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LOCAT/ON
ak PRO3ECT
INFO:
SUBDW~SION NAME
ADDRESS OF CONSTRUCTION
EL_
SECUON
SQU~ b~z.,~.~ 4'
FOOTAGE: ~
PROVIDER:
N COhq/RACTOR; PLAN COMMISSION DOC~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SINGLE FAMILY
[] TOWN HOME
TWO FAMILY
# of unib~:
[] MULTI-FAMIL-~'"~
# of Units:
~ RESIDENT~L (For
Additions. Remodels, Etc.)
~Y N
LotSplit: Y.~__N
P~FI V - -,,
[] NEW STRUCTURE
[] ROOM ADDTr~ON(S)
PORCH ADDTHON(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A3TACHED GARAGE
[] DEMOLITZON
Manufactured
Trusses: __Y _~___N
(EXCLUDING LAND VALUE)
Plumber's Indian;
Which plumbing codes will e applied to the consb-ucUon:
Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
~~L~: (Check all that apply for the new
constm~on area)
[] CRAWLSPACE [] POST & BEAM
[] SLAB ~ BASEMENT
~ffeonstruction commences
issaa~ccdate. ~ ' - ecompleted(CertifieateofOccu c issued wi ' 8
~lassistractur¢ rrmtsar~su ' , , . . pan y ) thial monthsofthe
pe bjeet to the General AdmLMstzatlvc P~ules of the State of Indiana (See 675 L~.C L2) regarding expiration
I.t .... time frames for ~g and completing eonstruct~o~ '
srructures "[~es~e~a~g~vreh~"~"~-"-s-~--.~"~n're~m.~t?c~¢~r~rd~a"~n~r~r~a"~fas~cm~ra chan
thereto. Ifurtherceztifythatonlvldrcheu, ba~ an~lfloora=,- '~ ' ' '~,e~s,eq,~-'c~rxa:,~sserm~zyoftheStateoflndia~a, andallActsamemdator%
used r occupied until a Ce. ltdEicat:e o£Occu~ancr__ _has been issued___ h~ ~.ue-~' u~' attm '~ . . ertffy nstrucuon will not be
/~/ ~1 .. a -; e~ e~toz~ommumtySerwces. Carmel, lndiana.
INSPECTZONS REQUIRED:
Upper Footing Lower Footing
Site
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