HomeMy WebLinkAbout07110003 Application", -- Permit #:(Q71/QC0
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
as app j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' _
?I PHONE: FAX:
3 -2 c?6Z (Y`/6 -yZ2 y
OF
RECORD: STREL7 A 7S. cm,
(j 5,
2 /C, STATE: ZIP:
V4 21 VC)
6UILDER
'SS FMAIL ADDRESS BEST METHOD OF CONTACT:
12-1-
Gx . 1 ,u ,_
PROPERTY NAME: J PHONE: FAX:
l
OWNER
:
STREETADDRESS: CM: STATE: ZI?:
LOCATION LOTS: SUBDIVI : / SE01T0 :
6 ZONING:
PROJECT Ur / \
&
INFO. ADDRESS OF CONSTRUCTION'
S L SQUARE
FOOTAGE:3 5 02
J ua n ter- ,r,
SEWER LFH TTY
PROVIDER:
??
C _1f
7 14A7ER UNL'TY
PROVIDER: CA-? ?-}y? ESTIMATED COST OF CONSTRUCTION: t 2 4?
(EXCLUDING LAND VALUE) / trp Q
A71ON CONTRACTOR; PLAN COMMISSION ( BZA / BPW DOCKE7
NAME OF UTILITY EXCAV
OR SEPTIC PERMIT r'S (IF APPLICABLE):
UNTY WELL AND
?/ J
a7
NUMBERS; TAC DAT /
E(S); AND/OR CO G ,.( /i J
1
FLOOD ZONE AREA DESIGNATION(S) j
FOR THIS PROPERTY: l
•l TAX MAP PARCEL #: ?}
r/
V
l /
?
TYPE OF CONSTRUCTION:
Ca-ISINGLE FAMILY
G TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y
Lot Split: YN
For Single Family and Twa Family c
days of the date of issuance of the
strnecure pemdts are subject to the
1, the undersigned, agree tFt any tec
mquested by this application, Will corn
28y) and amendments; adopted under
ki i:Ecn, bath, and Door drains are con.
Oecupancyhas been is ,, _d by the D
TYPE OF IMPROVEMENT:
@?Ew sTRUCTU RE
0 ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
ED ACCESSORY BUILDING
? DETACHED GARAGE
€7 ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: N
Sump Pump: Y_N
t&t'v2stl' eedF tfiC
?q-FS? iIta? s a[
??t?z, r L c
in an ?t o c? ? eµ
mitt' of 1.C. 36-7 et seq, Genera ns n:
la L. the saritarv server. I further rt
PLUMBING ONTRACTO : q.
C ?a
?Li -L ^e-? ' '800
x
Plumber's Indiana State cense #: /
Which plumbing codes will be applied to the construction:
It?-'Intematlonal Residential Cade w/Indiana Amendments
? Uniform Plumbing Cade w/Indiana Amendments
FOUNDATION TYPE: (Check
construction area) Q, C
? CRAWLSBPQSI,'Un
of Indtp4vlr(
COna[rnc[?On:
ation,o
Vi the S.a o
1, of the
Indiana,
Date
OFFICE USE ONLY: ***xxxxxx xxx**x*****x*xxx***********x*x**xxxxx*******x>«x>«******x<**x*xxxxx*******
INSPECTIONS REQUIRED: Filing Fees: _ 7 4C?
Base Inspections: 7. 5C n Charged Re-
piper Fanfln ower Foot' Under Slab Reviews
9 Cert. of Occupancy: 55 5s0
Rough In Meter Base Final Si` - 011
Additional Fees
P.R.I.F.: ?G to I -
Reviewed/Ap?oved: Dept of Community Sernces (Date)
::?ennitsfrrora's(IlP RESIDENTIAL
apply for the new
BEAM -PIER
a?`Laeotneaoes within IBO
a theissuance date. Clas>r
tune (Tames fox beginning and
:¢?ya ge in i'ie use of land or struc-ur (`
i the"? E;ng& rCThance of Carmel Indiana-1993"
and al: Acts amendatory :hereto. I further certify that only
will not be used or occupied until a Certificate of