HomeMy WebLinkAbout07070193 Application
City of Carmel/Clay TO~1hip Permit #: OTo7tJ/Q3
RESIDENTIAL IMPRi~~~~lit"(.~:C=~~qON PERMIT APPLICAT~ON
For Single Family, Town Home, &!Two Family: New Structures,: Additions, Remodels, & Accessory Structures
11',''1 I ! II I"
NAME:. II \ I JUL 2 7 ~~: Iii! Ii
.l2t\lI\)I\ so6!rre,:::> l,vl.. ,', {$'~~'
STREET ADDRESS: 4984 I -i.-----ClTY:---1~ I STATE:
'5IMIm+-1I UB Q.D C9~ rJ
BUILDER'S EMAIL ADDRESS: /:"'\ L!....- BEST METHOD OF CONTACT:
, IL.bel\()t..u..:~_=9TTV-M.COM .- MJ}1L..-
BUILDER
OF
RECORD:
PROPERTY
OWNER:
NAME:
, ~JAI~.!). MA~7\1
STREET ADDRESS:
~IN& R.IDb~ cT.
LOCATION
& PROJECT
INFO:
\..OT#:
SUBDIVIS
ADDRESS OF CONSTRUCTION:
'3 \ '1 ~)iJ("::> ~ bb~
PHONE:
560-D~DB
FAX:
lt~r:
ZIP:
y 00 L
SECTION:
ZONING:
SQUARE "r7CI
FOOTAGE: 19 0 t>
;.,-", ';;~f&&: n' ''::/7 ,:~,~' i:",
~f"T~~ ______ _., d l_:'l ,I.
, /'[
SEWER lffilITY WATER lffilITY . I
PROVIDER: PROVIDER: i : r'\\
NAME OF lffilITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEri I :
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
~ L-.
FLOOD ZONE AREA DESIGNATION{S) i
FOR THIS PROPERTY:
VI,
TYPE OF CONSTRUCTION:
TYPE OF IMPROVEMENT:
tNEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDmON(S)
DECK ADDITION(S) .
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLITION
Early Release / -"Manufactured
Permit: _Y _V Trusses:
Lot Split: _v -6-'N Sump Pump:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
'f time:
, RESIDENTIAL (For
Additions. Remodels. Etc.)
v~
vJ4
1'1 "J
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE) I1II n/'J I r
,..,,,,, III I tx/ IL---
LVV/ i ll!/ !',
[L:=!
TAX MAP PARCEL #: !
PLUMBING CONTRACTOR:
..1/1-j- ~
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w!Indiana Amendments
o Uniform Plumbing Code w/Indiar:aa Amendments
OFFICEUSEONlY:**************************************************~**~**************************
Fil" F . 1P d.;), I 0 1.0
INSPECTIONS REQUIRED: Ing ees. , " ,
. . Base Inspections: t \J;). .~O # Charged Re-
per FootIng Lower Footrng U r Slab 'lfS''''--''' ReViews
Cert. of Occupancy: . S-.;:) '-"
Site
Meter Base
P.R.I.F.:
Additional Fees
_~OTAL:
Fee Received by: ~ '
tP 4'-11- 0 (p
~I ;~
~ Date
S:PermltsfFormsfILP RESIDENTIAL