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
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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
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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