HomeMy WebLinkAbout14070056 Application �
��°'""� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # 7Ob y
RESIDENTIAL IMPROVEMEM LOCATION PERMIT APPLICATION Sewer / Wat r�Utility �
� �nm�xR�� For New Structures,.Additions,.Remodels,and�Accessory Structures Permit�$1�:h 7��
BUILDER NAME PHONE FA7(
OF uh r 9'�G 3 �/9'd S9
RECORD STREEf ADDRESS C1T' S7ATE 2IP
Yia. K lS h yl��fo
E-MAILADDRESS BEST HOD OF
CONTACT '
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PLUMBING� NAME STATE OF INDIANA PLUMBING CODE
CONTRAGTOR �(�� � y� LICENSENUMBEH �pL , a�GO!!'1 RC O UPC
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PROPERTY NAME PHONE p FAX
OWNER p S�I �c7�O / I9-a6•��
STREETA DRE55 CITY ATE 2IP
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PRO]ECT �OT NUMBER SUBD SION AME � SECfION.
LOCATION K �
STR E7 ADDRESS � . CITY STATE ZIP
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TA% APPARCEL NUMBER ZONING� FLOOD ZONE/5
7-0 -�3l� no- o5< vlb.. 000 > 7 ��� c,l
LO7�.SPLI7 SEWERUTILITY WATERUTILI'fY TII1yV UTILITI SEXECAVA70R I
q ves o No � TRU� � ff G�./
. TYPE OF T�E OF CONSTRU COrc�P���'���V ' rr� g MASfER PERMIT FLOORPLAN
PERMIT SINGLEFAMILY �1111�rG�� �'��QL+���T �'E� O YES �NO /�(/t���/ /L
7YPE OFIMPROVEMENT [ � EARLY RELEASE
NEW STRUCTURE ��� 01 COS���I�a�r�o�WNN H .o DEfACHED GARAGE 0 DEMOLITIONUILDING p YES�NO
..ADDITION-0 Roo P r
PRO�ECT PaNCOMMI55ION P -DOC R/S AND/OR ES7IMA7EDCOS7 SQUARE�FOOTAGE
7AC DATE/S OFCONSTRUCTION,
� EXCIUDIfiGIAND 3� p ��d2-
PDF PLANS O SLAB FOUNDATIQJJ( BASEMENT-O WA� LS Lt�i LC � ,7RU � RED SUMP PUMP PORCH
� CD � E-MAIL O CRAWLSPACE 'O POST&BEAM S��&PIER ES O NO �YES O NO YES O NO
STATE'OF �DRNUMBER RELEASEDAT ��, �� CONST ION7YPE OCCUPANCYCUISS
. i. �t� P ,.,,, :
INDIANA '
CDR SCOPE OF RELEASE TYPE OF RELEASE
FORTOWNHOMES O FDN C) STR O ARCH O ELEC O M 0 PLUM O SPKLR � OTHER
For Singlc Famityartd'7wo Family Ihvellings this Permit is valid only if mnstruRion commences within IHO days of the date of issuance of this permit and
must be completed�having the Certificate of Occupancy�issued�withio�lR monihs ofthe date ofissuance. Class I Structure Permits ate subject lo the Statc
of lndiana Gene�al Administra[ive Rules(GAR 675 IAC 12)regardinp expiration time frames For beginning and completing construRion. �
I�ehe undeisigned,agree.that any constructiiin�rcconstruc[ion�enlargemenq relocation�or alteretion ofa structure�or any change in the use ofland or
struRUres reque3ted by this avPlication will comply with and conform�to all applicable laws of tfie State of indiana and tke°Zoning brdinance oFCarmel
Indiava-1993"(Z-289).and amendmenta�adopted under auffiority ofI.C.36-7 et sey�General Assembly of tfio State of Indiava�and all Acts amenHatory
Iherem. 1 further.cer[ifv that only kitchen�bafh�and Iloor drains are conncetal to the sanitary sewer. I Further certify�that the cunstruction ill not be
�used o ccupied until a C¢ tifipt of Oecupanry has been iesued by the Dep/a�tmentnofCommumt Ser3��s�Carmel,Indiana.
� � �II � f �aoL'u� . �,�'I�r�Si' d �/ , 2//
SignatEnm of Owner o Au onz¢E pg¢np� P�d Name Dafa
�......................................................................................� ,..............................................................................................�
REQLIIRED BASE INSPECTIONS * � PERMIT FEES
*AdditionaCinspections�may bc required. : Filing/Review ��� Re-Rcview
i-Qaselnspections ��!�
:�Lower Footing �r Rough-In � Final � �
�f : Cert.of Occupancy Other
IIPper Footing �' Meter Base l)(l' Site �g�'"'7 M
� : P.R.I.F. l./lJ
' ❑ IInderslab r�
TOTAL ���,3�• a)�
-�il�l ti �. � ., � �j� Itj : ; �rY, �I,U.L °7 -i b-I '1° €
� Reviewed/ eased-DepvmientolCommumeySemces. Dare � ; Fee eceived-Dep rn n!C mmuni[ySenices �-Date •
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