HomeMy WebLinkAbout07110014 Application.4` 4 or C4q?
r?" City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
4
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: ESIV1 DC,E C0S?M ?aMe?S PHONE: FAX: gl>-LSIL
OF
RECORD: STREET ADDRESS:
14
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-
- CITY: t;pR,NOZ STATE: f? ZIP: (,°3Z
(
300 CL.A
(VAcc rLV ,> s
f -m
z 7-o
BUILDER'S EMAIL ADDRESS: OWQ f ^ QS{^ J
?d ds f` t BEST METHOD OF CONTACT:
PROPERTY NAME:
t. Il O.&CL 4 f m-Ic PHONE:
sf?y X435 FAX:
OWNER:
STREET ADDRESS:
111(o IR-A -YS'A U1 cT, CITY: STATE:
jAbijNrIAPCLts I I ZIP:
IJ !?(Z[I0
LOCATION LOT A: SUBDIVISION NAME:
' SECTION: ZONING: rte'
ZZD V
ttAlc or I
l EST cLAy
&PROJECT ,.
INFO: ADDRESS OF CONSTRUCTION:
- II 53?I
?
J I
SQUARE
FOOTAGE:
4 /AIa Fcnec? AJI. CAzi-t6L i
175
ER UTI
P OyVID R LfTY
Cr_ny
UTILITY
PROM R '
E ;
ESTI
(EXCLU NGCLND V LUE)STRUCTION; 241
-ooo
Z) ,
OF TILITY
ATION
-DOCKET
NAME
RC
r-T )'A °°'2C
N
TAC DAT CABL
E(S); N
D/O
O COUNTY WELL AND/OR SEPTIC PERMIT" ( F E):
n
r
FLOOD ZONE AREA DESIGNATI (s) X
FOR THIS PROPERTY:
TAX MAP PARCEL S:
1?- O D - II
rr
F! Uj U LS
- OD - 9 003
C
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: -Y _,/N
Lot Split: Y ?N
TYPE OF IMPROVEMENT:
X NEW STRUCTURE
O ROOM ADDITION(S)
--, PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Sump Pump:
PLUMBING COTRACTO UU NUV $ NU( U
Plumbers Indiana State Lic a_
/ooSZ0
Which plumbing codes will be applied to the construction:
Lntemational Residential Code w/Indiana Amendments
0 Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) ,n,A
_,t`Z Y-N 0 CRAWL.S,P-AACE
_Y-N 0 SLAB pICA
For Single Family and Two Family dwellings, additions, remodels, and/or accessoty structures, this
davs of the date of issuance of the building permit, and must be completed (Certificate of OccuM
structure permits are subject to the General Admirdstradve Rules of the State of Indiana ( e -Y
completing construe ti
L the undersigned, agree that any construction, reconstrumnon, enlargement, relocation, or a of:
requested by this application wil! comply with, and conform to, all applicable laws of the Stare diana
289) and amendments, adopted under authonryof I.C. 36-7 et seq, Gene of Assembly of the Start of Ipdrii
kitchen, bath, and amrdrains areconnected to 3e sanitary sewer I further certify that the con Ter Si
Occnpancyhas been issued by the Department of Community Services, Carmel, Indiana. G"
BEAM -PIER
1,_Y / N )
aI d cAKs P e d within 180
w'i[ x(t a es for daze. Class I
Will' J 'tgggit amen for beginning and
,P s v
sir h. euse of land orstructures
of Carmel Indiana -1993"(Z-
t s ory thereto. Ifurthercutify chat only
6e us or occupied until a Certificate of
signature of Owner or AaNadzed Agent Ptim
OFFICE USE ONLY: ssssss*******sss*x*s*sssssssss***ssssx****sssss*****ssCs******s*ss**ssss*s***sssss
ECTIO _REQUIRED- Filing Fees: I SJ?. ?n k Charged Re-
Base Inspections: 7
Up er Footing ower Footing Under Slab a Reviews
Cert. of Occupancy:
Rough In eter Base Final Site C)?
P.R.I.F.: Additional Fees
CT'0.t4 A-4 IS4", {I'7-d7
Reviewed/App ved: Dept. of Community Services (Da e)
S:?errn (remn/lLG RESIDENTIAL SCANNED