HomeMy WebLinkAbout07060073 Application
City ofCarmellClay Township Permit #: O'7{)fb(jf)'J.3
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Stru:ctures
BUILDER
OF
RECORD:
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Ll . BEST. METHOD OF CONTACT:
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PROPERTY
OWNER:
NAME:
PHONE:
FAX:
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STREET ADDRESS:
cm:
STATE:
ZIP;
LN
CA/2M f:L
'tjrto I ZONING: J. :1
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LOCATION
& PROJECT
INFO:
SUBDIVISION NAME:
FLOOD ZONE AREA DESIGNATION(S) 11- - ~l r::::::'\ '\
FOR THIS PROPERTY.: ___.----en'" r i Ceo \ \\ \ \
___ r;:::::' "I ,C:.:;l \
,.-::;:::;rl \c.::,U~1 I
TYPE OF COffl~Cl'10N:~ 1'!PE PR
rzf SINGLt\~A~\ry ~E
o TOWN H9M \l~' ~ 1 'I.()(ffi~ R" DITION(S)
o TWO FA.~J: \ I J" 0 P DDmON(S)
# of ~ bfing.. ~ K A mON(S)
cons ~ 0 REMODE
time: sement Finish only
o RESIDEN IAL (For 0 ACCESSORY BUILDING
Additions. s. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
f:10
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF lJTILITY EXCAVATION CONTRACroR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
PLUMBING CONTRACTOR:
~m I'VI ~ \~[)IJ.s. J N (
Plumber's Indiana State License #:
tPl (){)f)O / 0 I
,
Which plumbing codes will be applied to the construction: I
~temational Residential Code w IIndiana Amendments
I Uniform Plumbing Code wI Indiana Amendments I
(()/L./J07
Date ' .
USEONLY:******************************~~*******************~******~6~*****************
INSPECTIONS REQUIRED: FIling Fees: - 'j/p, -,...-
F t" L - Base Inspections: c-2 f'1 oJ 0
pper 00 I ower 00 r Sla b 0
Cert. of Occupancy: OJ - 5'
P.R.I.F.: /: / :1 (j /. c10 Additional Fees
A~: ' _ ,p 026 '!)~ tJ()
# Charged Re-
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Site
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eVILI)" Itl$~ 1h-J'7"'fBt
Reviewed/Apprbved; Dept. of Community Services (D e)
Date
i
:
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S:PermltsIFormS/ILP RESIDENTIAL