HomeMy WebLinkAbout07080007 Application? ./I/CIAtl? /.
City of Carrrtel/Clay Township Permit #: C):7Ci'0007
RESIDENTIAL Il?IPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions;'Remodels,-& Accessory:Strudures
I ?.?I I BUILDER NAME: PHONE: ^ ???
OF S
RECORD: STREET ADDRESS:
StoZ F-01n? D ` D cm: STATE:
_ ZIP:
BUILDER'S EMAIL ADDRESS: BESf METHOD OF CONTACT: N
C? . Cf a C d rn
PROPERTY
OWNER: NAME:
?E U ct'I PHONE:
?- F?:
STREET ADDRESS: CITY: $TAiE:
? ZIP:
?Z
3CJ `0 l ? ` . /l4V
LOCATlON LOT it: 5 MSIOfi NAME: SECTION: ZONING:
& PROJECT
INFO: ADDRESS OFCONSiRU ON:
35tv 5 tz G?L?e
Cu.r ?
cllN 3ia-N9 FOSQUARE
OTAGE:
a49(ca
SEWER UTI - WATER UTILRI'
ROVIDER
! ESTIMATED COST OF CONSTRUC
(IXCLUDING LAND VALUE) ilOj) ??
V?
PROVIDER:
Vr
P
:
` o
.
/
U
NAME OF UTIL.ITY IXCAV ON CONTRACiOR; PLAN COMMISSION / 87A / B%( DOCKEf
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMif #5 IF APPLICABLE):
U/ V ? ?
FLOOD ZONE AREA DESIGNATION(5) TAX MAP PARCEL ?:
, ?/
FOR7HISPROPERTY: X 1 ?
1 5TYPE OF CONSTRUCTION:
ff ?
TOWN HOME
? TWO FAMILY
# of units being
constructed at this
114 time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y N
Lot Split: _Y?-N
TYPE OF IMPROVEMENT:
:3 NEW STRUCTURE
)K ROOM ADDITION(S)
`Z .PORCHADDITION(5)
Q DECKADDIfION(5)
G REMODEL
Basement Finish only
? ACCESSORY BUILDING
(K DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Sump Pump:
Y XN
YXN
For Single Fatnil}' md Two Family dwellings, additions, renodds, en(l'or
days of the date of issuance of the building permit, and must be compl?t
sa?.6
structure permits are subject to the General Administrative Rule
I, the undersigned, agree that any rorstruc.ioo, reconstruction, enl:
ceo,uescec by :iis applicatior, will comply with, and conEoan to, all al
289) and anendmcna, adopted under au[horiry of I C. 36-7 e[ seq, G
kiccner,, bath, and floor dains are connecced to che sanitary sewer. I
Occupapcvhaz been issued A- the Dcpaztmenc of Community Sei
Print
*x•****************'*"****'
OFFICE USE ONLY:
INSPECTIONS REQUIRED:
Upper Footin Lower Footing Under SI
Ro n Meter Base nal Site
???
Reviewed/Approv d: Dept. of Community Sernces (Date)
S:PUM[y'Fmn;2lP RESIDENR:.L
PLUMBING CpNTRACTOR: 1
?-- ?ac?s 1 N
Plumber's Indiana State License #•
G4)??qo n n r? v
Which plumbing codes will be applied to the construction:
?Intemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDAIION TYPE: (Check all that apply for the new
construction area)
Q? CRAWLSPACk.: ;Ci POST & _ BEAM _PIER
Ot\l: -
NT (WALKOUT:_Y_N )
-..tlRf&&.?'ut is-valid onl);,}(,conscruction commences within 180
k++?+Q3ionths of the issuance dace. Class I
' ?????x• ?n tune frames for beginning and
t
?NT Rio-
ran), change in the use of land o= sCmcNres
t''he'ZoningOrdinanaofCsm elIndiana -1993"(Z-
?n a
II.4c:s amendatory thereto. I(ufther certify that only
coN on
will not be used or occupied until a Cern6catc of
\ I[ Ywl 1 ? 7A,
Filing Fees:
Base Inspections:
Cert. of Occupancy:
;,730 00
SS s-)d
# Charged Re-
Reviews
X)
„., . I . . Additional Fees