HomeMy WebLinkAbout07020092 Application
City of Carmel/Clay Township Permit #: 0 70 ;?~o ocr';...,
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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/
BUILDER
OF
RECORD:
HOMES
PHONE:
,3/75109- 353
FAX:
..3/7 pIP 707 t/
f/!!xr;:t
Ef./DIIJM
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CITY:
IN'
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STATE:
TN
ZIP:
<-/(,..2C, 0
BUILDER'S EMAIL ADDRESS:
+fY\t:-rnH@ bCCiLU, c..om
BEST METHOD OF CONTACT:
~^,D Vs
LOCATION LOT #: ,SYBDIVISIDN NAME: WOO]) S
& PROJECT G- \f () e r... TDL0 rJ
INFO: ADDRESSO~69ToN:H IG;-/ M OLl COLlt-r
SEWER UTILITY WATER UTILITY
PROVIDER: CAl?-fYJE L PROVIDER: CAf.JYlt L
NAME: PHONE:
E ZEI<- HOMES ,3/75(",93531
STREET ADDRESS:
C),,?O.J AI MER./D/I'/,J :J-rE 300
317 PI'?- 707</
nATE: ~2.2t 0
PROPERTY
OWNER:
SEmON:
ZONING:
(<oso/1I
SQUARE
FOOTAGE:
EST1MATEDCOSTOFCONSTRUcnON: ~:7 )~ ?-1<:-
(EXCLUDING LAND VALUE) \ _ ' ~ s
NAME OF UTILfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUriTY W,ELLA,NP{OR SEPTIC PERMIT #'S (IF APPUCABLE): '
" ,....,
bUTTZ- (j
FLOOD ZONE AREA DESIGNATlON(S) _
FOR THIS PROPERTY: . '~/
\. \~,
. ,\....
': ../')' "
, ,
TAX MAP PARCEL #:
TYPE OF CONSTRUCTION: rB'J PE 'OF IMPROVEMENT:
.,.,,(' ,Ii::> '" L
-"I SINGLE FAMILY '\ "'~ NE,W STRUCTURE
o TOWN HOME x,~ '" 0 ROOM ADDmON(S)
o TWO FAMILY,- <.: O/PORCH ADDmON(S)
# of unitS being / dj DECK ADDmON(S) / () 5 9 D 9
constructed at this, / 0 REMODEL '
'/~ Which plumbing codes will be applied to the construction:
time: ,\. " _ Basement Finish only
o RESIDENTIAL:(For ",/ 0 ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
Additions. Remodels,'Etc.) 0 DETACHED GARAGE f>}(
V 0 ATTACHED GARAGE r Unifonn Plumbing Code w/Indiana Amendments
PROJECT INFORMATION: 0 DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured construction area)
Permit: _V X N Trusses: 'f>.-v _N 0 CRAWLSPACE 0 POST~\~_PIER
Lot Split: _V){N Sump Pump: ~V_N 0 SLAB 1:j( ~~f~\\O\'l;--X-N)
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, ~iS~ao 'd ~~liA:on~~~Dm.6&k '!hID 180
days of the date of issuance of the building pennir, and must be completed (Certificate of O.i n~eeb~~.Jt\~R~f,~~~~_ ce ~\fetass I
structure permits are subject to the General Administrative Rules of the State of Indiana (See :) J;e~~pir~\~ ~ lJU1ing 'and
completing construction. 0\ ~. \'J\\\j\. \ br..'<
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration~f a st ~NIJ1 ~~e InCtKse of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indi he ~]' ~~,~tfkmel Indiana - 1993~ (z-
289) and amendments, adopted under authority of J.e. 36~7 et seq, General Assembly of the State of In~fW-~ ~ s ameIl~'oiltfi~;~to. J further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the cons~ Wilt' ~ot be used or occupied until a Certificate of
Decu ey;;; been j,;sued by th~~Partment of Community Se~e1, In/VrE'~ (. IT' c:J _ /;)._ 07
PLUMBING CONTRACTOR:
EA!!-L C,el/ Y 1'SotJ5
Plumber's Indiana State License #:
Signature of OWner or Authorized Agent
Print
Date
OFFICE USE ONLY: ************* *************** **~~*************** ****P* *~*;Z*;****** ******** ***
INSPECTIO UIRED: FIling Fees: ,_3 .
, _ Base Inspections: ;;l "11 :-(0 # Charged Re-
pper Footing Lower FootIng Under Slab Reviews
~ Cert, of Occupancy: '::-I57)
inal Sit~ P,R,LF,: / eX G - 0 Cl /(;1. :z~nal Fees
3'5:
C'fa...;
Reviewed/ A
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