (Date)
S:Permits/formS/ILP RESIDENTIAL