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HomeMy WebLinkAbout 17030103 ApplicationCITY OF CARMEL / CLAY TOWNSHIP a RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION taguxx For New Structures,. Additions, Remodels, and Accessory Structures PERMIT # 1 �iQ3) n l Q Sewer /`Water Utili Permit #j' 70�6'I.©a BUILDER NAME PHONE FAX OF VI-b6vw,-eD G69-Co3f> RECORD STREET ADDRESS CITY STATE ZI//�� 3Z 1JT 5T frlc (fArM<t ITJ `((po}'L 'E-MAIL ADDRESS /1 I 0W4Zx0, Wed ^�WWdIpC.CAH BEST METHOD OF CONTACT JJ a=pM/I. PLUMBING NAME STATE OF INDIANA PLUMBING CODE CONTRACTOR LD N'EGt-i/�JL,CAL LICENSE NUMBER �Po Zv�j:.C� RC 0 UPC PROPERTY NAME PHONE FAX OWNER SAr+d STREET ADDRESS CITY STATE ZIP PROJECT LOT NUMBER SUBDIVISION NAME SECTION LOCATION 86 SACKsyts's Gar ! A STREET ADDRESS CITY STATE Z P 17-30 SkYTA'G D(Ltu` CP�2 llp Xoo12-- TAX MAP PARCEL NUMBER ZONING FLOOD ZONE/S LOT SPLIT SEWER UTILITY WATER UTI � V :6, S E O YES O NO CI-.`7 UTILrrlE E VATOR TYPE OF TYPE OF CONSTRUCTION ER IT FLOORPLAN PERMIT SINGLE FAMILY O TWO FAMILY TOWNHOME 0 YES NO TYPE OF IMPROVEMENT EARLY RELEASE EW STRUCTURE 6EMODEL ❑ ATTACHED ARAGE q ACCESSORY BUILDING � ADDITION- O Room/s O Porch O Deck 5EMENT-F�-O�CAbHEC'13ARAGE Q DEMOLITION O YES 2'NO PROJECT PLAN COMMISSION / BZA / BPW DOCKET NUMBER/S AND/OR ESTIMATED COST .L SQUARE FOOTAGE TAC DATE/S OF CONSTRUCTION, (o2S/ 0�"O EXCLUDING LAND PDF PLANS TYPE OF FOUNDATION SLAB BASEMENT-O WALK -OUT MANUFACTURED TRUSSES SUMPPUMP PORCH O CO ❑ E-MAIL 0 0 CRAWLSPACE ❑ POST & BEAM 0 POST & PIER YES 0 NO Z- YES O NO I 2rYES 0 NO STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLASS INDIANA RELEASED FOR CONSTRUCTION 'CDR SCOPEOF RELEAS§bjeetto compliance Wit all regua ons TYPE OF RELEASE FOR TOWNHOMES 0 FDN 0 STR O ARCBt BtatimckllosaidbodBS PLUM 0 SPKLR 0 OTHER ULF.I Vf UVIVIIVIUIII-I I OLItVIVLO For Single Family and Two FamC4 P s n ton commences within 180 days of the date of issuance of this permit and Must be completed; having the Certificate of Occup �pp�� , within 18 months of the date of issuance. Class 1 Structure Permits are subject to the State of Indiana General Administrative Rules (GAR 675 UQP/Il�rding expiration time Games for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or. structures requested by this application will comply with and confer m'to all applicable laws of the State of Indiana and the "Zoning ordinance of Carmel Indiana 1993" (Z289) and amendments, adopted under authority of I.C. 36-7 et sey, General Assembly of the State of Indiana, and all Acts amendatory ther.t her c y at only kitchen, bath, and Root drains are connect. sanitar sewer. I further certify that the construction wi not e or. occ led n61 a ertificate of O¢u erne has been issued b the artme ofC m rt S ecs, Carmel, Indiana. �� P y r aw 3 1S f� signature of Owner or Authorized Agent Printed Name Da REQUIRED BASE INSPECTIONS * Additional inspections may be required. Lower Footing Rough -In pl Final Upper Footing Meter Base Site ❑ Undersslabb RevieAd/,R cued`= Deparunent omu f Comnity Services Date t.......... ::..L:.:::...t......tpt................................................. S:\Permrts\Forms\App1¢atiousViesidenlialWF Applkadont2009-08 .......................................................................................... E PERMIT FEES Filing / Review i Base Inspections Re -Review Cert. Occupancy of -��� Other P.R.LF. O JJ''� Q `,vD TOTAL 1� 3 a� Fee Re veil - Dep ent of Community Services' - Date I ........ ..............J ..................................... mst UpdatM 0811312009