HomeMy WebLinkAbout14050126 Application `��V��"";`"'�� CITY OF CARMEL / CLAY TOWNSHIP P MIT # I y�S���-6
� RESIDENTIAL IMPROVEMENT.LOCATION PERMIT,APPLICATTON �('� Sewer / Water Lltility
�nm�x� � For New StrucWres,�Additions,Remodels�and Accessory�S[ructures ' '1� Permit�$
BUILDER NAME PMONE FA%
OF S'E An/ �6 K Fl�i�l .3 I " alcl n
RECORD �STREE7ADDRE55 CI7Y � STA7E ZIP
J�•6• �j ca( 9 �".3 I`N'u,hlr.�vi��c /N � 60 �-
E-MAIL ADDRE55 'BEST MEfHOD OF
Sea•� C� N�7�'/QN�1 , d . CONTACT ���,�,� eM� I
PLUMBING NAME STA7EOFINDIANA PLUMBINGCODE
LICENSE NUMBER
CONTRACTOR o �RC o urc
PROPERTY NAME PHONE FAX
OWNER �R�V� ������ 317399 f71T
STREE7�ADDRE55 CI7Y STATE ZIP
I I S'I C{-IH2 fr C�1APE C I f� C�1�HC-c. I N �/- 6 0
PRO�ECT �LO7NUMBER SUBDIVISION'�.NAME SECTION
3 � SfFY�RLE fKLEK �
LOCATION �t
,STREETADDRE55 . CITY STA7E ZIP
)41"�� C�2 , . C�-VdS� C l ft C ARnE L rrv r� � �„ � 7
7AX MAP PARCELNUMBER ZONING F � E/; �J � �
I .O q Z'10010'a2 �000 S- X 'l,tnS�a �
LO75PLIf sewee�un�m�� R�-"�,�S�FOR (',�N57 STWER/ SEXCAVATO MAY 1 9 2014
O YES O NO Sub�e'� . _
TYPE OF T—Y/PE OF CONSTRUCTION (��p^�; Of gf�t@ �'f�� �pG � CQ es �8MIT B�LOORPLAN
PERMIT �? SINGLEPAMILY O TY.qp�riil�F _ O YES O NO
TYPE OFiMPROVEMEN ' � ('/�pT,� � � EARLY RELEASE
O NEW STRUCTURE�� � OFJ nr,6'I��pJSO��� /e{y '''(��g�1/'��E�,C ARAGE O ACCESSORV BUILDING
O ADDITION—O Room/s O Porch. @'Deck O�� � NISH �C,l�lS�'IA3FiEC{GARAGE q DEMOLITION O YES O NO
PRO]ECT P�N COMMISSION/BZA/BVW DOCKET NUMBER/5 A /OR ESTIMATED COST SQUARE FOOTAGE
TACDATE/S OF.CONSTRUCfION, � OOO/� 6 '�
� EXCWDING'�LAND �
PDFPLANS� TYPEOFFOUNDA7ION MANUFARURED SUMPPUMP PORCH
❑ �CD �' E-MAII � SLAB O B0.5EMENT—O�WALK-OUT 7RUSSES �
� O CRAWLSPACE � POST�&BEAM O POST&�PIER q VES, 0 NO L�YYES 0 NO � YES O NO
STATE�OF CDRNUMBER RELEASE�DATE CONSTRUCTIONTYPE OCCUPANCYCLASS
INDIANA
CDR �SCOPE OF�RELEASE TYPE OF RELEASE
FORTOWNMOMES O FDN q SlR q ARCH. q ELECrq MECH q PLUM � SPKI.R O OTHER . ,y
For Single Pamily and Two Family Dwellings this.PermiC is valid only if construction commences within I80 days of thc date o(issuance of this permit and
must be mmpleted,having the Certificate of Occupancy issued,within IS months ofthe date of issuance. Class 1 Stru�turc Permits are subject to the State
of Indiana General Administra[ive Rules(GAR 6751AC12)regarding expiration timc frames Forbeginning and complcting ronstruction.
1�the undersigned�agree[hat any construction�reconstruction�enlarpement�rclocation�or alteretion of a structure.or any chanKe in the use of land ur
structures reyuested by this aPNlication will comPly with"and conCorm�[o all applicable laws olthe State o(Indiana and the'loning brdinance of Carmel
Indiana—.1993"(Z 289�and amendments�adoPted undcr aut6ority oP1.C.36-7'et sey�General��Assembly oCthc SGte o(]ndiana,and all Acts amendatory
the�e4o.�YFatt6er ccrtifY that only kitefien�bath,and floor drains arc connccted tu the sSmtaFy sewer. 1 further cemfy[hat the constiuct�on wdl no[be
used or o�ed until'a Ccrtifi e of Occ ancy has been issuedby Nic DePartment of Community Services�Carmel,indiana.
�,t�:: � fF�Tud 'MR*varw� S" 14 z.�
SignalureofOwn¢r . �i¢etlAgenc PrincGdName DaFe
�......................................................................................� ;.............................................................................................�
REQUIRED BASE INSPECTIONS * � '• PERMIT FEES
*Additional insPections may bc reyuired. ' FilingJ Review i n� Re-Review
' Base Inspections '1
E ❑ Lower�Footing �Rough-In Final � /„'� �
: Cert.of Occupancy � Othcr
IIpperFooting ❑ Meter Base te
� P.R.I.F.
�.�Underslab
(�' � , TOTAL ��;�
�.Ix� ��1��nQ� - —I
�.; Reviewed/.Releueil�.—Departmentu(Commtini[yServices Uace ; ; FeeReceive��nep me to mmunih�Services �ce �
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51Permits�FOrmsWpplicetioosVtesidrn[uNLP AppGCxtion�2009-OB �st Updazed OB/13R009