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HomeMy WebLinkAbout05110118-Application #: i k)l City of Carmel~Clay Township Permit ~ ] ~ R}ESIDENTIAL IMPRO NT LOCATION PERMIT APPLICATION For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory ~ructurce NAME ~ F PH STREET ADDRESS ~ClTY ~ STATE PROPERTY PHONE OWNER: zip FAX LOCATION LOT # SUbDIViSION NAME SECnON ZONINg: ~) & PROJECT ....... - SEWER UTILITY ESTIMATED COST OF CONSTRUCT[ON: PROVIDER: ~,~% 0,.~L,~ (EXCLUDING LAND VALUE ~L ; ~ME OF ~ EX~VA~ON CO~OR P~N COMMISSION. B~ ~PW DOCK~ ~ ~ .uM~; TAC DA~(S); ~D/Og COU~ WELL AND/OR SE~C PERM~ ~ S ~F APPL~B E): ~ ~ ~PE :F - N R-~I :N: - PE IMPROVEMENT: PLUMBING ~ONT~OR: ~ SINGLE FAMILY ~NEW STRU~URE  TOWN HOME ~ R~M ADD,ON(S) mber's Indiana S~te Licen~ ~: ~O FAMILY ~ PORCH ADDITION(S) ~ of uni~: ~ REMODEk ~ ~ MUL~-FAMILY~ ~ ~ ACCESSORY BUILDING Which plumbinB ~des will be applied to me con~u:ion: ~ of Units:~ ~ D~ACHED GAUGE ~ Intema~onal Residential Code w/Indiana Amendmen~ ~ RESIDEN~AL (For ~ A~ACHED GAUGE Additions, Remodels, Etc.) ~ DENOLI~ON ~ Uniform(Multi.FamilyPlumbingConstrumionCOdecode)W/Indiana Amendmen~ P ;-E i_NF:'RMA~ON: FOUNDA~ON~PE: (Check all that apply for the new Early ~lea~ ~ A Manufa~ure~ Permit: Y ~N Tru~s: ~Y__N :onstru~ion ama) Lot Split: Y ~N 3ump Pump:~Y ~N ~] s~BC~WLSPACE ~ BASEMENTPO~ A Does any pa~ of the p~pe~ lie within a special Flood designation area: Y ~N WALKO~: Y__N ~18~ay~ of the date of issuance of the building perm~. , issued/~thin ~8 months of the 675 1AC 12) regarding e~iradon ~~b~s 1 ~ucture [, ~e un~crsl~ed, agree thai ~y constr~caon s=uctut¢s re~es~d by tNs appScadon w~ comply l~di~ ~ 1993" (Z-289) ~d amendments, adopted und~ authority of [.C. 36~7 ct seq, ; am~dato~ thereto, 1 ~urtbcr certify rh~t m~y ~tchen, bath, and floor drains ~e co~ected to the used or ~pie~ ~ CetrJfic~re o[Occup~ncy has been issued by e Deparm OFFICE USE ONLY: Filing Fees: ~~ . ~O Upper Footing Lower Footing Under S,ab CeR. of Occupancy: ~ & ' O O ~eter Base F Additional S~/For~ESIDENmL (Date) ~ei~d~: ~ [ '