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HomeMy WebLinkAbout14070125 Application �.. ��m��`i. �""� CITY OF CARIVIEL / CLAY TOWNSI=IIP PERMIT # I �� C�I�� � RESIDENTIALIMPROVEMENTLOCATIONPERMITAPPLICATTON Sewer / Water�Utility �roux� For New Structures,Additions,Remodels,and Accessory Stiuctures � Permit�` BUILDER NAME � PHONE FA% oF a � � �3y-.�os.� -���s� ��;.� RECORD �REETADDRES$ C1TY` STATE ZIP �Gtx� .� o� - �'� ��,D �� -��t/v ^ O - E-MAIL ADDR 5 ' BESf MEfH00 OF CONTACf����J/���r� 7 J PLUMBING NAME � STATE OF INDIANA PIUMBING CODE CONTRAGTOR � /��.Cj� ,✓� �CENSE NUMBER ` ��d2�3�-" O IRC O UPC PROPERTY NAME PHONE /� o FAX OWNER ! � Li,Lt 7� �D�'�'�Ob SiREETADDRE55 � ��I �� Y�. STATE �� 0 K��.d�i��•� PROIECT �O7 NUMBER SUBDIVISION NAME � � SECfION LOCATION I p��2N t�tu'�I Sf���RE�� C7W�� � . /'- ,MpJ STATE `f"vV � l,Gly v� TAX MAPPARCELNUMBER - �ZONI FLOOD ZONE/S _ b _2o-oa -�- ol�', wo � s �1,,�,.�� LOT SPLIT S UTILITY WATER UT-I•L,I,T,�Y SEWER/WATER � //' r� S Q YES 4 NO C l Wp�„ ��A W l �V I I �fiR�'S UTILITIES El( A R � (/ �� c TYPE OF T..r,/PE OF CONSTRUCTION MASTER PER IT O PERMIT �4J SINGLE FAMILY 4 TM'O FAMILY Q TOWNHOME O YES NO ���Q TYPE OFIMPROVEMENT � EARLY RELEASE O NEW STRUCrURE ❑�C EMODEL O ATTACHED GA ACCESSORY BUILDING � ADDITION-�Room/s Q Porch O Deck. Qf BASEMENT FMISH O DhTACHED GARAGE , OLITION � YES 0 NO ' PRO]ECT PaN COMMISSION/BZA/BPW DOCKE7 NUMBER/5 AND/OR ESfIMATED COSf ,� i) SQUARE FOOTAGE TAC DATE/5 OF CONSTRUCf10N, / v �Q � EXCLUDING LAND � PDFPUINS 7VPE OFFOUNDATIO-N/ MANUFACfURED SUMVPUMP PORCH ❑ CD � E-MA[L � SLAB I;p BASEMENT-0 WALK-OUT TRUSSES / O CRAWLSPACE 4 Po��BEAM O POSf�PIER O YES CJ ND fd YES 0 NO O YES � NO STATEOF �CDR�NUMBER RELEASEDATE CONSTRUCfIONTYPE OCCUPANCYCLASS INDIANA CDR XOPE OF RELEASE TYPE OF RELEASE FORTOWNHOMES 4 FDN Q STR � ARCH 0 ELEC O MECH O PLUM � SPKLR O OTHER � For$ingle Pamily and Two Family D�vcllings this permit is valid only if cunstruc[im commences within IRO days of the date of issuance o(Ihis Permi[and mus[be cumPl¢ted,having the Certi�rate of Omupancy issued�within IS months of the d5[e of issuanca Class 1 truchre Permits are subjeR to the SGte o(Indiana Genenl Administnlirc RWes(GAR 6751AC 12)regarding exPiraUon time framcs(u b c mpleting constru tion. 1�the undersigned�agree t6at any rnnstruction�reconsvuaion�enlargem�penq, el rv ti ,or any change in the use u(land or s�mcturesreyuestedbythisapplicationwillcomplywithand'conf , 1t����w����Indiamandthe"'/.oningOrdinanmofCarmel Y�" Indiana-1993"("l.-289)and amendments�adoPted under au[hority I y�General Assembly ofthe State of Indiana,and all Ac[s amwdalory Ihereto. I further certify[ha[only kitchen,ba[h,and floor dreins are connecfed ro the saniGry sewee 1(urther certify that the cunstruclion will not be used os�o�u�ied until a�ertifitate of Eup�a ` as been issued by the Department of Commumty crviccs�f�rtnel�In ana. /�i'�!�/�.b �����ca.l� �v1L��c.s �d��n91'i��� �07�'JD/ SI aNre o!Owner or 1luthorrsetl [ PrIMeE Name Date �......................................................................................� ;.........:.....:.............................................................................� REQLIIRED BASE INSPECTIONS * '• PERMIT FEES *Additional insPections may be re9uired. : Filin�/ Review � Re-Revic�v � �J/ : �Base InsPections I: �� E ❑ Cower.Footing �'Rough-In Id yc,'�••al � � �O J :� Cer[.of Oceupancy ��,J1_� pther c ❑ Upper Footing ❑ Meter Base LJ Site � P.R.I.F. � � IInderslab +� f TO,TpA,L� ' , �,")� I. � ; �',/1.�. ��,�, l ��Z4�� : ; 7'P�1MC� 7' �� : ;�Reviewed/Rdc sed- ePartmrnt of Cortununity Scrvires D e ; Fee IiecciveA-UePamm �f( mmunitv$ervires � r Dare ; �.................�............................................. ...... .........i r..............:.::................ ........:.................................................� S:�Ppmu��FOmisWpPlica�ionsVtesideotuNLPApPlicazion�2009-OS lsx�llpGazed OWI]rzOC9