HomeMy WebLinkAbout14070139 Application `�;""��� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # I _T O �,
'�� RESIDENTIAL IMPROVEMGNT LOCATION PERMIT APPLICATION Sewer / Water lItility ,y.,/
�noux� For New Structures,Additions,Remodels,and Acccssory StrucWres Permit#$-��n�U
BUILDER NAME PNONE FA%
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RECORD �TREE7AD RESS�Q CITY STATE ZIP
J��ogS 1-✓iCr 4 �'-Lp � S G1 Y�.1 �
E/-MA��IL ADDRE55 BEST MEfHOD OF
l/IC ✓li.S/�-/ �� � �G.�0 U r LO/n CONTACf Q f/
PLUMBING NAME SiA7E OF INDIANA PLUMBING COUE
CONTRAGTOR �V� ' � vq LICENSENUMBER /�O�/��JO9 Z IRC � UPC
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PROPERTY NAME P NE �
OWNER Ah /Li2S / 9�L �3 d/�' z�6S�f
SfREEfAD ESS CITY SfATE ZIP
3 � r ov� S s� / k Y�a o
PROJEGT �OTNUMBER SUBDI SION A E SERION
LOCATION / � �7� u c !L�
STR ADDRESS . CIfY STATE ZIP
Fl -PX' C-N � r _ h �/G 033
T MAPPARCELNUMBER ZONING' FLOODZONE/5
i�-�o-aa- �a-3�-o0� , aoo 5-/ HS�..��
LOTSPLIT SEWERUTILI7Y WA7ERUTILITV SEWER/WATER
O YES �f NO �f.. My I �V ��R I ��ES E%CAVATOR �� 4�ON
. TYPE OF TrPE OF CONSTRUCfION MASTER PERMIT FLOORPLAN
PERMIT SINGLEFAMILY q TNOFAMILY O TOWNHOME � YES Q NO �� (�..eN
7VPE OFIMPROVEMENT EARLY REIEASE
O NEW STRUCiURE 0 REMODEL O ATTACHED GARAGE 4 A«�SORV BUILDING
O,ADDITION-O Room/s 0 Porch �Deck O 845EMENT FINISM C] DETACHED GARAGE 0 DEMOL[TION O YES �NO
PRO]ECT P�N COMMISSION/BZA/'BPW DOCNET NUMBER/S AND/OR ESTIMATED COST SQUAREFOOTAGE
TAC DATE/S OF CONSTRUCRON, 3Fo, oo n � ���
� EXCWDING LAND
PDFPLANS TYPEOFFOUNDATI N MANUFACTURED SUMPPUMP DORCH
Q CD O E-MAIL O SLAB BASEMENT-Q WALK-OUT TRUSS 5
O CRAWLSPACE POST�&BEAM q POST&PIER YES � NO YES O NO /�S YES � NO
STATE OF CDR NUMBER RELEASE DATE CONSiRURION TYPE OCCUPANCY CLASS
INDIANA
CDR �OPE OF RELEASE ��(�*� TYPE OF RELEASE
FORTOWNHOMES O FDN 4 5?R O ARCH O ELEC. �UUM q SPKLR q OTHER
- �F , 11 ce8ulatmns
�m �
ForSinglePamilyand'lwoFam�ly. ����g�T�i�Y.3t'$,e�rmi`(R,B�� F.�Cp,�`�ruc[ioncommencesa'ithin780days • e�o �sstienC'eon;`t�risr� nd
must be completed,having the Certi�wte of�}D��V 'h,Q'���1�e jryq�s of the date olissuanca Class 1 L �e P�imi{sprG sutljectm t te
oFlndiana�GeneralAJminisvat�veRulcs� ��2�� 6U\4N.-�'S timcGames(orbey.inninsandc [ingmnstru�tion.
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I�the undcrsigned;aprec that any Ci�pi n, tr �� ��ar�.emenqreloca�iun�or almration ofa struct r any�han�c in the use of n r
svuctures requested by t6is appli�(�qp�l��i���nCorm tn all applicable laws o(the State of India a the��ont��r��m o el
Indiana—1993^(Z289)and amen ��}t dop[ed u ��� [y of I.C.36-7 et seq,General Assembly of lhc S[ o ndiena.and all A�YS amen atu
t6ereto. 1 furt6cr certi(y that only kitchen�6ath�an Iluur drains are conncaed to the sanitary sewer. 1 further rtiCy[hat the cons[ruc[ion will not c
used cuPied uni erti �te o(Occupancy has been issued by thc Dcpa ent of Com��m�u]�n�it�Y Servicc Car el�Indiana.
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SignaWreotOw rorAUthaSzedAgent VrintetlName ate
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REQIIIRED BASE INSPECTIONS * '• PERMIT FEES ' `
� �� `C
*Additional inspections may bc re9uired. : Filing /Review � Re-Rcview
�J/ J/ E Baselnspections -`.�1-l-�=1'�e
� I� L�+'er Footing I� ough-In �j�'al. /_3 .�
�/ ,.,/, ' Cert.of Oceupancy �O Other
i LS UPPcr Footing �Meter Base G ���e i p,R.1.F. I (' ��. OO
' ❑ Underslab TOTAL � J`TI �•
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� Reriewed/Rel azed—Departmen[of Community Semces �ate � ; Fe R e � — ��Communit��Servi�l�vf � Uate
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