HomeMy WebLinkAbout06060157 Application
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City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAlTION
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For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER lJTIt.p\ I
PROVIDER: L.:...I~
NAME OF UTIUTY EX VA ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
~~
FAX
STATE
ZIP
SECTION
ZONING:
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ON: 0 (J
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Which plumbing codes will be applied to the construction: '
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o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments i
(Multi-Family Construction Code) ,
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OFFICEUSEONLY:**************************~******************i*;t1~*~*****************
FIling Fees: _ () til' ( v
INSPECTIONS REQUIRED: ,I" - 72 r II
- Base Inspections: ~ _ ,..: 2JL
~~ ~~ ~~ ~~
"._') Cert. of Occupancy:
Rough In Meter Base ~f ~ /J C-, I nrJ
OTAL:
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Reviewed/Ap roved: Dept. of Community Services
S:PermitsjFormslILP RESIDENTIAL
(Date)
Fee Received by:
# Charged Re-
ReViews
Addit,:,'9iP al Fees" ^
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