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HomeMy WebLinkAbout05030235-ApplicationCity of Carmel/Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &Two Family: New Structures, Additions, Remodels, &Accessory Structures PHONE PROPERTY OWNER: PHONE STATE BEST MEIltOD OF CONTACT: ~ q~t,~' i 7 LOCATZON & PRO3ECT INFO: SEWER. UTTLTTY PROV]DER: BUILDER'S EMA[L ADDRESS FAX ZIP cm' STATE zip SUBDIVZSION NAME SECTZON ' J ZONING: WA~ ~ ~// I ~MA~D~C~ PRO~D~. ~//~~LODfNG~ND ~UE) NAME OF UTILZTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMiT #'S (IF APPLICABLE): FAMILY TOWN HOME (~ TWO FAMILY #ofU itS. [] RESZDENTZAL (FOr Additions, Remodels, Etc.) p~, -, TN -- __- :N: TYPE M R:VE, El : NEW STRUCTURE [] ROOM ADDITION(SI PORCH ADDITION(S) REMODEL [] ACCESSORY BU[LDING [] DETACHED GARAGE [] AI'I'ACHED GARAGE [] DEMOLTT~OI~ __Y ;~N Sump Pump: Plumber'., Which plumbing codes win be apl)lie [] Zntemaflonal ResJdenUal Codew/Zndiana Amendments [] Uniform Plumbing Code w/Indiana Amendments (Multi-Family Consi~ucfion Code) ~ TYPE: (Check all that apply for the new conslzuc~on area) [] CRAWL.SPACE "~ POST & BEAM [3 SLAB ~ BASEMENq' / Does any ~pecial Flood designation area: Y For Single Family and Two Family dw~gs, add/tions, remodels, and/or acccsso~ s~crur~.2 rJ~s pclTnit is vahd, only j.~ co.n?~, r u.c~on c o?m~c~. ~c cs wittfin 180 days of the date of issuance of the ~uildrng permit, z~ad .mu. st. be co. mpleted (Certificate of Occ. upancy zssued) wathin 18 m~?nths o~ th,e issuance date. Class I structure permits are subject to the General Admimstratave Rules of the State of Indiana (See 675 IAC 12) regarctmg exp~ranon time frames for beginning and completing construction. . I, the undersigned, agree that any constxuct~on, reconstxuctior~ enlargement, rdo.c.., ation, or a~tsration of a struc~re, or any stsuctures requested by th~s application will comply w~th, and con~orm to, all applicable hws of the Sta~e o£ indiana, and ~e Zo~ g~ ~mmance or t~armex in&ana - 1993~ (Z-289) and amendments, adopted under authar~ty o£ I.C. 36~ ~ et seq, General Assembly of the State of indiana, and all Acts amendatory thexeto. I ~rther cert~ thaz only kitchen, bath, and floor drains a~e connected to the sanitary sewer, I further certify that the construcuon will not be used or occupied until a Cerr~c~te o£Occ~p~c?has been issued by the Department of Community Services, Carmel, Indiana. Reviews 5"0. O o Addi~onal Fees (Oa~) FeeR