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City of Carmel/Clay Township Permit #: fX2D~OI1i-~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
TYPE OF CONSTRUCTION:
o SINGLE FAMILY ~
~OWN HOME W
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
BUILDER of
RECORD:
PROPERTY
OWNER:
STATE
ZIP
LOCATION
&. PROJECT
INFO:
ZONING:
SQUARE
FOOTAGE:
00
-
TYPE OF IMPROVEMENT:
~ r~~vv STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
amber'S Indiana State License #: .
'P 1cx:y)C) /0 r/-------.---------j
Whi~h plumbing codes will be apPli~d to ttle.construction:_>"..____._'_.._~, I
i r,' '\' n:
~ternational Residential C9~~'~/lndiana Amendments ' ,I I j i
,.; 'I I MIlZ fl C ClOV ',I I
o Uniform Plumbing Code W/Iiidi~na AlMIfdments I.) '~\; \ I
(Multi-Family Construction Code)' . / I "
I:
PROJECT INFORMATION:
Early Release Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
Permit: _Y -C) Trusses: ~ N co~t;;;l:L:;:~E 0 POST & BEAM
Lot Split: _ Y ~ Sump Pump: -t:.:...7-N ~SLAB 0 BASEMENT ./\
Does any part of the property lie within a special Flood designation area: _Y ~ WALKOUT:_ Y ~
For Sin e .', . _ f'~IR', '. t4~4~~,remodels. and/or accessory structures, this permit is valid only if construction commences
within i1ptdb:~m5M'ewnlin~ t nh{ildih~Nnit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. ClaUfl~~e ae[mi'\:VS WI' 15fiOLtlatleMneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
~EPT ()!:' ~ n Ocal COOO$.e frames for beginning and completing construction.
I, the u ~1~~d,"<!gt."e!JQMM(uI~~IpU\~, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structu . Je<l"uQfti ~ttAM.alfqg.)VlJ).~cpu.Y?lY,~'0r~dnt'R:onform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289)' and am~lbehtJ~Ml)pti:tl..l.lfMNS~~fky of J.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify thatl:N.pU4;~A bath, and Ooor drains ~re connected to the sanitary sewer. I further certify that the construction will not be
sed occupied u .ercificace of Occupancy has been issued the Department of Community Services, Carmel'\,Indiana.
2?' / '&)/:;~
Date
OFFICEUSEONLY:**********************~*******************************>****************
V Filing Fees: (fl 7 r( , ~ 0
INSPECTIONS REQUIRED: fl\tll . ..., 7 -1' ~ rl
--" =- ~ '1 "IBase Inspections: L::; L,0 v
Upper Footing lower Footin~nder ~ 53' 5"0
~ -c.. Cert. of Occupancy: '
Meter Base pr;;aI Site J'-' /" / , 0 t)
"--_ P.R.LF.: ~~
$J.)'J.. {gfo, ft; 0
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# Charged Re-
ReViews
Additional Fees
Fee Received by: