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HomeMy WebLinkAbout05090016-ApplicationCity of Carmel~ Clay Township{~?J~ Permit # :_ ~ ~L* ~. C~f~ ~ ~, SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of Nm~ ~ ¢ RECORD: FAX PROPERTY OWNER: LOCATION & PROJECT 1'NFO: NAHE PHONE FAX [Z~TOWN HOME TWO FAMILY # of units:. [] MULTI-FAMILY # of Units: [] RESIDENT[AL (For AddiUons, Remodels, Etc.) ORMA : EaHy Release Permit: ~Y _~_N TYP ! M T: ~ STRUCTURE [] ROOM ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE [] DEMOLITION Plumber's !ndiana State Licehse #: cfc Which plumbing codes will be applied to the construction: [] Zntemational Residential Code w/Zndiana Amendments [] Uniform Plumbing Codew/Zndiana Amendments (MulU-Family Cons~rucUon Code) Manufactured ~,~ ~,~L~: (Check all that apply for the new area) Trusses: .~Y _N Lot Split: Y _~N Sump Pump: _~Y __N [] CRAWLSPACE [] POST & BEAM [] SLAB ~ BASEMENT Doe__s any part of the preperb/he w,thin, special F,~ dea,gnation area: _ ¥_~__N For Single Family and Two Family dwellings, additions, remodels, within 180 days of the date of issuance of the building permit, and issuance date. Class I srtucmre permits are subject to the General Administrative Rules of the State o~y~ll'~g (See~7~ ~2C:~) ~eg~din~ expiration I, the undersigned, agree that any construction, reconstruction enlargement relocation, or alter~ structures requested by this application will comply with, and cenform to, all applicable laws of t2[~lh~ ~dd~ E~g ~anfi~ oC~armd Indiana - 1993~ (Z-289) and amendments, adopted under authority of 1.C. 3&7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that~o,~y kitchen, bath, and floor drains ar~,~c~ec~¢d m thg sa~tary sewer. I further certify that the construction will ngt be used ~r ~ied unti~ a Cd~ca~e ~£ ~ccu~ncy has been issu~d by ~ b~t ~[G9mmuinty ~ervices~ Carmd~ ~ndiana. / / # Charged Re- Under Slab Base Inspections: ~~ Reviews PRI Fees