HomeMy WebLinkAbout06060209 Application
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City of Carmel/Clay Township Permit #: V I(Q" d'>v t
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
STATE
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ZIP
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NAME
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FAX
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PROPERTY
OWNER:
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
SECTION
ZONING:
PI:>
Irl
live
SQUARE
FOOTAGE: 2 / s-D
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUcnON:
PROVIDER: c.A-~<l:. l.. PROVIDER: CA(LA1 . L (EXCLUDING LAND VALUE) I 2..0 0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZAI BPW DOCKET WILLS [xc 1>rv4T1N 6- DP ~C>L.S -oqo7003t.
NUMBERS; TAC DATE(S); ANDIOR COUNT! WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): FUD - Z _ L{ &>2 - 0'1 0 <.{ 0 0035
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
O. SINGLE FAMILY t><1 NEW STRUCTURE "f'flt-uL E SM I +~
g TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana Slate license #:
o TWO FAMILY 0 PORCH ADDITION(S) C '[) n l -, ..., -=t-I
# of units: 0 REMODEL .r I"? lOT T-
O MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: 0 DETACHED GARAGE ~ International Residential Code wllndiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION 0 Uniform Plumbing Code wllndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_Y_N
Date
OFFICE USE ONL Vi ************** ******* *** **************** ****J***lr*****~******** *******
Filing Fees: c.eO"1_, Ou
g:PECTIONS REQUIR . --, "'7 <::'0
~ Base Inspections: r.... f ,0 I # Charged Re-
~~ F g Lower Footing .r-"'7 6- 0 ReViews
~ ~ ;, Cert. of Occupancy: <..-) oJ,
gh Meter Bas Final Site
P.R.I.F.: dditional Fees
if.)
(0
Reviewed/Approved: Dept. of Community Services (Date)
S;Permits/forms/ILP RESIDENTIAL