HomeMy WebLinkAbout14050195 Application `����""�"w� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # lyOSal`Is
� RES[DENTIAL[MPROVEMENT LOCATION PERMIT APPLtCATION Sewer / Wat�/er UHIi
�noi�x� For New Structures,Additions,'Remodels,and Accessory Structures Permit$� �7�5��
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PLUMBING NAM R� STATEOFINDIANA PLUMeINGCODE
CONTRACTOR � 1 W�� LIGENSE NUMBER IRC O UPC
PROPERTY NAME � PHONE � ^ � � � �
OWNER �`9
SfREETADDRESS CITY STATE ZIV
PROJEC'f LOT NUMBER SUBDI SION NAME SECTION
LOCATION � � 'P�C2�� � � I�
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TAX MAP PARCEL NUMBER ZONING FLOqDZOyF/5
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LOTSPLIf SEWE� WATER� SEWER/WATER
CJ YES 0 NO `��� U7ILITIES E%CAVATOR ���
TYPE OF EOFCONSfRUCfION RELEASED F R E PERMIT F RPLAN
PERMIT ��NGLE FAMILY O lYVOg�YtO COm , n��W�MI�RMGgu12li0fl YES Q NO �7.�i ,
E OF IMPROVEMENT of/S�tat{e�and Local C(o�d(esC p �+ ENRLY RELEASE
O A�IT[ON�ORROOm/s CaP11�TrineciciOlYl�hBINiSMIC�JDETACHEDGARAGE � DE OLITIONUItDING
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PRO]ECT P�N COMMISSION/BZA B ATED COST SQUARE FOOTAGE
TACDATE/5 INDIANA � EXC UD NGLANDN �W"�� ��
PDFPLANS 7YPEOFFOUNDATIO MANUFARURED SUMPPUMP PORCM
O CD 4 E-MAIL O SIAB EMENT—CaWALK-OUT TRUSSES
. � � CRAWLSPACE Si&BEAM O POST&PIER �O YES �NO YES 0 NO YES 0 NO
STATE OF �DR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLA55
INDIANA
CDR SCOVE OF RELEASE TYPE OF RELEASE
FORTOWNHOMES � FDN O 5TFt 4 ARCH 4 ELEC Q MEdi O PLUM O SPKLR O O7HER
For Single Family and Two Pamily Dwellings[his Permit is valid only if consVUClion commences H�ithin I80 days o([he date of issuance of[his permi[and
must be mmPle[ed,having the Certifip[e of Occupancy iESUed,avithin IS months of the datc o(issuance. Class I Structure Permits are su6ject to thc Stite
o(Indiana General Administraeive Rules(GAR 675 IAC 12)regarding expiration time framea for beginning and completin�.tonstrucYion.
I�the undersi�. d, ree that any constructioq reconstructioo�enlargement�rebeation,or alternHon of a strucYUrq or any thanKe in Ihe use nf land or
s[ructures req este hy s aPP'� tion will comply with and con(orm to all applicahle laws of the$tate of Indiana and the Loning ardinante of Cartncl
India —1 (Z-2 9 nd amen ents�adoptcd under authority o(l.C.36-7 ct sey�Gencral Assembly ofthe SGtc of Indiana,and all Acts amendatnry
re . 1 f rt .c i that only 'tchen�bath�and floor drains are conn¢ted to the sani�ary sewer. 1 further cer[ify that the consVUC[ion will not be
use c Pi � til a ertificat f OccuPancy has hecn issued by Ihe Deryy[inent of C mmuniFy Scrvices�Carmel�Indiana.
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REQLIIRED BASE INSPECTIONS * '• PERMIT FEES
*Addi[ional inspections may be rec�uired. E FilinP /Review � -� Re-Revic�v
i Base InsPections 27
:�ower.Footing Rough-In F�nal 0
�� � � • CerL of OccuPancy �6�•S Other
�UPper Footing /Ly�Meter Base ❑ Site �
� - ? P.R.LF. G79. t1O
� ❑ Underslab
TOTAL Z y�'I•Dy
€ : ; �� f � €
; Heviwe /Relees.d—DepurtmenrofG�mmunityServices Date ; ;.Feeliece ed—DepartmenAO(Communi[y5ervices Dare ;
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