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OWNER:
& PRO3ECT
TNFO:
City of Carmel/Clay To~nsMp ~ permit #~
RESIDENTIAL IMPRO MENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
J BUILDER'S EMAJL ADDRESS
PHONE FAX
NAME OF t PLAN COMMISSION / BZA
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SQUARE
FOOTAGE:
HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
-~-' --': N - i-- -::
Early Release
Permit:
Lot Split:
OFFICE USE ONLY: ***************~
INSPECTIONS REQUIRED:
TYPE F-_ '---_ EM ,:
[] NEW STRUCTURE
~OCR~HADDHJON(S) ~, ~ []~
AD~; ,. '
[] REMODEL ~.hl~C'~ ~o ~;~.~ ~ --
C2] ACCESSOR(~'U~LDII~G ~a~ ~ ~,ed to the censtructiom
DETACHED ~(]f:: C)(!~' J~J~/ilafl~n~identiaJGede w/Indiana Amendments
ATTAC ED ~.
[] DEMOLITI U;\F[~ii~mbYng Code w/Indiana Amendments
~lt[-~lly Construction Code)
FO 1 ATIONTY : (Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WALKOUT:~N
, remodels, and/or accessory structure, this permit is valid only ff construction comme!aces
I wir..b~t 18 months o£ t~c
e of Indiana (See 615 IAC 12) regarding expiration
time frames for ~ and completing construction.
· enlargement, relocation, or alteration of a structure, or any change in thc us~ o[land or
and conform to. all applicable laws of tbe State of Indiana. and the 'Zoning Ordinance o£ Carmel
adopted under authority o£ I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendawty
and floor drains a~ connected to the sanir, ar~ sewer, I further certify that the construction will not be
~y thc Dep.artment o£ Commu~L_Services, Carmel, Indian~
Base Inspections: ~ ~
Cert. of Occupancy: ~ ~0
P.R.I.F.: AddiUonat Fees
TOTAL: ~-~ ~'
Meter Base