HomeMy WebLinkAbout06030129 Application
City of Carmel/Clay Township ~permit #Ob020'~?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
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PHONE %~g - 6 "'1'7 FAX g
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CITY
STATE
ZIP
STREET ADDRESS
BUILDER'S EMAIL ADDRESS
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BEST MErnOO OF CONTACT:
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PROPERTY
OWNER:
NAME
STREET ADDRESS
CITY
FAX
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STATE
ZIP
TYPE OF CONSTRUCTION:
(S( SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
LOCATION
& PROJECT
INFO:
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ESTIMATED COST OF CONSTRUcnON'
(EXCLUDING LAND~ALUE) -c-:'
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PLUMBING CONTRACTOR:
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Plumber's Indiana.State.License #: __ i
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WhjFh plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
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PROJECT INFORMATION:
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i'A'lVEarly Release / Manufactured Ai . /
17 Permit: Y V N Trusses: -lILY y"N
- - , ~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~N Sump Pump: ....:!L..Y _N 0 SLAB M BASEMENT
Does any part of the property lie within a special Flood designation are~E~'l? w4 N-2' R :: (:W,f::~r ,J.L y
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction COde)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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OFFICEUSEONLY:************************************************~****jf*****************
SPECTIONS REQUIRED: Filing Fees: 10 f;f; 00 I
_ Base Inspections: .?' 0 # Charged Re-
Upper Footing _____I Reviews
Cert. of Occupancy: ...) '-' S-O
P'IF, . J TOT.Jf "#;;. = ?,3 ~..~-
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Fee Receiv by: