HomeMy WebLinkAbout06100009 Application
City of Carmel/Clay Township Permit #: "lIlb bDo9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
LOCATION
llr. PROJECT
INFO:
ADDRESS OF CONSTRUcnON:
\ '15 La-
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BUILDER
OF
RECORD:
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FAX:
STATE:
ZIP:
PROPERTY
OWNER:
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WATER UTIlITY dXi 100 f..(
PROVIDER: C ~v--... e-
od
SEWER lfTllITY
PROVIDER:
NAME OF lfTllITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
TYPE OF CONSTRUCTION:
'fi!f" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
.g' NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
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TAX MAP PARcell {:: ::: .'~..::::_.',--, -~.._.:!....._:-..~::.:~. i : _ '
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PLUMBINGCONTRAC'rOR:SEP 29 20Q6 .!iU: ili
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Plumber's Indiana State (icense>t', "-' I i
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Which plumbing codes will be applied to the construction: 1
'~International Residential Code w {Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
PROJECT INFORMATION:
Early Release
Permit:
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OFFICE USE ONLY: *************************************** ***************************************** *
INSPECTIONS REQUIRED: Filing Fees: 9'6'0, /0
Base Inspections: ;7'77 .5 ()
Cert.ofOccupancy: 53.::;0
P,R,LF.: /,;2. b I (jO Additional Fees
( __. /TO ...-::r~AL:4/ -.2 r:J.5'5 ~/O
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# Charged Re-
Reviews
Site
0-3-06
Dept Df Community Services (Date)
S:Permlts/Forms/ILP RESIDENTIAL
Fee Received by:
Date