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HomeMy WebLinkAbout05030015-ApplicationCity of Carrnd/Clay Township permit RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Nultl-Family, & Two Family:'--;"" New Structures, Additions, Remodels, & Accessory Structures PHONE FAX BUILDE~ o RECORD: ADDRESS OF CONSTRUCI~ON WATERUTJLITYt I Il ; PLAN COMMISSION / BZA / BPW DOCKET ER: & PRO.1ECT INFO: SEWER Cr~LLTY PRO~R: BUILDER'S EMA]L ADDRESS BEST METHOD OF CONTACT: NAME PHONE FAX STREET ADDRESS C1TY STATE ZIP 11163 ¢~.oor-.~.. o g'rl¢~ t.d, C,~z~t_ 18 4603Z - zo.,N : ' =re- I'1~$ O~ O00007'Lo~ I ESTINATED COST OF CONSTRUCTION: __ (exc~uom~owue) ~ i~r, oo0,' NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDiOR ~F~JC P~R~IT ~S (IF APPLICABLE): ~ TWO FAMILY E} # of units: EP T [] MULTI-FAM~ ~ # of Units: C3 RESI D ENTIAL ("~-'~-~ Etc.) Early Release :: _N Trusses: Sump Pump: for the new .Y [] POST & BEAM Y- [] BASEMENT WALKOLff: Y N For S~ingle Family and Two Family dwellings, additions, remodels, and/or accessory srvacvares, this permit is valid ouly ff consVeacdon commences within 180 days of the date of issuance of the building permk, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance dare. Class I structure permits are subject ro the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. I, the unders/gned, agree that any construction, reconsrvacdon, eulaegement, relocar/on, or akerarion of a srrucvare, or any change in the use o£1and or structures ~re~q~ested by this application will comply with, and conform tn, all applicable laws o~ the State of Indiana, and the ~Zoning Ordinance o£ Carmel Indiana- 1993 (Z-289) and amendments, adopted under authority of I.C, 36-7 et seq, Genexal Assembly of the State nf Indiana, and ail Acts ameudatory thereto. I further ~ that only k/tthen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a ¢~te o£Occ.t~ancy has been issued by the Department of Community Services. Carmel, Indiana. OFF~CE USE ONLY: ************************************************************************ Filing Fees: ~ INSPECTIONS REQUIRED: Upper Footing Lower Footing Under Slab Rough In Meter Base Final : r~/ ~ nib/Services (Date) Base [nspections: ~-~ # Charged Re- Reviews Cert. of Occupancy: P.R.I.F,: Additional F