HomeMy WebLinkAbout08010108 Application°'•r":? ' City of Carmel/Clay Township Permit #: G I U ??.
' t RESIDENTIAL IMTROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
L PHONE
? :
Y'
'
OF O lK < S c
>! Z r
RECORD: STREET ADDRESS:.
y? / CITY:
Z-i 6 a,c.h STATE:
c ZIP:
Al 6 03-3
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTA 2 ' r=
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e- Ct C-A 6 I
r ',
2 ajar. ski` r C--O t CNr f
PROPERTY NAME: PHONE: FAX:
OWNER:
!
STREET ADDRESS: CITY: ST ZIP:
LOCATION
& PROJECT LOT #: SUBDIVISI
Y12 - O N E:
xz) 4J SECTION:
r/4" V uddy ZONING:
l:(
INFO:
NSTRUCTION:
ADDRESS OF CO
-
SQUARE
FOOTAGE:
2- 35
3 /51-S X Lt x --f
SEWER UTILITY
PROVIDER: C D WATER UTILITY
PROVIDER: ,L f;7 / ESTIMATED COST OF CONSTRUCTION: f6 O
(EXCLUDING LAND VALUE) b O UU .
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *'S (IF APPLICABLE):
C DATE
S
T
S
O I O
;
NUMBER
A
(
); 0S
G
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARCEL:
LT SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y /
Lot Split: _Y _N
TYPE OF IMPROVEMENT:
C?-
O EW STRUCTURE
ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: ZY Sump Pump2%7/ N
For Single Family and Two Family dwellings, additions,
days of the daze of issuance of the building permit, app
structure permits are subject to the General.Admi s
r._
construction,
OFFICE USE ONLY:
i under authority of I C. 36-7 et seq, General
are connected to the sanitary sewer. I furthr
yythe Department of Community Services,
INSPECTIONS REQUIRED:
Upper Footi Lower Footing Under Slab
rRncruf C--Meter Ba Inal I
Reviewed/Approved: Dept. of-Co-m-munity Services
S:Perrrd'Forms/ILP RESIDEWLAL
PLUMBING CONTRACTOR:'(/
? ? + C c. c I?Q 9`?8?'b1
Plumber's Indiana State License #:
Which Plumbing codes will be applied to the construction:
0? 1ntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction a")
CRAWLSPACE ? POST & BEAM -PIER
D SLAB O BASEMENT (WALKOUT:_Y_ ---N
is valid only if construction commences w
:d) within IS months of the issuance date.
or any change in the use of land or structures
oning Ordinance of Carmel Indiana -1993" (Z-
?cts amenda_ory thereto. I further certify that only
be used or occupied until a Certificate of
Fling Fees: ?0
Base Inspections: G? # Charged Re-
Reviews
Cert. of Occupancy: 6r
Additional Fees
P.R.LF.: t A IO
Fee Received try: Date