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HomeMy WebLinkAbout13050084 Application CITY OF mlAROd�EL / LAY'TOWNSHLP PERMIT # For New Structures, Additions,Remodels,and Accessory Stru Structures Permit( /3 Unlit BUILDER NAME'. PHONE FAX OF. bl l.(oo.� ,G 4 9 - 3 S..3o RECORD STREET ADDRESS CIT" STATE /ZIP � ,A>tahts ST. S-IE s* C.Crua�L /..1 ice 012— E-MAIL ADDRESS'! // BEST'METHOD'OF .F oc:ae.' C.-t..3e.-8 .wo..t(LC. C.+•• CONTACT.. t:/�CSStC- PLUMBING NAME. STATE.OF INDIANA. PLUMBING CODE C,14,-. Gvw( ,c_b t-i'i:C v> ah,JtcAl.- LICENSE NUMBER. CONTRACTOR o IRC '❑. UPC PROPERTY NAME PHONE FAX. • OWNER l./,-1)4e.G°°1' STREET ADDRESS CITY STATE ZIP SLt ^QV - PROJECT LOT NUMBER. S IVISIONINAME SECTION LOCATION ".0 ov I cc c.,.�y 1 STREET ADDRESS " CITY STATE ZIP iftWtr3 -r2wRs-.op 4._a4.. �4s2AkCL Ind 4ro,33 TAX+MAP:PARCEPNUMBER gyp\ :ZOTI FLOODZONE/S �7 i 3�Ob• o3-6r)(0 u,;D x - �.,s u,.n.rr LOT SPLIT EWER U 1TY WATER.UTILITY SEWS /WATER ❑'YES kT NO C l9 e/Jr ct- :UTILITIES EXCAVATOR LJNJ:R ' . TYPE OF TYPE OF CONSTRUCTION MASTER PERMIT FLOORPLAN PERM_ ITSINGLE'FAMILY ❑ TWO FAMILY ;❑ TOWNHOME ❑ YES.0 NO p/ TYPEfOF IMPROVEMENT EARLY RELEASE NEW STRUCTURE REMODEL ❑ ATTACHED GARAGE 0 ACCESSORY BUILDING 0' ADDITION-❑`Room/s 0'Porch O Deck 0 BASEMENT FINISH ❑ DETACHED GARAGE O DEMOLITION ❑ YES 25 NO COMM PROJECT TAC DA E/SISSION`/BZA/BPW,DOCXET NUMBER/S AND/OR OF CONSTG NON, ¢z 84. o SQOSAR Z 090TAGE; PDF PLANS TYPE OF FOUNDATION MANUFACTURED .SUMP_PUMP PORCH ❑. SLAB 'BASEMENT-.0,WALK-OUT TRUSSES O;.CD ❑ E-MAIL, O CRAWLSPACE U POST&iBEAM 0 POST:&.PIER a " ri�. �.Z YES 0 NO ...e'YES NO STATE OF CDR'NUMBER 'RELEASE DATE r a• , R: -• tYPr OCdU NCY CLASS INDIANA q CDR SCOPE OF RELEASE rt��((0\� MAY A' J Z1I TY" RELEASE FOR.TOWNHOMES 0 FDN 0 :STR 0 ARCH ❑':ELEC ❑,MF I ktgelh U:SPKLR 0 OTHER iio Single Family a I,fwo;Family Om retheg" t OtCtsw W/SS 1UM�' iwt.s sr] days of the date of issuance of this permit and tt����.r jj{{s must lie.completed,having the CertiIlFA eiRfAa I 144 'flit le th date of issuance. Class I Structure Permits are subject to the State 1 oflndiana General Administrativ Rules ' R"6 4 �sid lit t/ on time frames for beginning and completing construction. 'I the undersigned agree that any constructtio tit'l'1\\Yl a1�rg anent relocation, or alteration of a structure, or any change in th use of land or structures requested by this applicatIoi 4l o I•v d llr t all applicabl laws of the State of Indiana and the"Zoning Ordinance oT Carmel Indiana-19931'.(i-'2-89)and atnendmen 1 er`uu```AAyy© l of I C 36-7 et SeH G neral Assembly of the State of Indiana,and all Acts amendatory. „ ..thereto: I further c rtifyj hat only kit and looYdrains are connected to the sanitary sewer. I further c rtif that the construction will not he use occu d 111 da Certificate of ecupancy has been issued by the De t of munny Services,Cannel,Indiana. Signature of Owner or Authorized Agent Printed Name' Date REQUIRED BASE INSPECTIONS'* PERMIT FEES _ Filing,/ Review 0 :1t' ,*Additional inspections-may be required. Nw Re-Rev iew i n l Base Inspections t 1U lower Footing ough-In' Cert. of Occupancy P.R:I.F. Other 'Upper Footing Meter,Base Site 4 ❑ Underslab TOT I. is i. � 0.- t G ' q �� t S i m t R, te.ed./ry� sed- eP uneni of Cmnnun Serf rees Date e e e l I a t nt of Commwts • Services S\Permiic\Fo \App eal se kR d nnalULP Appl a2009A8 Last Updated 08/132009 Dae