HomeMy WebLinkAbout14070078 Application � _
I� _� � .�` CITY OF CARMEL / CLAY TOWNSI�IP PERMIT #
RESIDENTIAL[MPROVEMENT LOCATION PERMIT APPLICATION Sewer / Water LItilitY
��.oi�x� For New Structures,Additions,Remodels,and Accessory Structures Permit$�
BUILDER NAME PXONE FA%
OP J�re ' �' 317-? - S
RECORD STREE7ADDRE55 IfY STATE IIP
,'h b t e
E-MAIL ADDRESS BEST MEfHOD OF
l M L ONTAR J� '
/
PLUMBING NAME SfATE OF INDIANA PLUMBING CODE
CONTRACTOR � LICENSE NUMBER IRC Q UPC
PROPERTY NAME PHONE FA%
OWNER i�
STREEfADDR S CITY STATE ZIP
/ 0 i i � (l CAr % 0
PRO]ECT ��TNUMBER SUBDIVISIO NAME SECRON
LOCATION 3� � �
STREET ADORE55 . CIfY STATE ZIP
U �'sS�'n ec,.� � � e I 1"-N � o
TA%MAP PAR EL NUMeER ZONING FLOOD ZONE/S
` .. �. . a . «� s -.i
LOTSPLIf SEWERUTILLTY WATER�U7ILI7Y SEWER/WATER
❑ YES ❑ NO UTfLITfES EXCAVATOR
TYPE OF T�TE OF CONSTRUCTION MASfER PERMIT FLOORPUIN
PERMIT OG SMGLE FAMILY � PNOFAM[LY O TOWNHOME 4 YES 4 NO
TYPE OFIMPROVEMENT EARLY RELEASE
� NEVJ STRUCTURE q REMODEL � ATTACHED GARAGE q ACCESSORY BUILDWG
� ADD[TION-�Room/s Q Porch �DeCk �BASEMENT FINISH Ca DETACHED GARAGE � DEMOLITION ❑ YES � NO
PRO]ECT P�N GOMMISSION/BZA/BPW DOCKET NUMBER/S AND/OR ESTIMATEU COST SQUARE FOOTAGE
TAC DA7E/5 CONSTRUCTION,
RECEASED FOR CONSTRUCT LUDING LAND S /�/DO
PDF PLANS TYPE OP FOUNDATION Su �ect to comp iance wi a regu a io Sp�pryUFARURED MP PUMP PORCH
4 CD 4 E-MAIL O SLAB EQ BASEMENT-Q�A� �l�j��pC2I CAdBS TRUSSES
O CRAWLSPACE 0 POST l�YE$ O NO R4,YES � NO O YES � NO
STATE OF �DRNUMBER S A - RULTIONTYPE OCCUPANCYCLASS
INDIANA CITY OF CARMEL/CLAY TOW I � � i_
CDR �OPEOFRELEASE " �; . TYPE E0.4@� L ' LS
FOR70WNHOMES 4 FDN Q srn 4 ARCH Q ELEC O MECH O PLUM O SPKLR O OTHER
2014
For Single Family and 7'wo Family Dwellings this permit is valid only if construetion commenees within 180 da��s o(the ate of issuance ofthis Permit and
must Ae complered,having the Certilieare ofOccupancy issued�within 18 months oCthe dace of issuance. Class 1 Struc re Pertnits are subje�t to the Sbte
of Indiana General Administretivc Rules(GAR 675 IAC 12),regarding ezpiration time Games for beginnin�.and comple Re�
1�the undersigned�agrce that any construction,reconstruction�enlargemenq relocation,or al[cradon o(a structurq or any c ange m
s[rutlures rc9uested by this appiica[ion will compiy wi[h and conform M all aPPlicable laws ofthe State of Indiana and[he"Loning brdinanee of Cartnel
Indiana-1993^(Z-289)and amendmen[s,adopted under authority of LC.36-7 et sey�GeneFal Assembly of[he Sta[e of Indiana,and all Acts amendamry
thereto. I further certify[hat only kiMhen�ba[h�and Iloor drains are connecled to the sanit5ry sen�er. I(urther wrtify that lhe conslruction wili nol bc
used or oceupied until a C�grtifipte ofOccupancy has becn issued by the Department of Community Servites�Cartvel�Indiana.
f',u.� , �!�Dl�,u Fr°�- /if,'(�� �- �
gnaWreotOwn orA Agent vrin[edName Date
.. . .. .... .....................
..................................� ...............................................................................................�
REQLIIRED BASE INSPECTIONS * � PERMIT FEES r
*Additional insPections may be required. : Filing/ Review 'J�•SV_ Re-Review
r i Base InsPeclions ��� . O�.
�� � ❑ Lower Footing .�jRough-In Final [�
� : CerL ofOccupancy �Q�i- A ) p�her
�tlpper Footing ❑ Meter Base ❑ Site �—
� P.R.I.F.
� ❑ Underslab
TOTAL�S� -00
�-rs-� : :
; 0.e��ewed/Releue8—Departinent of Cominwit�'Senices Uare � ; 3�ee Received—Department of Community�Senices Date,�� �
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