HomeMy WebLinkAbout14070150 Application J����'�t�
� ra"'� CITY OF CARMEL / CLAY TOWNSHIP PE IT # I�`jC� ��7(�
RESIDENTIAL�IMPROVEMENT LOCATION PERMIT APPLICATION / SeWer / Water Utili�
� �noua� For New Structures,Additions,Bemodels,and Accessory Structures V� Permit $����--��O�O �'
BUILDER +�!-�� � / /�
OF NAM� , I 1✓ �U( I' Wl.l �' . �PHON��— ���r F �� /O��
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RECORD STREE7ADDRESS I � / STAT ZIP
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E•MAILADD/0.�ESS' BEST.METHOD OFn ` , Q.� �
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PLUMBING M -� STp7EOFINDIA PLUMBINGCODE
CONTRAGTOR I � ' � � ' LICENSE NUMBER /� �]( IR O UPC
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PROPERTY NAME PHON
OWNER � 1�O✓- ZM� �I ��_ � �� `� � �S �
S7REEf ADDRE55 C t, C� ° STA7E ZIP
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PRO]ECT LOT NU"�ER YBD VISION AME <� \1`� ECfION
LOCATION � 7� �IQ���(7� �'1Q �� . �v
S7RE "ADDRESS , ITY STA7 ZIP
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TAX MAPPARCECNUMBE -���. ZONIN FLOOD2/0N,�5
�'I- - �_a .pl�-o38� �0� � unZ5V1f�G�
LOTSPLIT 5 ERU7ILITY WAT UTILI7Y SEWER/WATER /
O YES O NO �''�-� UTILITIESEXCAVATOR ��� G �� II
T� J
TYPE OF T,/��'P�E OE CONSTRUCTION MASTER PERMIT FLOORPLAN
PERMIT �fi.��NGLE FAMILY � PNO FAMILY p TOWNHOME CJ YES QLPIO
TYPEOFIMPROVEMENT EARLY RELEASE
�W STRUCTURE O REMODEL �� ATTACHED GARAGE � ACCESSOftY BUILDING
O ADDITION-O Room/s q Porch q�Dec FINiSH ❑ DETACHED GARAGE O DEMOLITION O YES l�
PRO]ECT P�N COMMISSION/BZA/BPW DOCK E / qD1p E D COST SQUARE FOOTAGE
TAC DA7E/S 1 . EXC NG LANDN� � QOO (,(�
PDFPLANS �SEOB FOUNDATION _EMENT-0 � ,,,�UL 2 4 2p� R � URED SUM UMP� DORCH
O CD O E-MAIL � �WLSPACE O' POS'f&BfAM � PO5T&PIER 0 YES � f�'y ❑ NO �5 0 NO
STATE OF �DR NUMBER RELEASE D BTE CONST CTION TYPE OCCUPANCY CLA55
INDIANA y
CDR SCOPE OF RELEASE TYPE OF RELEASE
FORTOWNHOMES 0 FDN O STR � ARCH 4 ELEC � MECH O PLUM � SPKLR O OTHER
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For Single Family and Two Family Dwcllings[his Perm��(.�{...� �f yFconstruction rommevces wilhin 180 days ofthe date of issuance o(this Permit and
must be comple[M,havinP the Certificate o(O�•fcl�pancy issu�MQyiilvn�ofjths oFtfie date oPissuanca Class 1 Structurc Perm�ts are su6ject to the Siate
of Indiana General Adm�nistra[rve Rules(Cy��j�lk1�Y 2��S�flin�j��rTt4e+R�jrye Games for beginning�nd wmPleting innstruction.
1�the undersigned�a�ree tha[any.construcPG �l' nstau4t'7c�C�i1L�e�nFR't�ef��m�alteration o!a structure,or any change in the use uf land or
strucmres requcstcd by this appiication w�iil comp�'� /,�,(, .
/mt{�''and-oi��}i�m�p�l pad��� Jcipb� yJ(��,he Stale ofindiana and[he°Zoning brdinance of Carroel
Indiana-1993" Z.-289 andamendmenta�ado tedundeT'a��p�,r b(��'�S'��ynq�,�apcee C( le��e h71 oftheStateoflvdiana�undallAc[samendamry
ther . urth(r tcrt Cy ffiat only kitchen�6 ah�and lloor d�fY�e coYih�{�[�t�oqav O �4Yr.yI further certiCy that the ronstruction will.mt be
se�br o vpi nt 1 a Ccrtificatc of OccuPancy has bccn iss¢pd„�'� .�,. �6A� Co . Scrvims,Carmcl�Indiana.
� 0.t,1�/l� 7�as
� FLifS�� � /^,,, _
Sig reo�OwnerorAUNarizetlAgent � �Ptlntetl `
��4� Date
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REQLIIRED BASE INSPECTIONS * �'PERMIT FEES
*Additional insPectio�s may be required. � Filing/Review �._�t���O Re-Review
° � E Base Iuspections �O � �
:� Lower Footing� � Rough-ln �Final ; Cert. of OccuPancy �w��c/�� Other
•� UPper Footing `��Meter Basc �Site
� P.R.I.P. I. $`{-`�: Ob
� ❑ Understa6 TOTAL .���� ' �6
tr��-�--- ��� �_�r��f-�ct.l�G 7 -3b-- I1—��
j Iie.�ie�veil�7Hel�ed—.DepaitmentufCommuni[yServicex Uate� � FeeReceived—DePart- . t� Commu�ityServices Dale
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S:�Permin\FOrma\ApplicatiwslResidenfulVLP Applicauon�2009-OB La}�Uj�da�M OW I3/3W9