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HomeMy WebLinkAbout05110080-ApplicationCity of Carmel~Clay Township ~?{.,) Permit #: RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUTLDER of RECORD: PROPERTY OWNER: LOCATION & PROJECT INFO: PHONE FAX / 5 STREET ADD SS BEST METHOD OF CONTACT: PHONE FAX ziP pSEWER UT[LFFY ~ R0VlOER: ~.~:/~ ~ L~ 0o0, oO N CONTRACTOR: PLAN COMMISSIOh BZA BPW DOCKET ); AND/OR COUNTY WELL AND OR SEPTIC PERMiT #'S (IF APPLICABLE: F -~ - R : -' .N: TYPE OF IMPR VEMENT: ~ONTRACTOR: SINGLE FAMILY [] TOWN HOME # of units: ~ [] MULTI-FAM Y . ~ of Unim: ~ RESIDEN~AL (For Additions, Remodels, NEW STRUCTURE ROOM ADDITION(S) PORCH ADDITION(S) REMODEL ACCESSORY BUILDING DETACHED GARAGE Al-I-ACHED GARAGE DEMOLITION Plumber's Indiana State License #: ~ ~ntemational Residential C~e w/Zndiana Amendmen~ ~ Uniform PlumbingCodew/~ndianaAmendmen~ (Multi-Famil~i~n Manufactured ~~~A~ew Y~N Trusses: Y ~(~N construction area) ...... "'~2~~' D~s an~ For Sin~e Family and Two Fmily dwelnngs, ad~fions, remodels, anWor acc essor ~ t~ ~b~9'~g~'~l~ commenc~ wi~in 180 days of the date of i~uance of the building permit, ~d must be com~(~Fri[ic~¢u~x~y ~g~[%~fi~nths of the issuance date. Class I structure permits are subj<r to the GenerM Administrative Rules oF~he ~P~h~a ~S~8~5 t~ ~5~ expiration rime frames for beginmng ~d completing cons~uctionJ L the underM~ed, agree that an3 consrrucnon reconsrmcnon, emargem~t, rdocarion, or flrerauon afa structure, or any ch~ge in the use of ~d or structures requested by this app~cauon w~ comply with. aad conform to ~ appScable laws m the State of lndi~a. ~d the "Zomg Or~ance of C~md of I.C. 36-7 er seq, Gener~ AssembN ~f thc State of Mdiana. and ~ Acts amendato~ and tloor &ms are connected to the sanir~ sewer. 1 further certify that the consmcfion ~ not be of Occupanqvhas been issued by the Department of Communit) Semices. Carmel, lnd~m. Filing Fees: ~ _ ~ RE~U~RED: Lower Footing Under Slab Baselnspe~ions: ~.ofOccupanw: P.R.I.F.: TOTAL: = Charged Re- Reviews AOO(tlonal ~es