HomeMy WebLinkAbout14050095 Application Y��IP
- `�°"i"'�� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # IY�S�OYS
RESIDENTIAL IMPROVEMENTlOCAT10N PERM[T APPLICATION Sewer / Water Utility
�xoux� For New Structures,Additions;Remodels,and Accessory Structures Permit �$ � � � �3
BUILDER NAME � � PHONE /� ' //�, F/U( , p/
OF Cof Gn1LC�CCta�l"L � D� L� �I7-d�r7-Y��;� �3/�-�'`a�J-I4�I
RECORD STREET ADDRESS CI7Y STATE ZIP
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PIUMBING NAME E EASED FO NDIAN PLUMBINGCODE
CONTRACTOR � n�eC�J�' � to com liancewiih all ��NUMBER��` i���b p�)
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OWN R TM Nl.o�O nac.-t� Ci.US�.`�o a NI � -�/- `1�O F v')�7 -�7-�Y�'I
ST,EET ADDRE
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PRO]ECT �OT NUMBER SUBpIVISION NAME� gE?7�ION
LOCATION I C%P r l�_ o<
sr�`1�RE55$ra.0 e r �c�/� �ie�1 r,�� 1� �lo�-�
���P�E;NUMBER � ��}\ D��/ � � ZONING FLOODZONE/S
� V�% lJ
LOT�PYES O NO SF,1�NEuR�� I I ,�WqTER�� SEWER/WATER � /��1 ��
�� �� �� U7ILITIESEI(CAVATO . `y� l
11
TYPE OF T�E OF CONSTRUCfION MASTER VERMIT FLOORGLpN `-
PERMIT �NGLE FAMILV O 7W0 FAMILY Q TOWNHOME Q YES O NO �AV GL/-�-L L�
TYPE OFIMPROVEMENT EARLY RELEASE
�NEW STRUQURE C� REMODEL � ATTACHED GARAGE O ACCESSORY BUILDMG
� ADDITION-Q Room/5 q.Porth q Deck � BASEMENT FINISH O DETACHED GARAGE O DEMOLITION �1 YES q NO
PRO7ECT P�N COMMISSION/BZA/BPW DOCKEf NUMBEfl/S AND/OR ESTIMATED COST SQUARE FOOTAGE
TAC DA7E/5 a URION, �� flll�l �
X LAND VL�V �
PDFPLANS TYPE OFFOUNDATION A URED SUMPPUMP PORCH
❑ CD � E-MAIL 4 SIAB , ,$BhSEMENT-�WA 7NUS
Q CRAWLSPACE O POST&BEAM R YES �=NO 5 O NO S � NO
STATE OF CDR NUMBER RELEASE DA N ION TYPE OCCUPANCY CLA55
INDIANA
CDR SCOPE OF REIEASE By TYPE OF RELEASE
FORTOWNHOMES O FDN � 57Tt O ARCH CJ ELEC O M _
For Single Pamily and'P�vo Family Dwcllings this Permit is valid unly if construction mmmences wilhin 1RO days of the dafc of issuance ofthis Permil and
must be comPleted�having the Certificate of OccuPancy issued�within IB months o(the dale ofissuance. Class 1 Structure Permits are subject to the Slate
of Indiaw Ceneral Adminis[ratire Rules(GAR 675 IAC 12)rcgarding expiration time Games fnr beginning and romplcting mnstruction.
I,the undersigned�nKree[hat any tonstructioq recons[ruc[ioq enlargemen��reloca[ion,or alterztion ofa stru<ture,or any chan�.c in[he use of land or
strne[ures reyuested.by thispPPiica[ion will comPly with and em(orm in all applicable laws uf[he SUte n(Indiana and the°Zonin6 brdinanee of Carmel
Indiana-1993^(Z289)and amendments,adoptcd under authori[y of 1.C.36-0 et seq,Gencnl Assemhly of thc Statc of Indiana�and all Acts amendntory
thereto. 1 further certi(y that only ki[chen�bath�and Iloor drains are cronnecled[o ffie sanitary sewee I(urther certify[hat the�'onstruction wili nol be
usedorcecuPieduntil CertificatcofOccupancyhasbeenissuedbytheDepartmentofCommunihSen•i�ts�Carmel�Indiana.
/�rl/�� A/p w�m� -� � S�- a -��/
re W AuNOrized Agent Vrint¢d Na pa� J
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REQL[IRED BASE INSPECTIONS * '• PERMIT FEES I r ' I
*Addi[ional inspeclions may be re9uired. c Filinp/Revicw t Il�- �l�]�L Re-Revicw
�,[ : Qase InsPections zji��, �)
3 I�Lower Foolin�+ 12Y Rough-ln � Final ; Cert.of Occupancy o� Other
/ �,11 �
:�UPPer Footing � Meter Base �Y Site ' r�-`J
I L I � P.R.I.F. ��1L' � �
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: � 7OTAL ,
aa
' Ueparvnem nf C ' • ' [
; Re�iea�ed/Re(eaced— ommumty Servicen Uate ; Fee Heceived—I e m t of Commu+�itv Senices I ate
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