HomeMy WebLinkAbout07020087 Application
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Ctty of Carmel/Clay Townshtp Permit V:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY NAME:
OWNER:
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #:
SEWER UTIUTY ,
PROVIDER:
cm:
STATE:
ZIP:
SECTION:
ZONING:
JPz}
"u
- " ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
SQUARE
FOOTAGE:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
k SINGLE FAMILY
" is TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
" "
_._..1
TYPE OF IMPROVEMENT:
.KNEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PLUMBING CONTRACTOR:
"-Jt~~~"
~Ch plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Print
:*****************************************************
INSPECTIONS REQUIRED:
Under Slab
EI~
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Additional Fees
# Charged Re-
Reviews
S:Permits/FormsfILP RESIDENTIAL
Date