HomeMy WebLinkAbout06070032 Application
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'City afCarmel/Clay Township Permit #: 0& Or; CJo'3;)..
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tESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
\f Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,..aLDER of
RECORD:
PHONE
FAX
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STATE
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PROPERTY
OWNER:
STREET ADDRESS
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LOCATION
&. PROJECT
INFO:
LOT #
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SUBDIVISION NAME
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SEWER UTIUTY
PROVIDER:
ADDRESS OF CONSTRUCTION
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WATER UTIUTY 06 0
1/2. PROVIDER: L.
ESTIMATED COST OF CONSTRl!!jTlON:
(EXQUDlNG lAND VALUE) ~ ec. -:s eCX:>
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): C~VA"TI ~ c;... S:.P~C l.A- L.l SlS
TYPE OF CONSTRUCTION: PLUMBING CONTRACTOR: ~"l b -.2bDb
~ SINGLE FAMILY .J:::lA-HI-'{ 'T '5:oo-.:>~
o TOWN HOME Plumber's Indiana State License #:
o TWO FAMILY
# of units: ~ 1000vOto I
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release Manufactured /' FOUNO~TION TYPE:
Permit: _Y LN Trusses: _Y LN construction area)
./ 0 CRAWLSPACE
Lot Split: _Y -LN Sump Pump: LY _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
Which plumbing codes will be applied to the construction:
t International Residential Code w/Indiana Amendments
o Unitonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
J4' BASEMENT ./
WALKOUT:_ Y....L....N
OFFICE USE ONLY: **********************************************V**",~**J".of***************
Filing Fees: ~j;> ~(U
INSPECTIONS RE. Q.UIREO: '1 --7/). ,/0 # Charged Re-
_ Base Inspections: oL L-L l
Footing Under Slab J "'0 ReVlews
O Cert. of Occupancy: 5 ..::>
Site
_ P.R.I.F.~ ~ ! .J (, /. (iO . Additional Fees
~ g;;!jj!}11./0
Fee Received by: