HomeMy WebLinkAbout07060131 Application
City of Carmel/Clay Township Permit #:0700<0/31
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
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BEST METHOD OF CONTACT:
-DIVl
PHONE:
FAX:
CITY:
ZIP:
STATE:
LOCATION LOT ,:
& PROJECT
INFO:
SEWER l1T1LfTY
PROVIDER:
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V
WATER lITIUTY () no -- L
PROVIDER: L...- \~\ "" t', \::.
SECTION: J
ZON~ \ c
SQUARE
FOOTAGE: 3CJ 7 S
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LANO VALUE) ,},/J 0/,J 0
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1
NAME OF LfTILfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT "5 (IF APPLICABLE):
-s. -::.' ' (...,v(\~ !.'!; ':.
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
if SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
~ 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 DEMOLITION
Final
Site
7~
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(Date)
Fee Received by:
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Wh~IUmbing codes will be applied to the construction:
cst International Residential Code w!Indiana Amend"ments
o Uniform Plumbing Code wI Indiana Amendments
Date