HomeMy WebLinkAbout06100074 Application
City of Carmel/Clay Township Permit #Db I 000 71f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, AdditiO~~&.'AcceSSOry Structures
BUILDER of
RECORD:
NAME P l\ ~ \ ps ~ So tv <;; cc>\'\sr(lJ..(\-~PHONE
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BEST METliOD OF CONTACT:
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STREET ADDRESS _
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SUBD ISION NAME
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ADDRESS OF CONSTRUCT10N ,~/
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PROPERTY
OWNER:
BUILDER'S EMAlL AD RESS
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NAME .! t'.
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LOCATION
&. PROJECT
INFO:
STREET ADDRESS
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LOT )l,
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SEWER UTIUTY
PROVIDER:
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ESTIMATED COSf:O~_CQN.~ucnON:_J ;' 1.,::::::.::...1 i \ ': i
(EXCLUDING LAN,D,~ALUE) ~.. ~'''''~'3'''''',r;-?i;rT'\i Iii
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OCT 1 0 2006 Ii I I
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PHONE
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SECT10N
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WATER UTIUTY '\,
PROVIDER: c.. \. \'
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PLUMBING CONTRACTOR:
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NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~ ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the constl'uction:
o DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
o ATTACHED GARAGE
o Uniform Plumbing Code w/Indiana Amendments
o DEMOLmON (Multi. Family Construction Code)
PROJECT INFORMATION: /'
Early Release ~. / Manufactured FOUND~TION~PE: heck all that apply for the new
P 't Y AN > T- Y N construction area) /.'
erml : . W russes: :...:1(".
- - - / ., _____-(]' CBboWLSPAC I 0 POST & BEAM
Lot Split: _Y _ SurnpPurnp: _Y ~ ~LAB 0 BASEMENT
Does any part of the property lie within a special Flood desiP~I!,~9.~l!!'!,.~:,~~"" Y ,-,-19 WALKOUT:_ Y _N
F ONST UCTION:
SINGLE FAMILY
o TOWN HOME
o lWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Plumber's Indiana State License
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FAX
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INSPECTIONS REQUIRED:
<ili!Jier FO~ Lower Footing
E> Meter Base inal
**~~** ******************.,*****~*****************
- ling Fees: 1&0,0,;:t..
/
.:? 0<..;( , () cJ # Charged Re.
<" -0 Reviews
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Base Inspections:
Cert, of Occupancy:
P,R,LF,:
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Reviewed/Appro Depl. of Community SelVlces (Date)
S:Permfts/Forms/ILP RESIDENTIAl
Additional Fees
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