HomeMy WebLinkAbout07080161 ApplicationCity of Carmel/Clay Township Permit: D I3 $ fl l?o
1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME'
S I ur
-a nL PHONE: FAX:
31 - 75- ql/g
RECORD: STREET ADDRESS:
121 S. II ne LA CITY:
, STATE: ZIP:
_ a
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY NAME:
3 PHONE: FAX:
-
OWNER !
: STREETADDRESS: CITY: STATE: ZIP:
q2tk ir2?1 t ? D
LOCATION o
LOT j SUBDIVISION NAME: vWC/
i G ?nSECT10N:
!J ZONING:
PROJECT ti=
&
INFO:
ADDRESS OF CONSTRUCTION:,
(?? W i n4ee
eeki
l_rle
f1 J
FOSQUARE
OTAGE:
SEWER UTILITY?n WATER UTILITY Cap
PROVIDER:
) EXCLUDIDCOST OF CONSTRUCTION: /', D?a Oa
/
(EXCWDIN
G LAND VALUE) mi
PROVIDER: wl.?
1 rrL I l
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET _
?-/ ?? - -
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE): - L
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #.... 6PPI 1
-t
l
FOR THIS PROPERTY: ri
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
19 RESIDENTIAL (For
Additions, Remodels, Etc.)
PR07ECT INFORMATION:
Early Release
Permit: _Y N
Lot Split: _Y ?N
TYPE OF IMPROVEMENT:
_ NEW STRUCTURE
> ROOM ADDITION(S)
O PORCH ADDITION(S)
DECK ADDITION(S)
REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: Y(N
Sump Pump: _Y vN
For Single Family and Two Family dwellings, additions, remodels, and/c
days of the date of issuance of the budding permit, and muS[ b@
structure permits are subject to the General .4 ?t
P
I, the undersigned, agree that any construction, rec . , enlargemeni
mounted by this application will comply with, and conform to, all aptdicabl
16) and amendments, adopted under authority of IC 36?
:kitchen. bath, and floor drains are connected to the Lary sewe-. I further
0,vencyhas been issuedbv the Departm of Community Semites, C
(S "Wee of Owner or Alrmtliiz a Agent
OFFICE USE ONLY: **************** ***j
INSPECTIONS R
Upper Footing wen Footing Under Slab
Rough In Meter Base Final Sim
l 'MISt-le g-ZZ'd7
Reviewed/Approved:. Dept. of Community Services (Date7
S:PenniWFonrVILI NESID NTAL
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
IGe7 ln? ?
Which plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
(? CRAWLSPACE ? POST & _ BEAM -PIER
hyA{KOtf---t6_?ZN )
K-St*B X_BASEMEL
ces within 180
date. Class I
675 LAC 12)
2tng construction.
relocation, or alteration of a strut
d r;?}?((ff t'?etapp CC?gg,,??tS5,,e of I
ftnel
Efff}
D ia
k
i rsttnctcres
na-1993"(Z
t
laws of the State of Indiana, an c
y
at
on
ng
-enr ly o: the State of Indiana, an all Acts amendatory thereto. I r cer fy that only
:ern a the construction be used or occupied until a C rti&cate of
?mel, Indt
-eVnk-) -07
Date
:'t***'****# *#1*i**?k sk i*i# *i*i* *¦•*+k***+k*?k¦
Filing Fee .
nspections: # Charged Re-
{ _
S Reviews
Cert. of Occupancy: 7
P.R.I.F.: Additional Fees