HomeMy WebLinkAbout07060045 Application
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City of Carmel! Clay Township Permit #: 8 7 () Co. eXY/S
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:
SEWER lJITLITY
PROVIDER:
FAX:
;1(7-~4S-- "2-1(, (
NAME: PHONE:
6(k\J[6 ~u!JSTf2k 8wlv~, rr'C- 311- ~cp-qoqS'
STREET ADDRESS: CITY: STATE:
&'5/)3 ClZA-t"{ <;;,-. 4(00 TlJbu.....Mbu.<; r,.J
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
so",,d,,,ve &..,;{Ju-1."""- fC-.1f /'vf~sluv ~l/ 317-1I'f-S-7~Z-
NAME:
J'\1o,.!oiJ ~ M,MN I l.-~c...
STREET ADDRESS:
<;" 'l""<. ,is a b.v'.!-
LOT #:
152:
SUBDIVISION NAME:
MO"'D,J " M Il-(,.J
ADDRESS OF CONSTRUCTION:
'2-15" /9r $or Nil"
CAt2~L--
WATER UTIlITY
PROVIDER:
C A-/t-iV\:t:; L--
ZIP:
c/:bZ5D
PHONE:
FAX:
7"""'-'- <<6 A.bo~
CITY:
STATE:
ZIP:
SEm N:
{VA,., ~'" ~
ello4<<.e-c-,];,J ~2J z..
ZONING:
pob
SQUARE
FOOTAGE:
Z,('fI4
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 4"1'1-0 I 000
tvb (2e2c,>e;. ):...;w-iI.:
o'to{c>o~2-
TAX MAP PARCEL #: (b-"<{ -#:5"-07 - 0"5-0=.. <D'-'
I~ - - 2..- D"Z--03-oZ.1 ,"""-'
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT ' IF AP (f B
FLOOD ZONE AREA DESIGNATION(S) .. """ ..... /' L-. _ J ,.... ~ I
FOR THIS PROPERTY: 1AJ Rl2. '}<- Ltl LC>I lC! L-l.ICO....
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
OFFICE USE ONLY: ***************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
********************
o
:A 8 .SO
SS,oO
,..,n.R.I.!".. - Yrlt-v r(Ju.S/'-j ~ic{:Additional Fees
. c:
c;&P;;;!f ~^1.'io(p}~ hi
F by: otto ~
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
INSPECTIONS REQUIRED:
~r F~ Lower Footing nder Sla/:)
~eter B~ Final Site
~
c.
-'7--67
(Date)
\
ReviewedjApprov Dept. of Community Services
S:Permits/FormsjILP RESIDENTIAL
PLUMBING CONTRACTOR:
~~((.. PW,"''3lf-lt,
Plumber's Indiana State License #:
t~{)OI~S-
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wjIndiana Amendments
# Charged Re.
Reyiews