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•""t CITY OF CARMEL / CLAY TOWNSHIP �P./ L PERMIT # ( 3 OTO1 a
RESIDENTIAL IMPROVEMENTrLOCATION PERMIT'APPLICATION Sewer/ Water Utility
\nlee% For New Structures,Additions,Remodels,and Accessory Structures' Permit#
BUILDER NAME PHONE FAX
OF jiide PFtovo ElbeReau,sc., -t4 e ./fe'rroNy S7y30y :3/6y 317 Cr? 0035-
RECORD STREET ADDRESS i cm STATE ZIP
3 71-6; I'Mtve-woif O( 1/"d I( yG 2 7i.--
E-MAIL ADDRESS BEST-METHOD OF
j� m .
P-re v o, �: secvloba 1. e.t �CO TACr E
. 11/06/ a(c. EVIL
PLUMBING NAME i STATE OF INDIANA' PLUMBING CODE
CONTRACTOR I LICENSE NUMBER Q IRC D UPC
PROPERTY NAME A PHONE FAX
OWNER CARL CV'L.r 31 7 20o .f 3:y 9
STREET ADDRESS CITY STATE ZIP
36-s- f lNT4-iL c T- , 64-/1 ,o4L Y6p32
PROJECT YOT NUMBER SUBDI' 1 VISION NAME, SECTION
LOCATION SPR iNG L,K6 E t-4:r&T • 35
STREET-ADDRESS CITY STATE ZIP
TAX MAP PARCEL NUMBER ZONING' FL OD ZONE/S
17 -oY- 35- oI —o2 - cl7. coo 5 Win Shaf H
LOT SPLIT SEWER'UTILITY WATER UTILITY - - SEWER/WATER.
Q YES 0 NO UTILITIES EXCAVATOR,
TYPE OF TYPE OF CONSTRUCTION ' MACron oEAMIT' FLOORPLAN
PERMIT t SINGLE FAMILY Q TWO FAMILY - t N I MIE , V D NO
TYPE OF IMPROVEMENT I EARLY RELEASE -
• -❑ NEW STRUCTURE I. iEMODEL o ATrAcril)GARAGE. ❑ ACCESSORY BUILDING
Q ADDITION-VRoom/s Q Porch 0 Deck n • SETA 9 F21191 Z910DETAy Fy)GARAGE Q DEMOLITION O YES 0 NO
PROJECT PLAN COMMISSION/'BZA./BPW DOCKET I
I ,ER/S AND/OR ESTIMATED COST_ SQUARE FOOTAGE
TAC DATE/S OF CONSTRUCTION, 4:7 O 17 6
. - EXCLUDING LAND I /,
PDF PLANS ,T1jPE OF FOUNDATION ESy -MANUFAeI% D- SUMP PUMP PORCH /'
D co O E-MAIL i 'SLAB O BASEMENT=O WALK Vut TRUSSES
C) CRAWLSPACE O POST&BEAM II POST&PIER YES Q. NO. Q YES Q NO O YES D NO
STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLASS
INDIANA
CDR SCOPE OF RELEASE TYPE OF RELEASE
FOR TOWNHOMES 0 FDN Q.STP 0 ARCH D ELEC O'MECH Q PLUM Q•SPKLR Q OTHER- q,�
- - c .s'°3.SAP . ..
For Single Family and Two Family 13wellings this permit is valid only if construction commences iien 188 4ys 7f the date of issuance of this permit and
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must be completed having the Cm t Note"of Occupancy slued,within 18 months of the a(lrogti suanee Class 1 Structure Permits are subject to the State
r
of Indiana Ceoeml Administrative Rules(GAR 675 IAC 12)regarding"expiration[i m �ot:beginning and completing construction.
I the undersigned agree that any construction,reconstruction,enlargement,rel t alteration of a structure,'or any change in the use of land or
structures requested by this applit ation will comply with and c onform to all applic c laws of the State of Indiana and the"Zoning Ordinance of Carmel
Indiana-9993"(Z-289)and amendments,adopted under authurlty of I'C 36:7-et seq General Assembly of the State of Indiana,and all Acts amendatory
theI fur her certify th only kitchen bath;and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
1 occ'.ie . a ifcat-ofOccupancy has been issued by.the Department of Community Servi s Carmel;'Indiana.
r1 c c T f Royv a y,-PR13
gnature of Owner r Authorized Agent Printed Name Date
REQUIRED BASE INSPECTIONS:* PERMIT FEES
*.Additional-inspections-may be required. .Filing/Review I Y/' l Re-Review
,�� Base Inspections /4 3I .
❑ Lower Footing 1 Rough-In, nal ^ (`'(�
,�� Cert.of Occupancy (P O`er -`-�— Other
LIUpperFooting ❑ Meter Base Site f
'P.R:LF.
■
❑. Underslab •
TO AL . lb
T, 3
Retriessed/Rele led Denali-mint of Community Set-ewes. :Date ',Fee Receive t oF oirtr, y Services Date
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S:WetmitsWrrms Applications Vt udentaNlP AppLcanon2009.08 ' tall Updated 06/132009