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HomeMy WebLinkAbout14060014 Application �_. ��t'"`"" >�'� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # ly� 6 op ( y RESIDENTIAL IMPROVEMGNT LOCATION PERMIT APPLICATION Sewer / Wa er Utility �xoux� For New Strucfures,Additions,Remodels,and Accessory Structures Permit�$ �������3 BUILDER NAME PMONE FAIC OF "a(�S 8/�/, o�CaS-� RECORD STREETA RESS CITY ATE ZIP , 6� �Y'�or, S S /'1 6.,? D E-MAILADDRE55 B METHOD OF ^, ,^ r �M LONTAR ��41 I l% /! PLUMBING NAME STATE OF INDIANA b / 9 6 9� PLUMBING CODE LICENSENUMBER � Op / O� CONTRAGTOR �y �� �ac o ux PROPERTY NAME PHONE c�, FA% OWNER TS P q'a��.3 6l�T" ��5� SfREET AD RE55 C STATE IIP 3b� ' a,-� .U- / / t��a�o PRO7EC'f ��7NUMBER SUB IVi5I0 NAME SECfION LOCATION �v '� S� I STFtEET ADDRE55 � � CITY ATE ZIP s � �9I�., li G C� h� s h �e � � 7AX MAP PARCEL NUMBER 20NING FLOOD ZONE/ l7 -QS- 3/- oo., os�-- do�. c�c�ca �/ �' Q LO7SPLI7 SEWERU7ILITV W/A�TERU7ILI7Y SEWER/WATER Q YES Q NO C / �� �� ES E%CAVATOR �I„ C n C/•c TYPE OF TrPEOFCONSfflUCTION ' � � PERMR FLOORPLAN PERMIT SINGLE FAMILY O TWO�FAMIL O TOWNHOME YE5�1 NO � 6 N 7YPE OFIMPROVEMENT IIIN EARLV RELEASE� �I NEVJ STRUCTURE 0�EtEf�1dD L O CHED GARA6E 0 ACCESSORY BNLDING . O ADDI710N-O Roam/s �Porch Q ck ' O BASEMENT FINISH O DET CHED GARAGE � DEMOL[T[ON O YES O NO PROJECT P�N COMMISSION/BZA/BPW DOC ET NUMBER/S AND/OR ESTIM TED COST SQUARE FOOTAGE TAC DATE/5 B}/ _= RUCfION, � O� ?` � ING WND � � O �/J/ �PDFPLANS 7YPEOFFOUNDA7ION MANUFACfURED SUMPDUMP PORCH CJ CD O E-MAIL Q SLAB O BASEMENT-�WALK-OUT TRUSSES Q CRAWLSPACE � POST&�BEAM 0 POST&PIER � YES q NO ��`YES 4 NO YES 0 NO �STATE OF . �DR NUMBER RELEASE DATE � � �J�UCTIO INDIANA Subiect to com N CDR SCOVE OF RELEASE �� ete and L `al od � FORTOWNXOMES O FDN O 571i 4 ARCH 4 ELEC � MEqi � PLUM 4 S7KLR ".^", eS � F For Sinple Pamil��and Two Family Dwellings this pertnit is valid only if conslruction commences withiny�py7�� �j� t e� �te of this permit and must be complered,having the Certi�cate of Occupancy issued,within 18 months ofthe date of issuanc�'.'k1�lk u�tum Pertoi[s are subjcet to the State oClndiana Ceneral Administrative Rules(GAR 675 IAC 12)regarding expiration timc Frames Cor beginning and complcting construRion. 1�the undersigned,agrre thai any mnstruction,reconstruction�enlargement�rcloeatioq or altero[ion of a structurc,or any change in lhe use oflavJ or strue[urcs requested by this application.w'ill mmPly a�ith and eonlorm�[o all applicable laws of the SW te of Indiana and the"Loniny�f)rdinance o(Cartoel Indiana-1993"(7 289�anJ amendments;adoptcd under authoriTy oll.C.36-7 et seq�General Assembly oC[he Stace o(Indiana�and all Acts amendatory ehereto. I further certify[hat only kit hen,bath,and Ooor drains are mnnected ro the sani�ary sewer. 1 Porther certify that the construction will mt bc used�cu i�ntil�a C ificate o Occupanry has Aeen issued by the Depar nt of Community;erv ��rmel�Indiana. �/� / P Y /V{'1 . dJ J .r. / r�� SignaWreo/Owner rAU orizedAgen[ 7rin NamA Da[e �.................................................................�....................� ,..............................................................................................� REQLIIRED BASE INSPECTIONS * � PERMIT FEES ` I ��t�I *Additional insPections may be reyuired. c Filin�*/ Review � Rc-Review �[., E BaseInspections �q�1_ i �4.Lower Footin Rou h-In inal \� � c Cerl.of Occupancy O[her � pper Footing �et�rBase YJ Site � ; P.R.LF. � Unde slab -- � ' TOTAL _ � �� ; Reviewed/ eleased-� ep - n nnity5enices Da � ; FeeRe� ii' -Uepartmi uf mm niryServices Date� �...............G:.::....... '..........................................:.........: �..............:..:.............. .:.........................................................� S:�Pe�miiNOrmsNpplicationsVtesiDentiaNl.P ApplkaivM2009-OB Las�UpdvM OIVI3/i009