HomeMy WebLinkAbout08010045 ApplicationPermit #: 4zp(?I467??
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME.
J kd-Lt PHONE:
S* D G S- FAX:
7 9f D 7
OF
RECORD: STREF PRESS. CITY: STATE: ZIP:
BUILDER'S EMAIL ADDRESS: ?A BEST METHOD NT
C0/_(
&/a
PROPERTY NAME. PHONE: FAX:
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT SUBDIVISION NAME:
d
.eli?
J /
?
`
r? O? SECTION: NO
& PROJECT i
I
v
I/
?
INFO: AD ROB UCTION: r!
?y????``'?JJ V s ?? SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER: WATER UT[
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLU ING LAND I LUE 3 o p
NAME OF UTILITY CA VATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET f
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) + TAX MAP PARCEL It:
FOR THIS PROPERTY: _1\•.^
TYPE .OF N RU N:
SINGLE FAMILY
(TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions. Remodels. Etc.)
PRO]ECT INFORMATION:
Early Release
Permit: y -)f!?
Lot Split:
For Single Fundy and
TYPE OF IMPRON?MENT:
NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
DEMOLITION,
Ono
Y YN
I, the undersigW "e that any constf uction, reconstruction, ena
requested by ,us application will comply with, and conform to, all al
289) amendments, adopted under authority of I.C. 36-7 et seq, G,
kilt en th, and floor drainse nnected to the sanitary sewer. 1
Oc as beenjssut46Y'C Department of Community Sei
USE ONLY:
Rough In eter Base Final Site
Yd??LL.,k ? I ? ? ? Z Z ? O?
Reviewed/ , oved: Dept. of Community Services (Date)
S:Perrr -s/Fo msgILP RESIDENTIAL
Which plumbing codes vAl be applied to the construction:
f.?7 Intemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE O POST & _ BEAM -PZE
ace date. Class 1
for beginning and
or
that
Fees:
e in the use of land or structures
'dinance of Carmel Indiana -1993' (Z-
idatory thereto. I further certify that only
or occupied until a Certificate of
Y'W., "K108,
?(09
000
Base Inspections: (-:,-/ V !. ? a # Charged Re-
Reviews
Cert. of Occupancy: S 5 5-
P.R.I.F.: ),2-61 GG Additional Fees