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HomeMy WebLinkAbout14070029 Application f ���a�; CITY OF CARMEL / CLAY TOWNSHIP PERMIT # ��{'O�I OOarq RESIDENT[AL IMPROVEMENT LOC.4TION�PERMIT APPLICATION Sewer,/�Water�L7ltility ^/- �NOIFNp���� FOI'NCW SC�LLCLUiCS�Additions,Remodels,and Accessory Structures Permit#f� / �/�l(J BUILDER' nnMe PMONE FA7( OF � L 3; - 0�- 2Z' �1 - - ` 53 RECORD� �`�TREETADDRE55 � � � CIfY -� TE ZIP � b � � L E-MAIL ADDRE55 BEST METHOD Of CONTACT �iv� ¢ S L,c::o 3f 0 - 'Z PLUMBING NAME SfATE OF INDIANA P�UMBING CODE �7 LICENSE NUMBER Q CONTRACTOR RO'SS ��1�'1 UoN GO �GOS OOZ� O IRC O UPC PROPERTY NAME ��u�( F`� !)�i�.��.�. PHONE FAX OWNER u-7 S7REET DRE55 CTfY STATE I /ZIP 2`iS E i2.t , A Fs � SU '7' PRO]ECT ��7NUMBER SUBDIV7SION'NAME SECTION LOCATION E 5 oN ��.i4CE . STREET ADDRE55 . CITY STATE ZIP I�� Q K� NSiN T �! �Lr4c.E E;L �a. fl TAXMAPPARLELNUMBER'�b- �. „�jd �I , oCl�./�� .ZON�IN�G FLOODZONE/5 !i J l 11 •'I `, � � �°r LO75PLIT SEWER�UTILITY �WATERUTILITY SEWER/WATER � YES O NO `(�-� . � �r��. T-.,� UTILITIES EXCAVATOR ai M �12.Q�' L 1 � TYPEAF� T���E�OFCONSfRUCfION MASTERPERMI7 PLOORPLAN PERMIT QYSINGLE FAMILY q TNO PAMILY q TOWNHOME 0 YES q NO �TYPEOF.IMPROVEMENT EARIY RELEASE PtNEW,STRUCiURE .� REMODEL �ATTA6HED GARAGE 0 ACCESSORY BUILDMG q ADDITION-O Room/5 0 PorCh O Deck O BASEMENT FINISH ❑ DETACHED GARAGE q. DEMOLITION p YES O NO P_ROJECT P�N COMMISSION/BZA/BPW DOCKET NUMBER/5 AND/OR ESTIMATED'COST SQUARE POOTAGE TAC DATE/5 OFCONS7RUCTION, � � EXCLUDING�LAND �ID� UOU � ��Z�'j� , PDFPUINS TYPE OF,FOUNDATION MANUFARURED SUMPPUMP PORCH 0 CD .q E-MAIL ��SLAB O BASEMENT-�O WALK-OUT TflUS5E5 �� ! �CRAWLSPACE�� 0 POST&BEAM O POST„&P[ER �O YES �0 NO {tl YES q NO O YES � NO STATE OF �DR NUMBER RELEASE DATE n\ CONSTRUCfION TYPE OCCUPANCY CLASS INDIANA C����� � rd CDR 'SCOPE OF RELEASE {� (�ro . ��cQg��a80 E RELHIISEi_ PORTOWNHOMES -q FDN O STR 0 ARCH �{�.`N1E�F.�\'h9a,P £1 q 5 � OTHER � , tw�p �d�o�a . S . : \P � 2014 For Single Pamiiy and Two Famity Dwellings[his pe '�(��,�),�C�k�� �``T,f s � etion commences withi 180 days of the date of issuance oft is permit and must be comPleted,havinp the Certificate of O p�ytiS"s wlthtA'�munths ofthe date of issuan �Class I$tructure4ermits are subj cl to[he State of IndianaCencral Administrative Rules(G�S 1 Q��f ��ratlm time&amer for begin �md.- I A ¢ � �t �C �1�the undcrsigned�agree that any construc�q��in��uctio§�rgeme t�rclocatioq or al[eration o(a structure�or an 'rt Se of land or �structures roejucsted 6y[his aPPlication wil�4�ilwply with and conform�to all applicahlc lawe of the Sinte o(Indgna and the°Zoning brdinahce ofCarmel Indiana-1993"(Z289)and amendments.adoPfed under authority of 1.C36-7 ef sey�General Assembly of thc State of Indiana,and all Acls amendatory .thereto. 1 furthtt cercify that only kiic6en,bath�and floor drains are connected to the sanitary�sewerG 1 Furthc�certify that t6e construcfion will mt be used�or `'cupied until a Certificate of OccuPancy has been issued by the Depar[ment o(Community Sen�ces�Carmel�Indiana. /�i — 6� '1�� ��'i�'v[_e +� . 7_i�$ ST" �-� Si atu b/OwneYarAUtho' Agenc, PtintedName; Date �......................................................................................� ,:.............................................................................................� REQIIIRED BASH INSPECTIONS * � ''PERMIT FEES *Additional.inspections may be required. : Filing-/�Review SQ�$ • Z Re-Review ,�� ,�� �E:Base��Inspections 27•S� � � ❑ LoH�erFooting ld Rough-ln LS-Final 63 •3� ,�� ' Cert.of OccuPancy Other : J�Upper Footing �Meter Base �Site oU . � P.R.I.F. �/$Y7. .... ' ❑ Underslab TOTAL ` .��Y6. j2 - ' � Y a ��m �'{,Lll.. �7- !�- I�I i: Y.:.:. ........P.....- " ........ry............ ..... ........ r ..+�.��• ...-..art� nto Cot�wunity Services —� •, ' R ewed/Rele d e artment of Commwu Scrv�ces Da e Fee Rece ul � ... . . ........ .............................................i S:V'ertnusUrrmsWppGcationsViwiden[uNLPAppGCntion�2009-OS - Las�U4tivedOB/132009