HomeMy WebLinkAbout07010003 Application
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City of Carmel/Clay Township Permit #:Dl 0 I DOO'3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, a Accessory Structures
NAME:O i -S ~ CV5TDM
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BUILDER'S EMAIL ADDRESS: t _ \_
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NA:JP<co.? .g ~~
017 L-L.e:N ,?of~
BUILDER
OF
RECORD:
PROPERTY
OWNER:
STREET ADDR~SS:
\ OS'-\"\
LOCATION SUBDIVISION NAME:
a PROJECT \ll~&~ ~a
INFO: Afss~~~NSTR~;e.u.O ~tJ
SEWER UTILllY ::IF d
PROVIDER: G ---r \Z- \N
PHONE:
Me:; ~57-5bb1
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FAX'
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BEST METHOD OF CONTACT: ,
~. t\IIO I
PHONE:
1t)o-4'?t>b
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CITY:
\~~~
STATE:
N.
ZIP:
4(,;,03' 1
ZONING: ~,
SQUARE
FOOTAGE:
SEmON:
C1 OV l--
7D79
ON'
, :t-~ 00. () () II
NAME OF UTILllY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / B DOCKET
NUMBERS; TAC DATE(S): AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APP'!CABLE):
FLOOD ZONE AREA DESIGN nONeS) J I ,. ~ " 1_ .. ~ ~ I
FOR THIS PROPERTY: ^ l.........I~yJc..t..a ~a
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLmON
Early Release V r-,anufactured """M..
Permit: _Y --JJ ........--Trusses: og1'IV""
Lot Split: _Y _4r sllIl!P~i'p.I?':~t\Ol'\lI
---- rUe- _ ,.i e,\ll'W"
For Single Family and .". . ~~ ~'ti\ \t~\- . 0 ssory structures, this permit is valid only if construction commences within 180
days of the date of iss~'O\e e' . rt, ~s& Weare of Occupancy issued) within 18 months of the issuance date. class I
structure pennits are sUbject to tJQ ~~~\.tv~~O e of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
0"\ 01 ~ ! G\..f:\"< completing construction.
I, the undersigned, agree tli)~hy loP!'~~ r,p,Hfli' enlargement, relocation. or alteration of a structure, or any change in the use of land or structures
requested by this applica1}Q~l ~p~i~~";t\~~0'irlrtl"'l:b:all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) and amendments, a~~Jd under authority ofl.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
ancy has issued by the Department of Community Services, Carmel, Indiana.
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CEUSEONLY:*********************************************************************************
F-I- F ' 10 '1 C '70
INSPECTIONS REQUIRED: ling ees, , ___
Base Inspections: ;]?? ;') 0
:s 3, JO'
P,R,I.F.: / d ~ I 00_
~ T~';;'?P' 70
'Il.' . _, //,10
Fee Recelv1;1 I:f; Ze
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Upper Footing
Print
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Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Check all that apply for the new
FOUNDATION TYPE:
construction area)
~RAWLSPACE 0 POST & BEAM PIER
o SLAB arBASEMENT (WALKOUT:_Y ----N)
f3;z.e,p r:!;
f9f't
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Oale
# Charged Re-
Reviews
Cert of Occupancy:
Additional Fees