HomeMy WebLinkAbout14060014 Application �_.
��t'"`""
>�'� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # ly� 6 op ( y
RESIDENTIAL IMPROVEMGNT LOCATION PERMIT APPLICATION Sewer / Wa er Utility
�xoux� For New Strucfures,Additions,Remodels,and Accessory Structures Permit�$ �������3
BUILDER NAME PMONE FAIC
OF "a(�S 8/�/, o�CaS-�
RECORD STREETA RESS CITY ATE ZIP
, 6� �Y'�or, S S /'1 6.,? D
E-MAILADDRE55 B METHOD OF
^, ,^ r �M LONTAR ��41 I
l% /!
PLUMBING NAME STATE OF INDIANA b / 9 6 9� PLUMBING CODE
LICENSENUMBER � Op / O�
CONTRAGTOR �y �� �ac o ux
PROPERTY NAME PHONE c�, FA%
OWNER TS P q'a��.3 6l�T" ��5�
SfREET AD RE55 C STATE IIP
3b� ' a,-� .U- / / t��a�o
PRO7EC'f ��7NUMBER SUB IVi5I0 NAME SECfION
LOCATION �v '� S� I
STFtEET ADDRE55 � � CITY ATE ZIP
s � �9I�., li G C� h� s h �e � �
7AX MAP PARCEL NUMBER 20NING FLOOD ZONE/
l7 -QS- 3/- oo., os�-- do�. c�c�ca �/ �' Q
LO7SPLI7 SEWERU7ILITV W/A�TERU7ILI7Y SEWER/WATER
Q YES Q NO C / �� �� ES E%CAVATOR �I„ C n
C/•c
TYPE OF TrPEOFCONSfflUCTION ' � � PERMR FLOORPLAN
PERMIT SINGLE FAMILY O TWO�FAMIL O TOWNHOME YE5�1 NO � 6 N
7YPE OFIMPROVEMENT IIIN EARLV RELEASE�
�I NEVJ STRUCTURE 0�EtEf�1dD L O CHED GARA6E 0 ACCESSORY BNLDING
. O ADDI710N-O Roam/s �Porch Q ck ' O BASEMENT FINISH O DET CHED GARAGE � DEMOL[T[ON O YES O NO
PROJECT P�N COMMISSION/BZA/BPW DOC ET NUMBER/S AND/OR ESTIM TED COST SQUARE FOOTAGE
TAC DATE/5 B}/ _= RUCfION, � O� ?`
� ING WND � � O �/J/
�PDFPLANS 7YPEOFFOUNDA7ION MANUFACfURED SUMPDUMP PORCH
CJ CD O E-MAIL Q SLAB O BASEMENT-�WALK-OUT TRUSSES
Q CRAWLSPACE � POST&�BEAM 0 POST&PIER � YES q NO ��`YES 4 NO YES 0 NO
�STATE OF . �DR NUMBER RELEASE DATE � � �J�UCTIO
INDIANA Subiect to com N
CDR SCOVE OF RELEASE �� ete and L `al od �
FORTOWNXOMES O FDN O 571i 4 ARCH 4 ELEC � MEqi � PLUM 4 S7KLR ".^", eS �
F
For Sinple Pamil��and Two Family Dwellings this pertnit is valid only if conslruction commences withiny�py7�� �j� t e� �te of this permit and
must be complered,having the Certi�cate of Occupancy issued,within 18 months ofthe date of issuanc�'.'k1�lk u�tum Pertoi[s are subjcet to the State
oClndiana Ceneral Administrative Rules(GAR 675 IAC 12)regarding expiration timc Frames Cor beginning and complcting construRion.
1�the undersigned,agrre thai any mnstruction,reconstruction�enlargement�rcloeatioq or altero[ion of a structurc,or any change in lhe use oflavJ or
strue[urcs requested by this application.w'ill mmPly a�ith and eonlorm�[o all applicable laws of the SW te of Indiana and the"Loniny�f)rdinance o(Cartoel
Indiana-1993"(7 289�anJ amendments;adoptcd under authoriTy oll.C.36-7 et seq�General Assembly oC[he Stace o(Indiana�and all Acts amendatory
ehereto. I further certify[hat only kit hen,bath,and Ooor drains are mnnected ro the sani�ary sewer. 1 Porther certify that the construction will mt bc
used�cu i�ntil�a C ificate o Occupanry has Aeen issued by the Depar nt of Community;erv ��rmel�Indiana. �/� /
P Y
/V{'1 . dJ J .r. / r��
SignaWreo/Owner rAU orizedAgen[ 7rin NamA Da[e
�.................................................................�....................� ,..............................................................................................�
REQLIIRED BASE INSPECTIONS * � PERMIT FEES ` I ��t�I
*Additional insPections may be reyuired. c Filin�*/ Review � Rc-Review
�[., E BaseInspections �q�1_
i �4.Lower Footin Rou h-In inal
\� � c Cerl.of Occupancy O[her
� pper Footing �et�rBase YJ Site �
; P.R.LF. �
Unde slab --
� ' TOTAL _ �
��
; Reviewed/ eleased-� ep - n nnity5enices Da � ; FeeRe� ii' -Uepartmi uf mm niryServices Date�
�...............G:.::....... '..........................................:.........: �..............:..:.............. .:.........................................................�
S:�Pe�miiNOrmsNpplicationsVtesiDentiaNl.P ApplkaivM2009-OB Las�UpdvM OIVI3/i009