HomeMy WebLinkAbout14070029 Application f
���a�; CITY OF CARMEL / CLAY TOWNSHIP PERMIT # ��{'O�I OOarq
RESIDENT[AL IMPROVEMENT LOC.4TION�PERMIT APPLICATION Sewer,/�Water�L7ltility ^/-
�NOIFNp���� FOI'NCW SC�LLCLUiCS�Additions,Remodels,and Accessory Structures Permit#f� / �/�l(J
BUILDER' nnMe PMONE FA7(
OF � L 3; - 0�- 2Z' �1 - - ` 53
RECORD� �`�TREETADDRE55 � � � CIfY -� TE ZIP
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E-MAIL ADDRE55 BEST METHOD Of
CONTACT
�iv� ¢ S L,c::o 3f 0 - 'Z
PLUMBING NAME SfATE OF INDIANA P�UMBING CODE
�7 LICENSE NUMBER Q
CONTRACTOR RO'SS ��1�'1 UoN GO �GOS OOZ� O IRC O UPC
PROPERTY NAME ��u�( F`� !)�i�.��.�. PHONE FAX
OWNER u-7
S7REET DRE55 CTfY STATE I /ZIP
2`iS E i2.t , A Fs � SU '7'
PRO]ECT ��7NUMBER SUBDIV7SION'NAME SECTION
LOCATION E 5 oN ��.i4CE
. STREET ADDRE55 . CITY STATE ZIP
I�� Q K� NSiN T �! �Lr4c.E E;L �a. fl
TAXMAPPARLELNUMBER'�b- �. „�jd �I , oCl�./�� .ZON�IN�G FLOODZONE/5
!i J l 11 •'I `, � �
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LO75PLIT SEWER�UTILITY �WATERUTILITY SEWER/WATER
� YES O NO `(�-� . � �r��. T-.,� UTILITIES EXCAVATOR ai M �12.Q�' L 1 �
TYPEAF� T���E�OFCONSfRUCfION MASTERPERMI7 PLOORPLAN
PERMIT QYSINGLE FAMILY q TNO PAMILY q TOWNHOME 0 YES q NO
�TYPEOF.IMPROVEMENT EARIY RELEASE
PtNEW,STRUCiURE .� REMODEL �ATTA6HED GARAGE 0 ACCESSORY BUILDMG
q ADDITION-O Room/5 0 PorCh O Deck O BASEMENT FINISH ❑ DETACHED GARAGE q. DEMOLITION p YES O NO
P_ROJECT P�N COMMISSION/BZA/BPW DOCKET NUMBER/5 AND/OR ESTIMATED'COST SQUARE POOTAGE
TAC DATE/5 OFCONS7RUCTION, �
� EXCLUDING�LAND �ID� UOU � ��Z�'j�
, PDFPUINS TYPE OF,FOUNDATION MANUFARURED SUMPPUMP PORCH
0 CD .q E-MAIL ��SLAB O BASEMENT-�O WALK-OUT TflUS5E5 ��
! �CRAWLSPACE�� 0 POST&BEAM O POST„&P[ER �O YES �0 NO {tl YES q NO O YES � NO
STATE OF �DR NUMBER RELEASE DATE n\ CONSTRUCfION TYPE OCCUPANCY CLASS
INDIANA C����� � rd
CDR 'SCOPE OF RELEASE {� (�ro . ��cQg��a80 E RELHIISEi_
PORTOWNHOMES -q FDN O STR 0 ARCH �{�.`N1E�F.�\'h9a,P £1 q 5 � OTHER
� , tw�p �d�o�a . S . : \P � 2014
For Single Pamiiy and Two Famity Dwellings[his pe '�(��,�),�C�k�� �``T,f s � etion commences withi 180 days of the date of issuance oft is permit and
must be comPleted,havinp the Certificate of O p�ytiS"s wlthtA'�munths ofthe date of issuan �Class I$tructure4ermits are subj cl to[he State
of IndianaCencral Administrative Rules(G�S 1 Q��f ��ratlm time&amer for begin �md.- I A ¢ � �t �C
�1�the undcrsigned�agree that any construc�q��in��uctio§�rgeme t�rclocatioq or al[eration o(a structure�or an 'rt Se of land or
�structures roejucsted 6y[his aPPlication wil�4�ilwply with and conform�to all applicahlc lawe of the Sinte o(Indgna and the°Zoning brdinahce ofCarmel
Indiana-1993"(Z289)and amendments.adoPfed under authority of 1.C36-7 ef sey�General Assembly of thc State of Indiana,and all Acls amendatory
.thereto. 1 furthtt cercify that only kiic6en,bath�and floor drains are connected to the sanitary�sewerG 1 Furthc�certify that t6e construcfion will mt be
used�or `'cupied until a Certificate of OccuPancy has been issued by the Depar[ment o(Community Sen�ces�Carmel�Indiana.
/�i — 6� '1�� ��'i�'v[_e +� . 7_i�$ ST" �-�
Si atu b/OwneYarAUtho' Agenc, PtintedName; Date
�......................................................................................� ,:.............................................................................................�
REQIIIRED BASH INSPECTIONS * � ''PERMIT FEES
*Additional.inspections may be required. : Filing-/�Review SQ�$ • Z Re-Review
,�� ,�� �E:Base��Inspections 27•S� �
� ❑ LoH�erFooting ld Rough-ln LS-Final 63 •3�
,�� ' Cert.of OccuPancy Other
: J�Upper Footing �Meter Base �Site oU .
� P.R.I.F. �/$Y7. ....
' ❑ Underslab
TOTAL ` .��Y6. j2
- ' � Y a ��m �'{,Lll.. �7- !�- I�I
i: Y.:.:. ........P.....- " ........ry............ ..... ........ r ..+�.��• ...-..art� nto Cot�wunity Services —� •,
' R ewed/Rele d e artment of Commwu Scrv�ces Da e Fee Rece ul �
... . . ........ .............................................i
S:V'ertnusUrrmsWppGcationsViwiden[uNLPAppGCntion�2009-OS - Las�U4tivedOB/132009