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
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- E-MAIL ADDR 5 ' BESf MEfH00 OF
CONTACf����J/���r�
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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 ��
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PROIECT �O7 NUMBER SUBDIVISION NAME � � SECfION
LOCATION I p��2N t�tu'�I
Sf���RE�� C7W�� � . /'- ,MpJ STATE `f"vV �
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TAX MAPPARCELNUMBER - �ZONI FLOOD ZONE/S
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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$ingle Pamily and Two Family D�vcllings this permit is valid only if cunstruc[im commences within IRO days of the date of issuance o(Ihis Permi[and
mus[be cumPl¢ted,having the Certi�rate of Omupancy issued�within IS months of the d5[e of issuanca Class 1 truchre Permits are subjeR to the SGte
o(Indiana Genenl Administnlirc RWes(GAR 6751AC 12)regarding exPiraUon time framcs(u b c mpleting constru tion.
1�the undersigned�agree t6at any rnnstruction�reconsvuaion�enlargem�penq, el rv ti ,or any change in the use u(land or
s�mcturesreyuestedbythisapplicationwillcomplywithand'conf , 1t����w����Indiamandthe"'/.oningOrdinanmofCarmel
Y�"
Indiana-1993"("l.-289)and amendments�adoPted under au[hority I y�General Assembly ofthe State of Indiana,and all Ac[s amwdalory
Ihereto. I further certify[ha[only kitchen,ba[h,and floor dreins are connecfed ro the saniGry sewee 1(urther certify that the cunstruclion will not be
used os�o�u�ied until a�ertifitate of Eup�a ` as been issued by the Department of Commumty crviccs�f�rtnel�In ana.
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SI aNre o!Owner or 1luthorrsetl [ PrIMeE Name Date
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REQLIIRED BASE INSPECTIONS * '• PERMIT FEES
*Additional insPections may be re9uired. : Filin�/ Review � Re-Revic�v
� �J/ : �Base InsPections I: ��
E ❑ Cower.Footing �'Rough-In Id yc,'�••al � � �O
J :� Cer[.of Oceupancy ��,J1_� pther
c ❑ Upper Footing ❑ Meter Base LJ Site
� P.R.I.F.
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;�Reviewed/Rdc sed- ePartmrnt of Cortununity Scrvires D e ; Fee IiecciveA-UePamm �f( mmunitv$ervires � r Dare ;
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