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HomeMy WebLinkAbout05080071-Application City of Camel~Clay Township Permit # RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUZLDER of ~,ONE RECORD: BUILDER'S OWNER: LOCATION ~o~, & PROJECT D OF CONTACT: - / PHONE FAX CTrY STATE ;UP SECTION ZONING: INFO: ~JSINGLE FAMILY f STRUCTURE _ TOWN HOME [] ROOM ADDITION(S) TWO FAMILY~ ~/ ~JMULTi-FAMZ~r~.J?j ~ c~ ~ ~i~~ ~h'~h plumbl~ ~es will ~ appli~ '0 s, Rem~,~,~ ~.~..~D=~, ~ .............. imm mumang ~ew/ZndianaAm~me~ INDIANA Early Release Manufactured(~,~"~'- N Permit: __~_~-~ _-N~' Trusses: lot Split: Y ~ N Does any part of the property lie within a special Flood F_.Q.I~JpAT~ON TYPE: (Check all that apply for the new construction area) [] [] POST & BEAN ~ BASEMENT .~ .~ WALKOUT: Y~_~ ~models, and/or accessot7 srtuc~ares, chis permit is va[id only ff consr~acCion commences · . : of r~be bnildnig permit, and must be completed (CerlzLficate of Occupancy ~ed) wit. kin 18 monr~hs of chc ~ssuance date. Class I structure ~errm~s are subject ~o the General Administra~ve Rules of thc State of Indiana (Sec 675 iAC 12) r~g e~on · ~me frames for be~aning ~nd completing collscc[tction, I, r~e undersigned, agree cha~ any constxuc~on, reconscrucdon, enlargement, reIocadon, or akera~ion o£ a sCmc~are, or any clxange in ~e use o[land or ~macm~es ~eq~ested by this application w~ comply wi~, and conform to, al~ appl~cablelaws o£che S~ate o£ Indiana, and che'Zoning ~ce of Carmet }93' (Z-289) and amendments, adopted under aud~o~ty o£ I.C. 36~7 e~ seq, Genera[ Assembly nf the S~ate of I~diana, and all Ac~s ame_~datory archer c~ chat only ld~cben, bach, and floor drains axe counected to the sa~tary sewe~. I further certify ~bet the consrtuc~ion will not be anal a Cerr~l~cate o[Occul~mC. Vhes been ~ssuedJ~ f~he Department of Community Services, Carmel, lnd~ana. Base Inspections: Cert. of Occupancy: P.R.I,F.: ;lab Filing Fees: # Cha rc~ed Reviews '~ddJt:tonat Fees- TOTAL: