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HomeMy WebLinkAbout14070082 Application � - . ' `fi�""�`"�� ' CIT'Y OE CARMEL / CLAY TOVVNSHIP� PERMTT # I�-1�� ��.�a �RESIDENTIAL IMPROVEMENT LOCA770N PERMIT APPLICATION Sewer / Water-Utility �xoux� -� For New Stiuctures,Additions,Remodels;�and Accessory�Svuctures Permit#$�I BUILDER na"'E . IL � vHONe Fp7( oF �5 G rla�r �f 7-7/H-l�/ RECORD ��STREETADDRE55 CITY� STATE _�, � ZIP��� (�oa E. �5� � 5�� y� �s � 6 E- AIL ADDRESS BEST MEfH OF ��,f.yl � �✓I���IlAVlL<M��i��� • CPP✓� CONTACT �({ � I r PLUMBING NAME /'� SfATEAF INDIANA PLUMBING CODE CONTRACTOR �( 1�3'b1h� J' � S� �ICENSE NUMBE O 9 O IRC O UPC PROPERTY _ ,"aME � '� ` F� OWNER I% STREET ADDRE55 J �. STA ZIp PROJECT LOT NUMBER SUBDIVISION NAME SECTIqN LOGATION �9 Ov�-/bPflflk ^''—�—.--- � STREET ADDRESS , CITY STATE ZIP l�(���7 �ve.�r��k ,���'�� �n• � l yiv `/6d7�i TAX MAP PARCEL NUMBER ZONING FLOOD ZONE/S ✓ i�7-U9-1�1-vU-d3- 05�. �O fl � ��,,.�/-,�,�o� LOTSPLIf SEWERpTILITY WATER�UTILITY �SEWER/WATER // 0 YES O NO GL C(j�^-,e UTILI7IESEXCAVATOR �, .Y�� �1 TYPE OF T�'PE OF CONSTRUCTION MASTER PERMIT FLOORPLAN PERMIT ��NGLE FAMILY O NJOfAMILY O TOWNHOME O YES NO �,�,rM� ,� ��E OFIMPROVEMEN7 EARLY RELEASE (b IVtW STRUCTURE O EMODEL O ATTACHED GARAGE O ACCESSORY BUILDING 0 ADDITION—O Room/s � POrch �-DeCk � �&45EMENT FMISH O DETACHED GAR4GE q DEMOLITION O YES�•NO PRO]ECT P�N COMMISSION(BZA/BPW DOCKET NUM ER/5 AND/OR ESTIMATED COST �y SQUARE FO/OTAGE TAC OATE/5 ��UD NG LANDN� `^ � ����j VU'-' �I E7 PDFPLANS TYPE OFFOUNDAT N MANUFACfURED -SUMPPUMP PORCH ❑ CD O E-MAIL � SL48 B0.SEMENT—O WA[K-OUT TRUSSES�/ q CRAWLSPACE O ST�&'BEAM q POST&P[ER �yr YES q NO �YES O NO VES O NO STATE OP �DR NUMBER RELEASE DA7E \O CONSfRUCTION TYPE OCCUPANCY CLASS INDIANA � '���'� �s '— CDR SCOPE OF RELEASE c��(�\ e���a S TYPE OF RELEASE FORTOWNHOMES 0 FDN O 57R q ARCH 0 WYI\�� �l � LR q OTHER � . �\�a����,o°� `� c a�For Single Pamily and Two�Family D s�h� �r�t �,f mnstruction cummences within 180 days o(thc date of�ssuance of this permit and must 6e completed�having the Cert�t�'O�cfl���s e�'��n IA months of the daie of issuance. Clas>I Structure PermiFn are subject to the State of Indiana General Administrative Rules(G�7�A �����i�.expiration.tim f'rames for beginning and completing construchon. I�the undersigned�aKree tha[anp construc �I,?cp�,f����largement,relocation�nr.altemt�on ofa structure�or any chan�.c in the use oflan<i or strocYUres requested by this aPPlicacion' op�1y�:�rth an conform to all�aPPiicahle laws ofthe S[ate oflndiana and the"7omng brdinance o(Carmel Indiana—1%%^(Z289)�and amendments,a te��undei auNiori[y oll:C.36-7 e[sey�General Assem6ly ofthcSGte of Indiana�and a71 AAS aroendatoty [l eto. I(urther certify that y ki[che th�and�9oor drains are connected to the sanitary.se �er. 1 further.certify that the construction will not be us occuPied unlil a . r[iFip[e of Occu ianc .has been issued�by the D rtment o(Co mty ces;Carruel�7ndiana. ' �rz,. �;'����s 7 iy �y SignaWreo/OwnerorAUMOtizedAgenG PrintetlName - Date � ♦ l� r...................................................................................... ......:...:.:�.........t...:....................................................................� REQIIIRED BASE INSPECTIONS * ' PERMIT FEES *Additional��,inspections may bc re9uired : Filing�F Review -�� . 3 ,��-� Re-Review �// �// E Base.Inspections 3 a�7. �o : IJ ower Footing. rIQ-" ough-In �l �^3 5p� ' Cert.of Occupancy � Other . �Upper�Footing- �eter Base �te C•r� .: P.R.I.F. �� . � ❑ Underslab (, , , TOTAL ,� E �',(}s..a /'7/ 7���5� ; `/ � �� 1 l ;�.I2eSewed/'Rel �partm nc' lC [y5enices � "t � ; •, Pee�cei-d � Dep rt e tofCommw�a Sern D e .. ... ......... ......... ........................ ............. .......... ......... ....:.... .........................�7.Z............i 'S�Prmns�FO �Appl¢aiionsVtadewNLPAppict�oo@009�08 LastUpdareA08/13/Y�09