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HomeMy WebLinkAbout05040015-ApplicationCity of Carmd/Clay TownsMp permit RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures RECORD: OWNER: PHONE FAX PHONE FAX LOCATZON & PRO3ECT :[NFO: SEWER LrrILITY WATER UTILrrY~ PROVIDER: ~ PROVIDER: ~ PLAN COHHISS[ON / BZA/BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PF_RN~T #'S (IF APPLICABLE): EErlMATED C (EXCLUDING LAND VALUE) SQUARE ~ SINGLE FAMILY TOWN HOME TWO FAMILY # of units:__ MULTI-FAMILY # of Units:__ RESIDENTIAL CFor Additions, Remodels, Etc.) ~.~- IN_' - - .: Early Release ROOM l [] [] C] DETACHED ~ [] DEMOLITION Manufactured a/Indiana Amendments Uniform Plumbing Code w/Indiana Amendments (Multi-Family ConstruCtion Code) FOUNDATION TYPE: (Check all that apply for the new construction area) [~ CRAWLSPACE []~ POST b BEAM SLAB BASEMENT _Y ~/N WALKOUT: _Y ~/ N Y ~ N Trusses: __Y N I Sump Pump: ~/Y N Does any part of the property lie within a special Flood designation area: issuance datm Class I structure permits are subject to the General Administrative Rules of the State o£ Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. , enlargement, zelocation, or alteration of a structure, or any ch~ange ila the use of land or r with, and cmffozm to, all applicable laws of the State of Indiana and the Zoning Ozxiinance o£ Caxmal ' of LC. 36~7 ~t scq, General Assembly of the State of Indiana, and all Acts amen&tory Colmecced to the satlitary sexver. I further cer tiiy that the con~tructioll will not be Services, Carmel Indiana. (Date) Filing Fees: Base Inspections: ~ ~© # Charged Re- Reviews Ce~. of Occupancy: ____~ P.R.I.F.: / }~'~ ~ Additional F'~--~- / ~ ~ / T