HomeMy WebLinkAbout14050193 Application � .
�a
`'�"":"'� ' CITY OF CARMEL / CLAY TOWNSHIP PERMIT # i`l'aso,193
RESIDENTIAL3MPROVEMENCLOCATIONPERMITAPPLICATION Sewer /�Watuer�LltilitY
.�xm�x�_ For New Structures,Additions,Remodels,and Accessory Struc�tures Permit�$ ���/ OJ�Q��Z
BUILDER N ME � PHONE FAX
UF �jL1D �(��C s �31� 44'2 '�'��'3 Z� � ���
REGORD �TREETADDRE55 CI7Y, STATE IIP
�yl�-W. �'� °ci�'. S• D2 ��,1pr41D�� �..J �7�a
E-MAIL ADDRESS n /���I� BEST.MEfHOD OF
M �./�@ lw 1 �'/��I�.GO�w' CONTAGT � (�/.�I�
1
PLUMBING NAM (� ' l� STATEOFINDIANA PLUMBINGCODE
CONTRACTOR � fZZ�'�'�j1A LICENSE NUMBER O IRC O UPC
PROPERTY ' "aME PHONE FA%
OWNER L• i --, ^�
STREET ADDRESS� C W ' ZIP
PR07ECT ��„NUMBER SUqDIV(SION NAME M,4Y ZO� SECTION
LOCATION ��y � 1�^�� I'�
STREET ADD�S . CITY STATE IP
22z5 1Pasu. � ln� �'�,,,o,,� ]�, ����a
TA7�MAP PARCEL NUMBER� ZONIN� FLOOD ZONE/5
I� ,�y...p�. .O3 . l l • C�i(.00 o D x ���ri—^
tOTSPLI7 SEWE0.UTILITY � WAIER�U714i1� SEWER/WATER
p YES O NO �� L�j��.e ��TIESEXCAVATOR L���
TYPEOF T�PEAFCONSTRUCfION' MA TE PERMIT F oOR�PLAN
PERMIT 1NGLE FAMIL7 � 7WO PAMILY � TOWNHOME �YES � NO µJ
�TYfj��OF:IMPROVEMENT EARLY RELEASE
ITCNEW.STRUCTURE 0 REMODEL 0 A7THCHED GARAGE 0 ACCESSORY BUILDING
O ADD[TION-O Room/s�LJ Porch �.Deck O BASEMENT��FMISH � �DETACHED GARAGE O DEMOLITION O YES O NO
PROJECT P�N COMMISSIONJ BZA/'BPW DOCKET NUMBER/S AND/OR ESTIMATED WST SQUARE FOOTAGE
TAC DATE/5 OFYONSTRUCfION, 1�O DO �Q�
� E%CLUDING�LAND (
PDF PLANS 7YPE OF FOUNDATIQN._ �MANUPACfURED SUMP PUMP PORCH
❑ CD O E-MAIL O SLAB �i$ASEMENT-O WALK-OUT TRUSSES
� CRAWLSPACE O. POST&'BEAM O POST&PIER � YES �NO ��1'ES � NO 5 q NO
STATE OF CDR NUMBER RElEASE DATE CON5fRURION TYP� OCCUPANCY CLA55
INDIANA ���\
CDR SCOPE OF RELEASE� S �,��p�' 7YPE OF RELEASE
�(�\ �
FORTOWNHOMES. 0 FDN � STR q.ARCH � ELEC � MECH O PLUM� 0 SPKLR . ey1ER` \�°'�'� � (,S
F, ���a�°e �a��0 � �
For Singlc Family and Two�Family Uwellings this Permit is valid only dc� ���p�"Cn� 'n 0 s of ffie date of issuancc of this permit and
must be comple[ed,hav' �tMe Cer[iFicate of OccuPancy issued,withm 18 mo s of t�ie� ss las9 I Structure Permits are subject to the State.
of Indiana Crneral Ad iriis tive Rules(GAR�675IAC 12)regarciing espira[iom,[i i(�a e �ar�in and comple[ing construction.
I�[he undersigned�a ee th any mn uction�mconstruRion.enlargement ho�b�e ��structure�or any change in the use ofland�or
�
sWC[uresreyueste ,this pp6' �on�; 'llcomplywithandconform�toall "c�e wsof�ale.oflndianaandthe"LoningbrdinanceofCarmcl
Indiana 1993"( 9) nd mend ents� opted�underauthorityofLC.34-� q�6eneralAssemblyofthc$Wteo(]ndiana;andallAcrsaivendatory
ret I � he ce if t� t only 'tche bat6;and floor drains are mnnecl to the sanitary sewer. f further certify that thc rnnstruction will mt bc
used o c unti a' rt+`�cate o cy has been issued by[he DePartment of ommunity Services;Carmel�Indiana.
��e:� �.K� 5 i�-►°
Signatureo/OwnerorAUtlrorizedAgenc PdntetlName Da[e �
�......................................................................................•. :.............................................................................................�
REQLIIRED BASE INSPECTIONS * '• PERIVIITFEES
*Additional insPections may bc required. : Filing /Review 00•67 Re-Review
�//� �// E Base Inspections 7•.SU
; L+I LowerFooting �ugh-In IJ nal p..�
�J/_ E Cert.of Occupancy 7Tf�3.S0 Other
: Id UPper Footing �eter Base Site
� ; P.R.I.F. 7 ,00
� ❑ Underslab
• TOTA Z$76-6
�',�t.�.� /`9;��,�� � ( O6 S (
; Rene�vedfi,Rel eed epart6ientbFCommunit��Servicec �ate ; ; Feeliecived—DePartrnentofCommunitySeivices Date
�.................. ...................................................................r. �.......... ...................................................................................i
S:�Permiis�FOrmsNpplica�ionsUtesNentuNLP Ap0lica�ionV.009-OB Isst Updarul O81132009