HomeMy WebLinkAbout14040210 Application ��tV Of WIO_
� � CITY OF'CARIVIEL / CLAY TOWNSHIP PERMIT # I ��1�'QD
�.RESIDENTIAL IMPROYEMENT LOCATION PERMIT APPGICAT[ON Sew�er / Water�U �li�
� �Mp�Ax� -,� For New'Structures,Additions,Remodels,and Accessory Structures Permit$� � ��
BUIGDER NAME PHONE FAl(
oF �L ���� 3 7- �1' � �1'1- •.le3�L��+3
RECORD STREEf ADDRESS CITY $TATE ZIP
,� �� ����4
� �E-MAIL ADDRE eESf METHOD OP
8�-r�i5 'Cl,l�'.Ccrw� conracr �nt.n: l
PLUMBING NAME SfATEOFINDIANA PLUMBINGCODE
CONTRACFOR � ��,E! LICENSE NUMBER ��� r� �,`IRC O UPC
:J
PROPERTY NAME PHONE FAX
' OWNER � •U �-� 1 � '4�.G"C C - (�%Ic'3�Lti`$3
STREE ADDR 55 �.,_ CITY STATE ZIP
�I 41�b$2
PRO�ECT� �aT��NUMBER � L 3UBDIVISION NAME SECfION
LOCATION � LC'1�2Z LEc' � �
Sf E ADDRESS � . /JCITY STATE 2IP
tU�3�b �Et1WS�1���� � l- 1�� ��.EB��
� TAX MAP PARCEI NUMBER ZO G FLOOjD�ZONE/5
[,'1- C�2�J'UC-C-t.�<'fi `�� A r.JC�
LO75PLI7 SEWERU7ILITY WA^TE � � � �F TER //��
� YES O NO U �t�.L N�`y�Cf30,LORIpIi2AC@ Wlth 2II f��loflS'S EXCAVATOR f .\ .. 'l��n /�_ ,J '_ 1���
�- .L Llh� v��L l.-L`I.S,>'dC.t3C�L
TYPE OF T�'PE-0ECONSTRUCTION ^iIT' �$J�RREjtMIT FLOORPLAN
PERMIT R SMGLE FAMILY O iWOFA D�PT O i�� I i Jtl(Q!s2s rvo ,_�� °�
7YPE OFIMPROVEMENT � EARLY RELEASE
� ADD]"fION�ORROOm/s �Porch �Deck 0 BASEMENTIFINiSH �DETACNED GARAGE O DE OLIT[ONU(LDING O YES �NO
PRO7ECT P�N COMMISSION]B2A/BPW DOCKET NUMBER/5 AND/OB ESTIMATED W5T SQUARE FOOTAGE
TACDATE/5 OFCONSfRUCfiON1d �13 c�e��.� I �
C + � � - � EXCLUDING LAND 1 / �5
PDFPLpNS 7YPEOFfOUNDATION MANUFARURED SUMPPUMP DORCH
❑ CD q E-MAIL O SLAB O BASEMENT-�WALI(-OUT TRUSSES
O CRAWLSPACE � POSf&BEAM 0 POST&�PIER VES � NO O YES �(NO �YES O NO
STATE OF CDR NUMBER RELEASE DA7E CONSTRUCiION TYPE OCCUPANCY CLASS
� INDIANA �J10 2 \'Z- 10' 13 ' �_°
CDR SCOPE OF RELEASE - F RELEASE
. �FORTOWNHOMES m�DN �TR���ARCH Q!ELEC IjYh1ECH ,�PLUM q SP OTHER � ����
For Single Family andTwo Family Dwellings[his permit is valid only if tunstruRi commences within I80 elays of the ate o£issuance of[his Permit and
must be completed�having[he CertiPcate ofOccuPancy issued,within IS montkis f the date ofissuance. Class 1 Struct re Permi[s are subject to the State
of Indiana General Administrative Rules(CAR 675 IAC I2)rega�ding exPiration ti `jramec£a�e 'unln +d-ee�� ng constru tion.
J�tLe undersigned�agree that any m�sTruction�reconstruction,enlargement,relocatioq or alierahon of a�tructure,oF any ctiange in the use ofland or
struc[ures reyuested by this aPPlicalion will comPly with and�conform to all aPPlica6te iaws ufthe S[ate oflndiana and thc°Zoning brdinance o(Carmel
Indiana-'1993"(Z-289)and amendments�adoPted�under authority uCLC.36-7 et sey�Gencral Assembly oCffic State of Indiana�and all Ac[s amendaFOry
there[o. 1 further cercify that only ki4hen�bath�and lloor drains are rnmected mihe sanitary sewer. Ifurther certify thal the construcfion will not bc
used or occupied�mtil a Certificvte of Occupancy has been issued hy the Department of Community Services,Carmel�Indiana.
� d��F�2 �N�2r� �c�c N-• l�� M v �t•24 -��
Signature M Owner or Authorizetl Agent � PrinMd Name Dafe
�..................�....................................................................� ;.............................................................................................�
REQLIIREDBASE INSPECTIONS * � PERMIT FEES y
*Additional inspections��may berequired. c Filing-/ Review l�3 /. i 5 R�Revie�+�
i Base Inspections ,��� f � �
E ❑ Lower Footing �Rough-I� �i Final �3 �
���,,,�..ppp : Cert.of Occupancy Other
: � IIp�er Footing � Meter Baae � Site. 0 I -J(y (X5
� P.RLF. 1 5���1+ --
: � IInderslab
TOTAL
� ��3_ I : _ - q_
; ReviewedJ eleaved Depar[ment of Communit'Senice. Dare ; ; Fee Received-Depa ent l.Community Services vate
f. ......8 � .J:.........:... ..:.r �.............................. ...............................................................i
S9Peemiis\FOrmsW pplicatio�sVtesidentielVLP Applica�ion�2009-08 Last OpdazeA OSI I3I2009