HomeMy WebLinkAbout07060088 Application
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City of Carmel/Clay Township Permit #:0 7 ()(P(XX?lg<z
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
ADDRESS OF CONSTRUCTION:
0400 tJ,,,t(,,. t{lNSse
SEWER UTILITY cr<>y '.WI'"I,,'p
PROVIDER, i?e~;.k~ r W...s'k "Dj,-!..ct
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME GeiS G~trGiz:hl-l G('f.
STREETq;;S~.d ~ qSO fAst
@ ",-0 (. Co"'1 JIlI\.;k.e> (yei5
PHONE:
C~,(l) (;;.84 - 5130
CITY:
4'" CtlrWle I
/Jet "ppf I c<(;bfe
BUILDER'S EMAIL ADDRESS:
e;S'Co,",ir~djk
NAME: J
Cht";,~
C "I/;t"
e.v-- . 1\ .
t,q..le
PHONE:
311 - '652 - 3'6'2S' LJ
FAX:
'i5~2 - 38"'/4
ZIP: ~ I L Z.
..
Lq",e
WATER UTIlITY
PROVIDER: We. \ I
cm,
8v'oW1\5
STATE:
IN
'3"3q -4/3'6'
FAX:
{'311):22~ -0130
ZIP 4G032.
STATE:
.TN
ZONING:
SQUARE 8
FOOTAGE: .:< 93
ESTIMATED COST OF CONSTRUcrrON: 11
(EXCLUDING LAND VALUE) 4 Z?, 1-5', .00
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
o
o
o
Early Release
Permit:
Lot Split:
*******************************!,**********************
Filing Fees: :5 ;</1, ';<.,ie
Base Inspections: /-..30 . tJO
55.50
P'~~~~I):. '16 M~o""_
Fee Rece,ved by: ~
_V~N
_V~N
Manufactured
Trusses:
Sump Pump:
f. V_N
$-V_N
I ~ 10 (J()iJ~ 6IJE 000
PLUMBING CONTRACTOR:
J1AM t\A 4 SatJS
Plumber's Indiana State License #:
C f 1-0'00() 10 .i-
Which plumbing codes will be applied to the construction: I
o International Residential Code w/Indiana Amendments
I
Br Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE 0 POST & BEAM PIER
o SLAB k BASEMENT (WALKOUT:_VXN )
# Charged Re-
Reviews
~ Meter Base
Cert. of Occupancy:
S:Permits/Forms/IlP RESIDENTIAL
Date