HomeMy WebLinkAbout07010198 Application
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City of Carmel/Clay Township Permit #: ('J 70 10 I '1 CO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &: Two Family: New Structures, Additions, Remodels, &: Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&: PROJECT
INFO:
~:E ZEt!.. J-IbMF5 8/7 Y&-
:;o~ ADD;:jS: fv1 Eel D /1/-,)' S-k 300
BUILDER'S EMAIl ADDRESS:
+rnc_n-, H-@ bw:z..e,... COrn
NAME:
BEfflBZ
WEEr ADDR';S7
'/..20,2 IV
LOT #:
/105
SUBDMSION NAME:
VI U AGE
DF
ADDRESS OF CONSTRUCTION:
. tv 0 '/ A/COIl
SEWER UTILITY -I
PROVIDER: C T I:. ~1I D
WATER UTILITY
PROVIDER: C 11.L/V{ cL
FAX:
.3/1 if p. 707
T:J:
mY:
:I;
ZIP:
c/fc;;L(" I
:5
BEST METHOD OF CONTACT:
CITY:
""'T'A1 D
Jll'f;? 701/
....L-::JTE ZIt( G .z Go 0
ZONING:
SECTION:
100DI
<:>1
SQUARE
FOOTAGE: dyC;)5
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VAl~E) , ! .I f f 3DD
I. /. , 1-\ IV Ii 2007
vvAJi'~oJ ,f
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION{S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: - ~TYPE OF IMPROVEMENT:
.0 SINGLE FAMILY . \. G~~ '!;;j NEW STRUCTURE
'l\li TOWN HOME \J \ ~\>< r/J" ROOM ADDITION(S)
fj TWO FAMILY Jv 0 PORCH ADDmON(S)
# of units being t: . 0 DECK ADDmON(S)
constructed at this 1/ 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels, Etc.l 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
OFFICEUSEONLY:******************************~~******************************~*****************
INSPECTIONS REQUIRED: Filing Fees: ,6'7/ 51
. - Base Inspections: ,---2 -7'7 SO # Charged Reo.
er Footln Lower Footing Under Slab Reviews
e:--" "0
Cert. of Occupancy; C/.7 ~
P.R.I.F.: / ,;) C!. (} () Additiomil Fees
~ /TO!A~;/?/~ 2,;< (; 3-5""'{/
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Fee Received by:
Y /N
Y~
{-"$1-6
ed: Dept. of Community Services (Date)
S:Permitsjfonns/lLP RESIDENTIAl
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TAX MAP PARCEL #:
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C<
PLUMBING CONTRACTOR: "
EIlIZL GI!-AY" 50.!
Plumber's Indiana State License #:
/0 59{)'j
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendm'ents
..,. Unifonn Plumbing Code wI Indiana Amendments I
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Date