HomeMy WebLinkAbout07080006 Application?
City of Cannel/Clay Township Permit #: 0 7D$0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
??h 910.N?F?, For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME- /+
SG A>? I-TEG u L- CatJ PHONE: FAX:
31 7-X73--513 3 317--771
RECORD: STREET ADDRESS:
IS 7D (xroMI VD.
Z CITY: STATE: ZIP:
ogu tc,a IN GbCeo
BUILDERS EMAIL ADDfRESS_
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C4--bc,qw7 to. pG Lt /GYI G BEST METHOD OF CONTACT:
GM I
PROPERTY GAME: J
7
?
4 PHONE: FAX:
3
-
S21- &7"
OWNER: WIND--
Tor> -
? -
STREET ADDRESS:
10-329- ?• a vE CITY: STATE: ZIP:
G+ &o 33
LOCATION
NAME:
LOT SUBDIVISION
? R
i CTION: ZONItl -
& PROJECT L L
5
W
TI SQUARE A
OPF?- 11
INFO: ADDRESS OF CONSTRUC
ON:
IL) 325 WA.Ajr>A4- pRIVE C,a.,PqiLfFFL IN Z/Go33 -
FOOTAGE:
SEWER UTILITY
PROVIDER: carwil
d V-Wi e WATER UTILITY /
PROVIDER: /I-. -1 ufi(I {yLs ESTIMATED COST OF CON CTION:
(EXCLUDING LAND VALUE) 3`3000, 0o
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: C TAX MAP PARCEL
'oI46?oOo3oZOonei
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
,,,111
?tl time:
RESIDENTIAL(For
` Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y _)( N
Lot Split: _Y XN
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
'6C DECK ADDITION(S)
j REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
PLUMBING CONTRACTOR: AUG - 1 zu
Plumbers /Indiana State License #: I v
Which plumbing codes will be applied to the construction:
O international Residential Code w/Indiana Amendments
O DETACHED GARAGE
D ATTACHED If.4
GARAGE O ATTACHED 13A A61
Manufactured i,,
Trusses: Y N
Sump Pump: _Y _N
For Single Family and Two Family dwellings, additions, remodels, and/or access
days of the date of issuance of the building permit, and must be completed (Cei
structure permits are subject to the General Administrative Rules of the State of
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE '.9? POST Fib _ .fY BEAM -KPIER
0 SLAB ?T'ITZ??U?{§ : Y-N )
ces within 180
date. Class I
I, the undersigned, agree rhat any construction., reconstruction, enlargement, relocation, or?dan#stn:ya}Acjtin'the use of land or structures
requested by [his application will comply with, and conform. to, all applicable laws of the StATe gySa aF716? o-'dance of Carmel Indiana -1993" (Z-
?39) and a.-nendments, adopted underauthoriry of I C.35-7 er seq, Central Assembly of a e E Cana, and alt atory thereto. I further certify that only
kitchen, N oor co neaed to the sanitary sever. I further certify that the constructi0ii wil not be used or occupied until a Cerr &cate of
Occu ' s by epazcment of Community Services; CarmeL Indiana.
BEAcM 0 oN zaSigns Teo vmerwA thori t Print Date
OFFICE USE ONLY: *x*x***x**xx *x*x :.* ***/*fix?i,Sx******x*x*xxxxsx***xxx********x.**x*sxx**xx**
INSPECTIONS REQUIRED: U / re
pperFootin
Rough In
Lower Footing
Meter Base
\ Cra..; o / 5-9 - $ - b-27
Reviewed/Ap oved: Dept. of Community Services (Date)
S:P .I W Farr 00 RESIDENTIAL
ruing Tee -
Base Inspections: /2 , ? # Charged Re-
Reviews
Cert. of Occupancy: j ,
P. R.I.F.: Additional Fees
Fee Received bv: / Date