HomeMy WebLinkAbout07100127 ApplicationCity of Cannel /Clay Township Permit #:09_l_( a 1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
NCIANA ?' I For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER II PHONE:
X 1
-4(
3 AX:
Jl69)- 0135
OF 0
e
RECORD: STREET ADDRESS: CrrY: ATE:
5Z S - (?J ZIP:
in Z 03
BUILDERS EMAIL ADDRESS: ?- BEST METH//OD OF CCO7NTACT:
to^? CT 7 -7
PROPERTY NAME: NE:
2S `E3
19 Z FAX:
`
OWNER: -
1 cu_ X I t4 o OUW
STREET ADDRESS: CITY' STATE:
10350 WLOC_t{es?c2 lace 1ND?LS - ?YJ ZIP:
L- 0212? 0
LOCATION - LOT #: SUBDIVISION NAME: gg SECTION:
Z ZONING:
V?
&PROJECT Z3 ? u,e6(f z_ Gta_A.1S
INFO: ADDRESS OF CONSTRUCTION: -
10350 W1A)C_-t+estelr P(QCr_ SQUARE `
FOOTAGE: (D()
SEWER UTILITY
PROVIDER: CLLR_4 P ( WATER UTILITY /
PROVIDER: C"A"L . I
III ESTIMATED COST OF CONSFRUC7JON:
(EXCLUDING LAND VALUE) ?j 3 0 ( v
W DBE
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BBP
°
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAXMAP PARCEL #:
1?'t
-'7
- I
s
j
1
TYPE OF CONSTRUCTIO
O SINGLE FAMILY
O TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y ?N
Lot Split: Y _X _N
TYPE OF IMPROVEMENT:
C NEW STRUCTURE
J< ROOM ADDITION(S)
CD PORCH ADDITION(S)
CD DECKADDITION(S)
0 REMODEL
Basement Finish only
_
-? CESSORY BUILDING
AC
C DETACHED GARAGE
C3 ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Sump Pump:
PLUMBING CONTRACTO
J vyz 0CT 19:2007
Plumbers Indiana State Lic rise
By
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y)>?N ?
For Single Family and Two Family dwellings, additions, remodels,
days of the date of issuance of the building permit, and u
structure permits are subject to the Gene
I, the undersigued, jgiZt .ion, ea!arg
a opted u nder a u-ho,-,of'C.36.7 It seq.G
lour drains aacono ed m [he sanitary sewer. I
?A issued by the par rncnt??o'?f fy' mmunity Se.
/I ( A /014/ 11' 3(
OFFICE USE ONLY:
INSPECTIONS REQUIRED:
ootin Lower Footing Un er Slab
ough In Meter Base Final Site
la-o?
Reviewed/App ved: Dept. of Community Services (Date)
S: PenMlt%( SIIPRESIDErMAL
e
BEAM -PIER
(WALKOUT:Y_N)
commences within 180
issuance date. ClassI
uses for beginning and
A t try change in the use of land or st structures
Loning Ordinance of Carmel Indiana -1993"(-i-
and A Acts amendatory thereto. I further certify that only
will not be used or occupied until a Cereifr'cate of
10-49-off
Date r7O
Filing Fees: 1
Base Inspections: ,_2 , S 6 0 0 # Charged Re-
Reviews
Cert. of Occupancy: s SO
P.R_TF_: Additional Fees