HomeMy WebLinkAbout07110110 ApplicationCity of Carmel/Clay Township Permit: ?/ l66 ?d
/RESIDENTIAL MIPROVEMENT LOCATION PERMIT APPLICATION
?rxmna> For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME' PHONE: ?
Otir Pad (- sH ovr"tAmax. I7- ??fe-ony FAX:
317-Z-71.
/
RECORD: STREET ADDRESS: CITY:
8 STATE:
TV ZIP:
f/ ZZ
ar,
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BUILDER'S EMAIL ADDRESS:
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?r BEST ETHOD OF CONTACT:
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PROPERTY
OWNER NAME: ,?RR 1 PHONE: _
I''t t ? r `(m -&p= S(i7 ._ oz 4 FAX:
_ N1 A
:
STREET ADDRESS: CITY:
so-L`7 Drne r STATE:
-T-Ij ZIP:
Y6033
LOCATION LOT SUBDIVISION NAME:
(
t C SECTION: ZONING:
&PROJECT
ex)
ree
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INFO: ADDRESS OF CONSTRUCTION: ap
502-7 #tLW ' _fy"R ((
1 b o 33 SQUARE
FooTAGE:
SEWER UTILITY
PROVIDER: WATER UTILrrY
PROVIDER: ESTIMATED COST OF [ONSTRUCTI
(IX0.UDING LAND VALUE) O U ()
oo. VO
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET Ir1??
C
NUMBERS; TAC DATE(S
); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): D l?
l.?
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
V 2 L 207
FOR THIS PROPERTY: NO
TYPE OF CONSTRUCTION:
W) SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL(For
Additions. Remodels. Etc)
PROIECTINFORMATION:
TYPE OFIMPROVEMENT:
? NEW STRUCTURE
tK ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDrrION(S)
? REMODEL
_ Basement Finish only
ED ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
J DEMOLITION
Early Release Manufactured
Permit: _Y_) N Trusses:
Lot Split: _y -(N Sump Pump:
For Single Family and Two Family dwellings, additions, n
days of the daze of issuance of the building permit, and structure permits are subject to the General AdrW '1
1, the undersigned, agree that any construction, recorrWtion, e
requested by t1m application will comply with, and conform to
289) and u, adopted under autheritvof LC i6i.Q Xq
hitcher., at"' oor drains are connected tc the sanita. s
Occup, eybas issued by the Department of Come
SIgnaturit of Own uthorimd Agent
Y 'A, N
-y _!?_N
PLUMBING CONTRACTOR: B ?/C?
- loo Pliny
Plumber's Indiana State License #:
Which plumbing codes will be applied to the mnstruction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
m area)
(Chedt all that apply for the new
`P? OsOV`?l CRAWLSPACE ? POST & _ BEAM -PIER
'?`t>e5 ..P'? AB O BASEMENT (WALKOUT: A
Ir ut is baud only if constr
issued) within 18 months
12) regarding expiration
ration o" a structure,
i?pw 5 tare of Indiana, and the -2
e State of Indiana, and all
the construction will not
Services. Carmel, lndiana.
Print
/%3
jiun ISO
Class I
Ling and
7e of land or structures]
:armel lndiana- 1993' (Z-
om. I further certify :hat only
until a Certificate of
OFFICE USE ONLY: ***********************x************.:******:********? *******? ******x*****:***
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: ,? CRev ewsRe
r Footing Lower Footing Under Slab
Cert. of Occupancy:
ou Meter Base 1117nal Site P.R/I.F.: Additional Fees
Y? -ft )l; w i1- 3- of
Reviewed Reviewed- /Apps: Dept. of Community Services (Date)
S:Pe .WFO.SALP RESIDENTIAL
Fee Received ov: uare