HomeMy WebLinkAbout13040205 Application I
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CITY OF CARMEL /' CLAY TOWNSHIP N PERMIT # 3CileaoS
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION Sewer / Water.LI •lit For New Structures,Additions,Remodels;and Accessory.Structures Permit#'
BUILDER NAME - PHONE FAX
OF T, (-It...4o a R55OC.. 3/,7- g44-.i!gas 5-4 e+1
RECORD STREET ADDRESS CITY "STATE ZIP'
• LII"-T - re Y_' a de r.el T
E-MAIL ADDRESS ,BEST METHOD OF y �Z
CONTACT'
. 7.l41.-A aCIDI..teS Q' Tti,c.I • co 3( ? • t.( 34 - 5(o39, CSI. S.
PLUMBING NAME STATE.OF INDIANA PLUMBING CODE
CONTRACTOR C A r>tcruct LICENSE NUMBER 3 fRC ❑ UPC
re\ Nori S ''PlumtbF."q PC (CT 6000(04
PROPERTY NAME C/ PHONE FAX
•OWNER G&..i1 kL . 317 - 877- 4/85
STREET ADDRESS, CITY STATE ZIP
`ti o A1�,�l �c J415. 13 LH...Z-7 e>
PROJECT LOT NUMBER SUBDIVI'SI ION NAME' SECTION
7
LOCATION 3 0�c�5' a_1- �Ur-oaks Cs..A
STREET ADDRESS - CITY (n� STATE ZIP
13(.t c 'r t• LJq e Or ,�,cV "Ii '1 C0o3 Z
TAX MAP P-Rc L NUMBER ZONING FLOOD ZONE/S
4.1 0- Co.' , . , tab R z Sato Ali ®te�(/
LOT SPLIT SEWER UTILITY. WATER UTILITY" SEWER/WATER
❑ YES i0 NO ;UTILITIES EXCAVATOR
lartrple. 1..Z
TYPE OF TYPEPF CONSTRUCTION MASTER PERMIT .FLOORPLAN
PERMIT ?SING EFAMILV 0 TWO FAMILV 0 TOWNHOME O'YES 0 NO
TYPI,OF'IMPROVEMENT EARLY RELEASE
l NEW STRUCTURE O REMODEL 0 ATTACHED GARAGE '10 ACCESSORY BUILDING
0 ADDITION ❑ Roorn/s:0 Porch 0 Deck ❑;BASEMENT FINISH 0 DETACHED GARDE ❑ DEMOLITION ❑ YES Q NO
• PROJECT PLAN COMMISSION/BZA/BPW DOCKET NUMBER/S AND/OR ESTIMATED C�'YC)% SQUARE FOOTAGE
TAC DATE/S OF CON UCTI 4 Z I IL
EXfLtyVf �ND.,C 7 'i ;DOG7 . CH
•PDF PLANS TYPE OF FOUNDATION MA D 'O GJIP PUMP PORCH
O'CD O E-MAIL O-SJ,AB O BASEMENT,—• . -e . ' _� TRUSS S^ n� .� w / O NO
p4-RAWLSPACE ❑ POST 117 IL 1 Ra•ei 1 E.L tEfyEY/s`>r ES O .NO CL-YES
STATE'OF CDR NUMBER °' CONSTRU T• ? . CLASS
INDIANA
In% 'P •- o
' CDR SCOPE OF RELEASE 1 1 A •• 1 I - // ate • ,.aF .,. .
FOR TOWNHOMES O FDN O SIR O ARCH P ELEC'.0 MECH ❑ PLUM O SPKLR 0 OTHER .alp`i/ -O.di�'QG
. S �0cS ck
For Single Family and Two Family Dwellings this . . . y t construction commences within 180 da_s of th ti^,rds' euanc'/`Y$OCQiS-permit and
,must be completed having the C ruficate of Occupancy issued,within IS months of the date of issuance. Class I Stitt Pali s are subject to the State
of Indiana General Administratite Rules(GAR 675 IAC 12)regarding expiration time frames for beginning and coal len s ton.
1 the undersigned,'agree that and construction,reconstruction,enlargement,relocation,or alteration of astrncture,or an 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° g ordinance of Carmel
,Indiana—1993"(Z-289)and amendments,adopted,under authorityofl.C.36--7 et seq,General'Assembly of the State of Indiana, n all Acts amendatory
a _-
'tlierem. Lfyrtlmr certify,that only kitchen;bath,andUoor'dratns are connecled'to the sanitary sewer. I further certify that the construction will not be
or occu ' '1 a Certificate of Occupancy:has been issued by_the Department of Community e` mss,Carmel,Indiana.. +•./1_/ T.�rat �..._a=�oJ Oat 1301 'I 7,
of Owne rAu rind Agent Printed Name t\ Date L.
REQLIIRED"BASEINSPECTIONS* PERMIT FEES
*Additional-inspections may be-required. Filing %Review q I :. Re-Review
Base Inspections ?5`P 1 '
❑ Lower Footing ,Rough-In Final
Cert.of Occupancy CPai{ °— Other
*Upper Footi g t Meter Base rte
P R.I.F I J /4C .00
•
❑ . slat, I
�I / / TOT L is
Re 3e ved`/Release I Department of Community Services. i Di e s Fee Received m of Co m ty Services �� Date
S:aRrmit TomisaApplicatIonsaResidenoaRILP Appfcations2009-08 Last Updated 08/13/2009