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HomeMy WebLinkAbout14070079 Application ; t' , 'a CITY OF CARMEL / CLAY TOWNSHIP �'d'PERMIT # �Y470 � � RESIDENTIAL[MPROVEMENT LOCATION PERMI'C APPLICATION Sewer / Water Utility � ' �noux� For New'$tTUCtures�Additions,Remodels,and Accessory Strucfures Permit# BUILDER NAME PHONE FAX oF �r� w� �2r r 7 -�l � c5 5C'� - $45( RECORD STREEfADDRESS � CITY SfA7E ZIP 1 N . � 2t4 ` C � � O33 � E- AIC ADDRESS BEST MEfHOD OF Ga...�. b r �01 �e�v 5't w� ✓�f,c-�o CONTACT 3i 7—`l�3 � � CJ PLUMBING NAME SfATE OF iNDIANA ^ ^ PLUMB[NG CODE � %r CONTRAGTOR LICENSE NUMBER /'J /� [a �RC � UPC I V / � PROPERTY NAME PXONE FAX OWNER � �t �- 317—`'ISCl—tf Z SfREEfADDRE55 CITY STA7E IIP I � a2Z Cr, �►2� L�r wtc� �= cND `�1 � �3z PRO]EC'f �or MBER �1 SUBDIVLSION NAME SECf10N LOCATION " /Q�Y ' ' � P.�D-CU�-�-LC�J✓ STR�Dfi✓ � ��V� � ` ��� L'CITY I/� (G� � �E �=cI.YJ��_ � � TAX�MAP PARCEL NUMBER • Ul 7 O ING FLOOD ZONE/S l� -3f- vl -o-7-ct��b c7 � 1�01¢ � i � � _ LOTSPL SEWER^UTILITY WATERUnTILIfY SEWER/WATER YES 4 N� GJ'�R�4'YI� CQ'(G �, B UTILITIESEX ATOR /I /'T TYPE OF TYPE CONSfRUCTION" M FLO RPU1N PERMIT SINGLE FAMILV � TWO FAMILY O TOWNHOME � YES 0 NO TYPE OFIMPROVEMENT EARLY RELEASE � NEW STS2UCTURE REMODEL ❑ ACHED GARAGE q ACCESSOftY BUILDING O ADDITION—�qRoom/s OPOrch O-0eck q BASEMENTFINISH DETACHEDGARAGE q DEMOLITION q YES q NO PRO]ECT P�N COMMISSION/BZA/BPW'DOCKET NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE TAC DATE/5 OF GONSTRUCTION, ���, � � � EXCLUDING LAND PDfPLANS �TYVle'OFFOUNDATION MANUFACTURED SUMPVUMP PORCH ❑ CD � E-MAIL Q SLAB Q BFSEMEM—O WALK-OUi TRUSSES � Q CRAWLSPAfF Q POST&�BEAM O PO5T&PIER . ES O NO 0 YES , NO CJ YES �tVO STATE��OF� . ��DRNUMBER ' RELEASE'�DATE CONST(�UCTIONTYPE OCCUPANCYCLASS INDIANA ���\� CDR SCOPE OF RELEASE ,S J�a(�o� TYPE OF RELEASE FOR70WNHOMES 4 FDN Q STR 0 ARCH 0 ELEC O MECH Q PLU � Ra�\L�'OTHE �(. 0`'x��'e ,ca��� Fq.. � � Por Single Family and'fwo Family Dwellings this permit is �p�p_r��,��9yvu �nQ within 180 days of thc date of issuance ofthis Permi[and must tie compkted,having the Cerdfcate of Occupancy issue��nv'�thin0 of t e olissuanee. Class 1 Structure Permits are subjeR to the Sta[e of Indiana Generel Administrative Rules(GAR 675_IAC 12)regardin �QR,Ci�i fr �for beginning and romPleting construction. I��he undersigned,agree that any construction�reconstructio�y,�KjS�����Q�a�n�r alteretion oPa structure�or any change in the use of land or stru�YUres rc u by this a plication will com 1 ith and c�q�fQ � 1 app e laws o(the$tacc of Indiana and the`Zoning Ordinance ofCarmel Indiana— ^(J 9) _a endments o der authq�3�C.36-7 et scy�Gencral Asscmbly ofthc S[a[e of Indiana�and all Acts amendatory �� there . 1 further e y t o kit n( and floor drai�are mnnected m the sinitary sewer. I further certify Ihat the construction will mt be us or o un ' Ce C�� s becn issued by thc Dcpartment of Communily Serviccs�Carmel�Indiana. ,l70U��-�S �- �a T(� ►^J � -�o`(` 519natu o� ero Au Apen[ rin[etlName� r Oate �......................................................................................� ;.............................................................................................; REQUIRED BASE INSPECTIONS ��FERMITFEES *Additional insp tions may be reyuir i Filing /Review � Re-Revie�v c 6ase.Inspections .13� , CO i ❑ Lower Footing Rough-In Final � . . c Cert.of Ocwpancy Other : ❑� Upper Foo[ing ❑ Meter Base ❑ Site ' P.R.LF. � ❑ Underslab � , TOTAL ; Review�ed/aR'etlezseh—DeParun�o�m[ySenices....�.IlbII�•i � FeR�eired—Departmen[o(CommunimServims O'/6 Ua[e ; i.............. ... ..... ......... .........i.r:,i....................................:......:..................................................� S:Wermu9FOrms\APPlica�inns�tesiden[uIVLP Applicution�2009.08 . last Updaeed Ofl1U2009 •'6