HomeMy WebLinkAbout07110157 Application. ?? OF C9A,y\
City of Carmel/Clay Township Permit #: 07110157
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
?,`nlLap, For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
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RECORD: STREET ADDRESS: Cm: STATE:
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BUILDER's EMAIL ADD 5: BEST METHOD OF CONTACT: C A jk AO 3114-4111
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STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: 5 BDIVISION NAME: SECTION: ZONING'
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INFO: ADDRESS OF CONSTRUCTION:
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FLOOD ZONE AREA DESIGNATION(S) 0-7110 ' TAX MAP PARCEL #:
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FOR THIS PROPERT Y:
TYPE OF CONSTRUCTION:
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TYPE OF IMPROVEMENT: PLUMBING C
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 15 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I. the undersigned, agree that any corstruaion, reconstruction, enlargement, relocation, or alteration of a stricture, or any change in the use of land or structures
requested by This application will comply with, and conform to, all applicable laws of the State of Indiana, and -he -Zoning O_dicance of Carmel Indiana -1993" (2-
289) and amendments, adopted under authoriy of I.C. 36-7 et seq, General Assembly of the State o: indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issued by Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY:******************************************************** r
Filing Fees:
Upper Footin Lower Fo ting Under Slab
Rouah In ) Meter Ba Fnal Site
Reviewed/Approved: Dept. of Community Services (Date)
S:pennlWFOr VV' RESIDENTIAL
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
P.R.I.F.: 11(01.011 Additional Fees