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05080152-Application
PROPERTY OWNER: City of Car el/ Clay Township Permit # RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Hulti-Family~ & Two Family: New Structures, Additions, Remodels, & Accessory Structures NAME '~ ~ ONE F , RECORD:BUILDER of ~~0~ff ~V¢l~ ~ ~3~ ~ t3 ~2'~900 '31317~' 5~.5~DI o~ ; ~N~IL ADDRESS BEST ~IETHOD OF CONTACT: NAME PHONE FAX LOCATION & PROJECT INFO: TYPE ,FI-PR - - : [] NEW STRUCTURE [] d ADDiTION(S) SQUAR~ PLUMBZNG' 'N--- - plumbing codes will be applied to the constt~cUon: , w/~ndiana Amendments FOUNDATION TYPE: (Check all that apply for the new Early Release construction area) Permit: Trusses: __Y .,,,,,,~N [] CRAWLSPACE [] POST & BEAM Lot Split: Y_~__N Sump Pump: Y_~__N ~'SLAB [] BASEMENT Does any part of the property lie within a special Flood designaUon area: Y_~N WALKOUT: ~o~ Single Family and Two ~anfi]¥ dwellings. ~d.d/do~s, ~mo~lels, and~o~ ~ccc~o~/~cmccu~es, rids ~crmit ~ vaJJd only ff construction comme~ccs ~bJn 180 d.ys o£ r~e d.~e o£ f~suance o_F t]~e bufld/ng pcrm~. ~d. mus~ be com~]e~cd. (Ccrrffic~te o£ Occu?~c¥ L~ued) w~r. hf~ 18 monr~s o~ the is~a~nce c]~t~ C]a~ ~ s~ucCu~e ~e~m~cs a~c anbjcct t.o r~e Gcne~ Adm/nist~adve ~ o£ ~e S~te o~ inca (See 675 [AC 12) ~ng ~adon ~me ~mcs [o~ ]~g ~md completing con~cmc~on. ~, the und.c~sdgncd., ague r~a~ an}, co~srmc~on, ~ccons~.ucdon, en~'gcmc~r~ ~c~cc~do~, o~ ~c~a~o~ o£ a ~ccu~e o~ an), cb~mge ~_ r~e ~sc o~ scmcm~e~ ~equc~:ed b), d~ a~]~ca~o~ ~ com~ly ~r~. and conform m. ~ a?~l~cable hws o~ :~¢ $~:e o£ Lm~. and ~¢ ~Zon~ng O~mnce o~ L~c~ - 1993~ (Z:-289) and.am~cLmen~s, ado~r~cd, und~ a~r~odcy o£ LC. 36-~ ¢~ scc~ Ganc~d. As~mbl), o£ r~e $~:¢ o£ ~nd~na. ~d ~ Ac~s r~e~em. ! ~u~hc~ cc~/~ r~a: only ]d~c~an. bar~. and floo~ d~af~s ~ conncc:¢d, m r~¢ s~m~ sew~. I _Furc]~e~ ccr~ t~t r~e consr, mcCion w~ no~ be ~od. o~ occ~?ie~.n~ a ¢crc~ Ca~c ?£~cu~pancy]u~ bean i~s~c~ b), r~¢ Dep~men~ o£ Comm~n~/Se~cc~. C~u~nel. )FFI~E USE ONLY: ************************************************************************ Filing Fees: (Date) ~ase Inspections: Cert. of Occupancy: P.R.I.F.: # Charged Re- Reviews Addit~or~al Fees ~TOTAL. ~