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HomeMy WebLinkAbout19070072 Applicationa CITY OF CARMEL / CLAY TOWNSHIP RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION ya�yyt.. i For New Structures, Additions, Remodels, and Accessory Structures PERMIT # 1(4 0_7 Sewer / Water Utility Permit # BUILDER NAME PHONE FAX OF Decks 5y 3/7-7�70-6527 317-770-364-5 RECORD STREETADDRESS Nb9t St2CtE STATE ZIP / z o Pr.✓E 7 4---�- n/ 9�M� r^v E-MAIL ADDRESS BEST METHOD OF S,IL/FQ &F co," CONTACT e/W g=4 PLUMBING NAME STATEOFINDTANA PLUMBING CODE CONTRACTOR LICENSE NUMBER Q IRC Q UPC PROPERTY NAME PHONE FAX OWNER ST�'d%ig+✓ MC=712YFLCc� .3/7- (09`/-zVy'8 STREET ADDRESS CITY STATE ZIP 115-02 /IMtkz-/✓Z.2C PKWY elvrz e+ _ _zw Al. {oo3z PROJECT LOT NUMBER SUBDIVISION NAME SECTION LOCATION 4,2- Gals Farzo pftRK STREET ADDRESS CITY STATE ZIP //5-07- 1L1ckENZ=EF PL<WY 6Af2M4G�L- _2:7W 'f/ 032 TAX MAP PARCEL NUMBER ZONING FLOOD ZONE/S LOT SPLIT SEWER UTILITY WATER UTILITY SEWER/WATER UTILITIES EXCAVATOR ❑ YES ❑ NO TYPE OF TYPE OF CONSTRUCTION MASTER PERMIT FLOORPLAN PERMIT SINGLE FAMILY O TWO FAMILY Q TOWNHOME O YES Q NO TYPE OF IMPROVEMENT EARLY RELEASE Q NEW STRUCTURE D REMODEL O ATTACHED GARAGE Q ACCESSORY BUILDING ADDITION - Q Room/s Q Porch )?Deck Q BASEMENT FINISH O DETACHED GARAGE Q DEMOLITION D YES D NO PROJECT PLAN COMMISSION / BZA / BPW DOCKET NUMBER/S AND/OR ESTIMATED COST SQUARE FOOTAGE TAC DATE/S OF CONSTRUCTION, 'J EXCLUDING LAND PDF PLANS TYPE OF FOUNDATION MANUFACTURED SUMPPUMP PORCH D CD Q E-MAIL Q SLAB - IJ BASEMENT - Q WALK -OUT TRUSSES D CRAWLSPACE J>I POST & BEAM Q POST & PIER Q YES Q NO O YES Q NO Q YES D NO STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLASS INDIANA CDR SCOPE OF RELEASE TYPE OF RELEASE FOR TOWNHOMES Q FDN O STR Q ARCH Q ELEC Q MECH O PLUM Q SPKLR Q OTHER For Single Family and Two Family Dwellings this permit is valid only if construction commences within 180 days of the date of issuance of this permit and must be completed, having the Certificate of Occupancy issued, within 18 months of the date of issuance. Class I Structure Permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12) regarding expiration time frames 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 conform to all applicable laws of the State of Indiana and the "Zoning hrdinance of Carmel Indiana - 1993^ (2289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. /3"C 73 �� E- oaCtEc 7x 9 9 sig actureofzw or Agent Printed Name wee ...................................................................................... REQUIRED BASE INSPECTIONS * Additional inspections may be required. ❑ Lower Footing ❑ Rough -In ❑ Final ❑ Upper Footing ❑ Meter Base ❑ Site ❑ Underslab _ Reviewed/Released — Department of Community Services Date ................... .................................................... .............. f S:lremikslPo=m Appl atbnsUtesldentiaM Applia iont2009-08 ..................... I........ PERMIT FEES Filing / Review Re -Review Base Inspections i Cert. of Occupancy Other P.R.I.F. TOTAL Pee Received Department of Community Servleea - Date Uvt Updated 08/1312009