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HomeMy WebLinkAbout05100119-ApplicationOCityof~armel/Clay Township permit #:~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of PHONE RECORD: PROPERTY OWNER: BEST HETHOD OF CONTACT: LOT # SUBDW~SION NAME SECTION ZONING: NAME OF UTIIJTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA/BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): -,<E ' ' - ~ ~: --: - P .' M ~-, : PLUMBZNG CONTRACTOR: [] SINGLE FAMILY .4~ NEW STRUCTURE [] TOWN HOME ' C] ROOM ADDITION(S) Plumbers [ndi'---'~na State License #: ~ TWO FAMILY [] PORCH ADDITION(S) ~, # of units: MULTI-FAMILY ~ ~ ~c,~? ~r~ REMODEL Additions, Remode s,~Etc.lT~=:i-~ ~ ]f\~:~ _.pFO NDAT/ N -'E: (Check all that apply for t~e new Permit: ~__~Y N construction ama) _ _ . ./' []~,CRAWLSPACE [] POST & BEAN Lot Split: aump Pump. Y __~LN SLAB ~ E] BASEMENT Does any part of the properL~ lie within a special Flood designation area: Y _Z~N WALKOUT:yN ]For. Si?glc Family aact Two ]Family dwdiiags, adclttiom, tmaod~ls, a~cl/o~ acccsso~ structures, rJ~ permit ~s valid only tf w~t~ 180 clays of thc dar4= o£ issuance o£ thc buiJdtag l~tmit, a~ct m~st b~ complctccl (Ccttt[tc~t¢ o£ Occupancy issued) ~4tbia ]8 moaths issua~cc date. C~ass[str~c~tt~¢Pe~m~tsa~subjcctt~th¢Ge~¢~a~Adm~m~st~ar4v¢R~2cs~£thc$t~t¢~£~ndia~a(Se:~7~[ACI2)~egazd~g~x~i~ad~a tim= [rzmes tot begiaaL~g a~cl completing coasamctioa. [, the u~d~tstgn~, agree ~.ha; a~,? c~as~m.c, do~, ~ _~onscracdon, c~m~t, rdocar~o~, o: ~ratioa or' a s~uccu:~, o; any ch~g¢ stt~..ctutms :,.~c?. ~s[e.d by r~_ a~]plicat~oa wi][ corn]ply w~r.~, a~d co~orm ~o, aiL[ ap]?itcabi¢ laws o[ ~ S~t:c oJ' Iz~diana, a~d thc 'Zoning O~c¢ ~aaa ~ ]993 (Z-25~) a~d am .c~ ,d~. ~ts, adopted trader au~od~y o£ LC. 3~-7 ¢~ s=q, Gcaczat Assembly o£ t~= Sta~¢ of I~c~ and ail Acr~ amc~dacoty ~ctcto, ! [mt~e: cci'dry that o~¥ ~ch~, bath, ~d ~: ~s ~c ~ ~o ~ s~c~ s~. [ ~ct c~ t~t ~= coas~cdon ~or ~cup~ un~ a C~rc ofOccu~cy~ ~n i~ued by ~c D~t of Co~u~ Sedco, ~, InCa. gna~m ~ ~r A~ ~e~ Pd~ OF~CE USE ONLY: ************************************************************************ Filing F~s: IRED: Reviewed/~l~pproved: Depb of Community Services (Date) Base Inspections: # Charged Re- Reviews Cert P.R.LF.: - , AddiUonal Fees