HomeMy WebLinkAbout06120073 Application
City of Carmel/Clay Township permit#a/:<,0073
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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ZIP
4b061-
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5TATE
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BEST METHOO OF CONTACT:
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PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
I' LOCATION
lie ' &. PROJECT
~ I.'
cIN ~:
LOT # 23 g SUBDIV~NPr~
SEmON
O~
ZONINGpO
SQUARE J' IJ 1/ i7
FOOTAGE: 0'7 1
ESTIMATED COST OF CONSTRucnON:
TYPE OF IMPROVEMEN
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
rons
o
o
o
Whi,lumbing co es .
L[tfInternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
o
PROJECT INFORMATION:
Early Release
Permit:
~~
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Lot Split:
o POST & BEAM
~BASEMENT ~
WALKOUT:----'!C. Y_N
Signat
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Print
Date
OFFICE USE ONLY: ***********************************************~**********************
Filing Fees: / ;23, 'i()
INSPECTIONS REQUIRED: I 0
Base Inspections: j '3 '3, 0 # Charged Re-
ReVIews
Cert of Occupancy: ~3 ' 5' ()
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3
Reviewed/Appro d: Dept. of Community Services
S:PermitsfFormsfIlP R SIDENTIAl
a-Ob
(Date)
Additional Fees
o
Fee Received by:
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