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HomeMy WebLinkAbout05060117-ApplicationCity of Carmel/Clay Township \-)~ permit #: S DENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PROPERTY OWNER: LOCATION & PRO3ECT TNFO: BUILDER'S EMA~L ADDRESS ~HONE FAX NAME CTrY STATE ~UARE /' ~' ' ~"~ (EXCLUDING LAND VALUE) NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISS~O~ / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERHIT #*S (iF APPLICABLE): -=- FI.- '-:- M : TOWN HOME [] TWO FAMILY # of units: [] MULTI-FAMILY # of Units;__ RESIDENTIAL (For Additions, Remodels, Etc.) P-:- IN- - _- : ACCESSORY BUILDING cedes will be a ~A1TAcHETACHED GARAGE ED GARAGE [] Uniform Plumbin~ DEMOLITION (Multi-Family Construddon Code) FOUNDA'F~_Q~ TYPE: (Check all that apply for the new construction ama) ~RAWLSPACE [] POST & BEAM [2] SLAB [] BASEMENT Early Release Manufactured Permit:: y ~ __~_y ~ Trussea: __ Y Lot Split: Sump Pump: __Y Does any part of the property lie within a special Flood designation area: Y For S~g~c Fam~y a~d Two ~amLly dwc~t~gs, additions ~ structures, r.~ ~mk ts va[rd o~]¥ ffco~stmcdo~ comm~ccs with/n 180 day within 18 months of the I, t] thereto. I furthe~ certify that OFF[CE USE ONLY: ********** Reviewed/Approved: Dept. of Community Se.rvIcEs (Date) or any change in the use of land or and the ~Zoning ordinance of Carmel and all Acts amendatory t that the construction will not be Services, Carmel, Indiana. n~ Filing Fees: ~ REQUIRED: Base Inspections: ~ ©. ~"'0 ' ~ Lower Footing Under Slab Reviews Cert. of OCcul~ncy: 5~/~C; Met:er Base P.R.I.F.: ~ Additional Fees ,-~ TOTAL: /~-~ (,. ,¢,,¢