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RECORD:
City of Carmel~ Clay Township Permit #:
I~SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX
BEST METHOD OF CONTACT:
OWNER:
[] TWO ~AMILY
# of units:
[] MULTI-FAMILY
# of Units:
C3 RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE- - _ V H-;T:
[~'~EW STRUCTURE
[] ROOM ADDITION(S)
(]] PORCH ADDITION(S)
(]3 REMODEL
[] AT~ACHED GARAGE
[] DEMOLITION
Trusses:
[] Uniform Plumbing Code w/Indiana Amendments
(Mu~-Family Construction Code)
/ ~[[~J~: (Check all that apply for the new
Y ~ construct[on area)
[~)~RAWLSPACE [] POST & BEAM
~'Y N ~ SLAB [~ BASEMENT
r lie within a special Flood designation area: Y ~ WALKOUT:Y
For Single Family and Two F ' or accessory st2vacttrres, this permit is valid only ffconstruction c o, mm-en, ces
within 180 days of the date of issuance of thc building permit, and must be completed (Certificate of Occupancy issued) w~th~n 18 monens ox mc
to the General Admniiserative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for begin~ng and completing construction.
constxuction, recomtruction, enlargement, relocation, or alteration o~ a structure, or any ch~gc in ~e use of la~d or
with, and zoxfformro, allapplicablelawsoftheStateofindiana, andthe ZoningOrdimxnceofCatmd
seq, General Assembly of the State of Indiana, and all Acts amendatory
kitchen, bath, and floor drains are connected to the sanitary sewe~. I further certify that the construction will not be
een issued by the Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: *************************
~ # Charged Re
Reviews
3- ~ -7 ~6/ A~dmon~ F~
TOTAL:
Date)