HomeMy WebLinkAbout07100062 Applicationo "?• Permit #:0?
City of Cannel/Clay Township
T APPLICATION
RESIDENTIAL IMPROVEMENT LOCATION PERMI
'•\ :?
?xefa**.? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: '{ SS
?Orn ?r
PHONE: ?I? e 72-?- '&qq
FAX:
RECORD: STREET ADDRESS' s
/raI( S- CITY: STATE:
arm'j N ZIP.
46D32-
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
um
?
6&14
PROPERTY
OWNER: NAME'
TO h11 (O isl PHONE:
31"7- 72.7- /64 FAX:
STREET ADDRESS:
1 L/5 Fq/) man?f Sf• QTY' STATE'
?,rA-let W ZIP'
416 0 32
LOCATION
& PROJECT LOT #: SUBDIVISION NAME:
23 I I(n e- °{ W931 SECTION:
C < 00 ZONING:
e_-
INFO: ADDRESS OF CONSTRUCTION:
184 S I
`-IYN SQUARE zI('b
SEVIER UTILITY
PROVIDER: WATER UTILITY
C la i PROVIDER: ESTIMATED COST OF CONSTRUCTIO c-
(EXCLUDING LAND VALUE) 97 06
NAME OF UTILITY EXCAVATION C OR; PLAN COMMISSION / BZA / BPVI DOCKET w !/?
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDJOR SEPTIC PERMIT #'S (IF APPLICABLE): / V
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
-W/ X TAX MAP PARCEL u.
1?0
- ?g OQ - S
TYPESIOF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING C NT fn 000
IJ
NGLE FAMILY CD NEW STRUCTURE /V /q-
O TOWN HOME 5?r ROOM ADDITION(S) Plumber's Indiana License #:
a TWO FAMILY ON(S) OCT I q 2007
# of units being
DECK ADDITION(S) '
constructed at this ? REMODEL which plumbing codes ill be applied to the mnstructio
time:
O RESIDENTIAL (Far _ Basement Finish only
::j ACCESSORY BUILDING
O International R ndments
Additions. Remodels, Etc.) E) DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments
- ATTACHED GARAGE
N:
PROJECT INFO -' DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
Lot Split:
771 Manufactured
_Y ?N
Trusses:
Sump Pump: Y ? N
_ ., a
'^ BEAM_PIER
? t' L L 9U dN
RELEA6
nCPWlWAWW' W- -N
Subject t® Il? .. ., _. .
For Single Famil y T ?s tfp d 1 d/oz accessory stxucturR1 [ dIt res v cp?? - mmences within 180
days of the date t 7TAJ st be completed (Certi O? SIna lR - ce date. Class I
struc ture permits neral Adrritustratwe Rules of the State of=? t tE9TW ` fox beginning and
completingco ....
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st,4?401 {?Ahange in the use of land or structures
requested by this application will comply with, and confor:n to all applicable lays of the State of Indiana, and the -Zoning Ordinance of Carmel Indiana - MY (Z-
289)and amendments, adopted under au-ho rity?+?'C"364et seq, enlAwmblyof the StateofIndiana, and all Acts amendatorytheteto, I further certify that only
kitchen, baffn ur r certify that the construction will not be used or occupied until a Ceroficate of
ON- el, Indiana.
issued by the Deparwent of Community Services,
(,o1,1fSS (fl CO Zo0'>
/J /7 /lV V, p
n.. w.b -t ne Aute[vi Le 1 / Print _ Date
11
FhCE USE ONLY;****** ***** ***
INSPECTIONS UIRED:
pper ooting Lower Footing Under Slab
Rough In Meter Base Fina Site r
Reviewed/AppATved: Dept, of Community Services (Date)
S:Pern1MiF? sjILP RESIDENTIAL
Filing Fees:
Base Inspections:
Cert. of Occupancy: if /4 5? CR 9 Re-eviews
S1? . YV
P R T F. • Additional Fees