HomeMy WebLinkAbout14070067 Application `��"`:"�� CITY OF CARMEL / CLAY TOWNSHIPV�'`�ERMIT # -O � DC��7
- RESIDENTIAL IMPROVE.'NENT LOCATION PERMIT APPLICATION Sewer / Water Utility
� �xaux� For New�Structures�Addilions�,Remodels�and Accessory�Struclures PCimit�$���
BUILDER NAME PHONE FA%
oF PUI�e NomdS 3i�-5�5 -a35�x �os 3��-St�► -7�Q
RECORD STREETADDRE55 CIiY SfATE ZIP
I 159 N, Mu��1i�„ �, -k1S� GGrw�o,1 • SN �+!G/3�
E-MAILADDRE55 BEST ME7HOD OF
SU���Pi/ ���.�,� C� CONTACT
�ma, �
PLUMBING NAME $iATE OF INDIANA p L PLUM� �BrING COUE
CONTRACTOR �T MDO�� LICENSENUMBER CO p I� J�O,S II�lIRC Q UPC
PROPERTY NAME PHONE FA%
OWNER Pc�l � �d�.� 3�7-5�5-�3,� 3i7�5ff�" 7J��
STREET ADDRESS CITY STATE ZIP
S � wLv� a.�,. Sj, t�-s�0 Ca�,..�� �N 460�>
PROJECT ��T NUMBER SUBDIVISION NAME SECfION
LOCATION 1 �;��a o& W��- U � vo �v -c
STREEfADDRE55 , C STATE ZIP
I� ��S /"1�o� s d pi, ,,� Gcr� I'N y603�
TA7(MAP.PARCEL NUMBER ZONING FLOOD ZONE/5
17-Oq-�A-00- - niti, 000 5� �
LOTSPLIT �SEWERU7ILI7Y WATERUTILITY SEWER/WATEN
CJ YES O NO �+ 'q ��� �„��� U7ILITIESIXGVATOR p� M,�.�
r i ��u�
TYPE OF TYPE OF CONSfRURION MASTER PERMIT FLOORPLAN
PERMIT �SINGLE FAMILY Q TWO FAMILY O TOWNHOME CJ YES q'yfCO C,aM �
TVPE OFIMPROVEMENT EARLY RELEASE
' f3"NEW STRUCTURE C,l REMODEL � ATTACHED GARAGE 4 ACCESSORY eU[LD[NG
O ADDITION—� Room/5 C)Porch �Deck OBASEMENT FINiSH O DETACHED GARAGE O DEMOLI710N O YES U]�fVO "�
PRO7ECT P�N COMMISSION J BZA/BPW DOCKEf NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE
7AC DATE/5 . EXC UD NG LANDNI 3S )�O D U � /g D
PDFPLANS TYPEOFFOUNDATION MANUFACTURED SUMPPUMD RCH
� CD 0 E-MAIL O CRAWLSPACE � POST&EBFAM❑W�QOPOST&PIER TRUSSES�YES � 1�Yfs � �YES 4 NO
STATE OF CDR NUMBER RELEASE DA7E CONSTRURION O UPANCY CLASS
INDIANA �O�Q
CDR SCOPE OF RELEASE F ELEASE
FORTOWNHOMES Q FDN O SiR O ARCH 0 ELEC O MECH O PLUM Q $PKLR OTHER
U
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For Sin Ic Famil�and 7wo Famil�Dwcllin s this ermit is v r� � mm
g ) y g P � �io ences within IRO d �ate of issuance ofthis Permit and
mustbewmpleted,havingtheCertificvtcofOccu }� � � m�R,�o¢ tyfthe fissuancaClasslStrucWrePCrmitsaresubjecttotheState
oflndianaGeneralAdministratibeRuleA(CAR67�'�^}�^,�' pq��,K2}o�� ginningandmmpletingc�mxtrution.
I�[he undersigned,agrec t5at any rnnstructiun�recon�o � G �o���tion of a structure�or any change in the use of land or
structures rcyuested by this aPPliwtion will comply with and� ��� a ws o(the SGre uf Indiana and the°%oning Ordinanee of Carmel
Indiana—1993^(Z289)and amendments,adopted un�t�ri ql'�Q..S���q�General Assembly n([he State of Indiana�and all Acts amendatory
thcrcto. 1 fvrthcr ccrti(y that only kiceheq ba[h�an� r�p1_�dti,�bfipaq(�j�thc sanilary scr'cr. ITurthcr ccrtiLy[hat thc construction H�ill nac bc
usedo occuPieduntila erti6uilcofOccu�ancvh n uV�Ihytpti��ia�imen�ofCommunityScrvites,Carmel,Indiana.
.7� ��.�wf� �'� S k�ekt-� S v�c�e�e.— I /�/
Sig Wreol erorllutharizedqgen[ PrintedName W�
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REQUIRED BASE I SPECTIONS * � PERMIT FEES � �� �O
Addilional insPec[� ns may be requirec E Filin� /Revic�v � C� Re-Revie�v
: 6ase InsPections �U�� ✓�
E �y'`� r Footin� ough-In Final /^.� �
�/ ' Ccrt.ofOccuPancy '� � Other
i l4 Upper Footing Meter Base �Site 1 Q !� � ��
� P.R.LF. L.f]_�_
� ❑ Underslab T�T.4L o�_q� 1 '
; Re�ie�ved/R leased— )e�wt :ent:dC mmunity Senices �Da� � Fee Re�xired—I)e rt t f Commwity$enices IJate
E 7 � � i :
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�y\Permus\PormslAPOiica�ionlVteside�NLP Ap0lication�2W9.08 Isst UpdvalOA/13/2009
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