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
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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
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