HomeMy WebLinkAbout13020048 Application CITY OF CARMEL / CLAY TOWNSHIP PE ' IT # 130098
RESIDENTIAL,IMPROVEMENT LOCATION PERMIT APPLICATION .Sewer / Wan_ter Utility
\,xo � For New Strictures,Additions, Remodels,and Accessory Structures Permit#n
ALDER NAME '
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E-MAIL ADDRESS {/� BEST METHOD OF
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UMBING NAME, ' STATE OF:INDIANA rYl•"l/ PLUMBING CODE
INFRACTOR h1 --tI�, ` PA-A 1 LICENSE NUMBER Li 0 O!/ 0
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tOFERTY NAME CI l I I PHONE FAX
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ZIP
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IO)ECT LOT NUMBER �� SUBDIV ION NAME �i C SECTION
)CATION /mob!/- 'a A rA WastetQemiv
STREET ADDRESS CITY STATE ZIP
f� Z.\,( Avt A/5 Carte. IN ‘it 603z
TAX MAP.PARCEL NUMBER ZONING FLOOD ZONE/S
16 -
- 10 3.0-0 Rt-D 3-o oS coo /E'-2 �C
IT SPLIT SEWER UTILITY WAIT UTILITY SEWER/WATER
O YES 0 NO ( ) 1/ u/ I r UTILITIES EXCAVATOR L /w5 p^ Ex C.FuC, f_1Q/t
YPE OF TYPE OF CONSTRUCTION MASTER PERMIT FLOORPLAN
HERMIT lit:SINGLE'FAMILY Q TWO 0 L` C Q-ROFNI 1E'--..\, 0 YES )(NO
TYPE OF IMPROVEMENT U EARLY RELEASE
XNEW STRUCTURE Q REMODEL O ATTACHED GARAGE ''IQ ACCESSORY BUILDING.
Q ADDITION,—0 Room/5 Q Por peon?pAfEI, FINI'- Q DETACHED GARAGE Q DEMOLITION Q YES X. NO
RO.IECT PLAN COMMISSION/BZA/BP - CKET NUMBER/S AND/Or ESTIMATED COST }//� (� 'l SQUARE FOOTAGE
TAC DATE/S EXCLUDING LAND
-/1 �`�Y coo �� 13-+
DF PLANS TYPE OF FOUNDATION By - - -MANUFACTURED SUMP PUMP PORCH
I CD 0 E-MAIL. Q SLAB BASEMOn —Li WALK-UUI TRUSSES
Q CRAWLSPACE POST&BEAM 0 POST&PIER O YES)((NO AYES 0 NO A'YES 0 NO
;TATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLASS
NDIANA
:DR SCOPE OF RELEASE 'TYPE OF RELEASE•
ORTOWNHOMES O' FDN O. STR Q ARCH Q EEC 0 MECH Q PLUM O 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 he completed,having the Certiliwte of Occupancy issued,within IS months of the date of issuance. Class I Structure Permits are subject to the State
of Indiana General Admt istratne Rules(CAR 675 IAC 12)regarding expiration time frames for heginning and completing construction.
I,the undersigned,agree that any construction,reconstruction,enlargement,relocation,or alteration of a structure,or ahy change in the use of land or
structures requested ly this application will comply with and conform to all applicable laws of the State of Indiana and the"Zoning Ordinance of Carmel
Indiana—1993°('Z=289)and amendments,adopted under authority,of I.C.36-7 et seq,General Assembly of the State of Indiana,and'all Acts amendatory
thereto. I further certify that only kitchen,bath,and floor drains are connected to the sanitary sewer...l further certify.that the construction:ay,ill not be
uae or occu tied until a Certificate of Occupancy has been issued by the Department of Comn u n tv Servile s,Carmel,Indiana:
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ow-_ of trtherire&'Agcrt a etePrin ted.Namy
REQUIRED BASE INSPECTIONS * PERMIT FEES ]]//y��y��
Additional'inspections'may be required.
Filing,/ Review K•'0h 635- Re-Review
Base Inspections .4 3/c.00
FLower Footing Rough-In I Final
Cert.of Occupancy *61 OQ _ Other
Upper Tooting 7IMeter Base /A Site
P.R.I.F. -. i.,ter_.. ■
❑ Underslah 1� -
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li a seed,/li l sed_Dep rtneiu of Gran munity S ryices Date Rec coved" - )epaitmcut of Community Berkey Date
fit.\ferias\Applica tinny\Residential\ILPApplicatinn\3111x)-D8 ' last Updated D8/13/2009{,