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HomeMy WebLinkAbout05080278-ApplicationCity of Carmel/Clay Township permit #:~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structun~s PROPERTY OWNER: STREET ADDRESS PHONE , 17-5q ,0 ~O~E LOCAT/ON LOT # SUBDW~SION NAME SECTION & PRO3ECT __ ~ _ TNFO: ~OeESS OF CONS~UCnON ~NTRACTOR; PLAN COMMISSION / BZA / BPW NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPAL PE~ WS (~F APPLTCA~: ~, :__. -. -: ~ ; I- :N: TY - FIM R-V -: NT: ~NTRACTO__~ [] SINGLE FAMILY [] NEW STRUCTURE [] TOWNHOME ~ ~,:-:~,~ ~ ROOMADD~TION(S) Pluml~er's Indiana State Uceese #: [] TWO FAMILY .............. : ~ii t:'oRcH ADDITION(S) #of units:__ ~,~b ~:; ~' ~' ~'~:~EMODEL [] MULTI-FAMILY {Z~] ACCESSORY BUILDING Whlchpl.mbin. codeswl, beapplie~t~ #ofUnits: ~:'~'~ [] ];~,q~AC. HEDGARAGE E~ ZntemaUonal [] RESIDENT~AL(For[y ~.~:~ Additions, Rem~o~e~s, ~'~cl.) j /:~ i ~ ~:~_~ /_~ED GARAGE i~:[;(~9[i_F[ON [~ Uniform Plumbing (Multi-Family C ZIP ZONING: Early Release Manufactured construction a N Trusses: Y N Lot: Split: Y N Sump Pump: Y N ~ SLAB Does any part of the property lie within a special Flood designation area: Y _N For Single Family and Two Family dwellings, additions, remodels, and/or aeeer~ory structures w/thin 180 days o£ the date of/ssuance of the 18 months of the issuance date. Class I structure permits are subject to the General Administrat/ve Rules of th~ of Indiana (See 675 IAC 12) xegarding exp/ration time frames for beginning and completing ennstruction, I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any ~th~ e/n the use of h~d or swactures requested by this applicataon will comply with, and conform to. all appUcable hws of the State o£indiana, and the Zon/ng Ordinance of Canad indiana - 1993~ (Z~28.9,) and amendments, adopted under authority of LC. 36~7 et seq~ General Assembly of the State of indiana, and al/Acts amendatory thereto. I further certify that onfy kitchen, bath. and floor drains are connected to the sanitary sewer. I further certify that the construetinn will not be cyt~s beexs issued by the Depaxamaent of Community Services, Carmel, Indiana. $lg~r or Aul~odzed Agent ~r~n~ OFFiLE USE ONLY.' *******************************************************/ ~ *************** C, I~,,,~ Filing Fees: XNSPECTXONS REQUXRED: ~ [~51~~ Upper FooUng Lower FooUng Under Slab Rough In Meter Base Final P.R.I.F,: . TOTAL: ~muniht Charged R~-- Reviews Additional Fees