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HomeMy WebLinkAbout07010167 Application City afCarmel/Clay Township Permit #:010' IJ 11./'1 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures i I \ \ ""!~_Q,!Al:'.!'/' BUILDER OF RECORD: NA : ~\?. t;cx:\-~ STREET ADDRESS: Llts~ PROPERTY OWNER: LOCATION &. PROJECT INFO: PHONE: FAX: STATE: .~ \5- -r--N' ZONING: SQUARE Y -:tl_~ FOOTAGE: it> ..>V. I SEWER UTIliTY ESTIMATED COST OF CONSTRUCTION:t I _ f PROVIDER: (EXCLUDING LAND VALUE) lJ U' 0. NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA I BPW DOCKET ~ 4- .,....-:~ _ \ \ \. ^ 1 NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): t:: C\; 0 V)~ C-D, \J ""...~ -....D'\,,", n:!~ TAX MAP PARCEL #: -*" \~O'::to DS ~ PLUMBING CONTRACTOR: \'C\c.......'l. EbuL'\ '\l\\,..v. b\~~ Plumber's Indiana State License #: \X'_ \()L\ OO~d2? - f"Y\ TYPE OF IMPROVEMENT: ~NEW STRUCTURE o ROOM ADOITION(S) o PORCH ADDmON(S) o DECK ADDmON(S) o REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o AlTACHED GARAGE o DEMOLITION Whi~lumblng codes will be applied to the construction: ~Intemational Residential Code wI Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments 51 ~ j -\ ~ -[)r. Date FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: -ZO'" t. X TYPE OF CONSTRUCTION: ~SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units being ~con5tructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) OFFICE USE ONLY: * ******************** ****************** ****** *****************~***************** INSPECTIONS REQUIRED: Filing Fees: / if;; <, '10 U F' t'.' L F t. Base Inspections: -{ '3 3,00 pper 00 In ower 00 :<. Cert, of Occupancy: 5 J. ':)0 /,}.., ?:of, 00 Meter Base ) # Charged Re- ReVIews eV'~ Reviewed/ApD Dept. of Community Services S:Permits/Forms{ILP RESIDENTIAL Fee Received by: Additional Fees Date