HomeMy WebLinkAbout07080101 Application
City of Carmel! Clay Township Permit #:f)70Z () 10/
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
ADDRESS OF CONSTRUCTlON:
"2-
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BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
LOT'; 9'7 {,
SEWER LfTILITY
PROVIDER:
/{
PHONE:
FAX;? {, _ YZl 1
Y{-.2-'162
ZIP:
Y<6Ll(v
Q'
BEST METHOD OF CONTACT;
&(';
PHONE:
FAX:
CITY;
STATE:
ZIP:
ZONING:
WATER UTILITY /'
PROVIDER; l fA /L /H .!
SQUARE <r
FOOTAGE;.-/ 2 a V
ESTIMATED COST OF CONSTRUCT10N; 2 0( (J J
(EXCLUDING LAND VALUE) _ c7 d a (J .
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'S (IF APPLICABLE);
OFFICEUSEONLY:********************************************************~~*~*********************
F'I' F . c;(;Z Y. eJO
INSPECTIONS ~E.QUIRED: ling ees. .
C UPP~ Lower Footi.;;) Under Slab Base Inspections: ~ c?7 )" ()
Cert. of Occupancy: ~<), :)0
~U9h In ~eter Ba~ l / P.R.I.F.: / ;) G /. () () Additional Fees
.LFAlu MISE{/.., <;1-15-07 ( ,.../T9J:A1ry ~~olSd-ll C7G
Reviewed/Approved: Dept. of Community Services (Date) ~~
S:Permits/Forms/ILP RESIDENTIAL Fee Re~v~
FLOOD ZONE AREA DESIGNAllON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
D'" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Sign
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATfACHED GARAGE
o DEMOLITION
/<1lJ"I 0 'i
.
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendme~ts
o Uniform Plumbing Code wI Indiana Amendments
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# Charged Re'
ReViews
Date