HomeMy WebLinkAbout14070084 Application ����
' *"�'°� CITY OF CARMEL / CLAY TOWNSHIP PERMIT #' ' . -
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APELICATION Sewer / Water�Utili �� y
'�nuux� � For New Structures,Additions,Remodels,a�id Accessory�Stiuctures Permit�$ i�07�C���J
BUILDER NAME PHONE FA7(
oF �SG�+ �S 31�- 7/N-l$'9/
RECORD STREEf ADDRE55 `
C'�� �. 7���j'�: 5fP r�(ftj cm�� /S STATE��� �6a��,
E-MA�1TC ADDRE55 �) BEST MEf D�OF
(�i(.�n L ir'1(/l'Q ne-��r'�!��. Gv�Y' rnNracr �y,,,�,; 1
PLUMBING NAME SfA7E OFQNDIANA 9 PLUMBING CODE
CONTRAGTOR FC'��/I d- SQ-� s LICENSE NUMBER ��O ❑ �RC ❑ UPC
PROPERTY NAME F,ix
OWNER -l7 /� �% � L ( V =
SfREET ADDRE55' I7y ZIp
PROJECT �OT NUMBER SUBDIVISION NAME SERION
�ocariore `/ �,-brr�ak Fk- 5 1
S7REETADDRE55 B �CI'fY STA ZIP
�i- 739 c�n�ll�� G�-�1� y yn/ L/6o�y
7AX MAP PARCEL'NUMBER ZONING� FLOOD ZONE/S �
1�- c�9-l9- oo -v3 -U�4. poo s / x_w..s
L0T9PLI7 SEWERUTILITY WATERUTILI7Y SEWER/WATER
O VES � NO C/ .. .�A,�€� ffdR�CONSTR L"�It�ESIXCAVATOR. g�,��Z
TYPE OF T�'PE OF CONSTRUCfION ER PERMIT FLOORPLANy/�� L !��
PERMIT SINGLE FAMILY o Two F °' Codes ❑ YES�NO J�rJ/C �` (�
E OFIMPROVEMENT (� T p�.��� EARLY RELEASE
O ADDRtON��Room/s OPOrchl��ck��� D SHIO��EfACHEDGARAGE �O DEMO TIONUIL�ING � � NO
PRO]ECT P�N COMMISSION/BZA/BPW DOCKET NUMe /OR ESTIMA7ED COST SQUARE FOO7 GE
TAC DATE/5 ,�-_ OF CONSTRUCfION� ��7�0, ^�/f
� IXCLUDING�UIND �� 7 WV ��ya
PDFPLANS TYPE OFFOUNDATI� MANUFqCfURED SUMPPUMP PORCH
❑ CD O E-MAIL � SLAB BASEMENT;-�WALK-0UT TRUSSES /�
0 CRAWISPACE ❑ ST&BEAM 0 POST&PIER �YES � NO �YES O NO I�CJ VES � NO
SFATE OF CDR NUMBER RELEASE DATE �pNSTRUCTION TYPE OCCUPANCY CLASS
INDIANA � — �
CDR� ��PE OF RELEASE� TVPE OF RELfAS�
FORTOWNHOMES q FDN O STR 0 ARCH O EIEC O MECH O PLUM � $PKLR O OTHER
For Single Pamily and Two Family Dwellings this Permit is valid'only if constructiuu commences within 180 days of thc date of iysuance ofthis permit and
must be com�leted.having.the CertificafeofOceu�ancy�iseued�wilfiiv IS montfie oLthe date ofissuance. Clasre I SRUCture Permi[s are subject to thc Sfatc
oflndiana Ceneral Administrative Rules(GAH�675 IAC�12)reparding expiration time Frames For beginning and completing construction.
1�the undersigned�agree that any construction,reconstruction�enlargement�relocation,oralteradon oLa struc[ure�or any change in[he use of land or
structures reyuested by t6is a�Plication will comply with and conform to all aPPlicable laws o(the State o(Indiana and[he°ZoninK Ordinanee ofCarmel
India�a-�993"(7-289)and'amendments,adoptcd��under authority uf I.G36-Te[sey�GeneralAssembly of the Sta[e of Indiana�and all Acts amendatory
reto. I further certif� only kitc5en�bath�and Iloor drains are wnnected to the saniUry.sewee�I further certify that the construction will not bc
u occu ied u a�6e ' ? �-fOccu ancy has been issued b thc D ment of Com Scr/��i' s�Carmel�Indiana.
P , P Y ��.l�s � �v iy
Signa re af Owner or Authonxatl llgent .Printed Na�n pa�
:....................................................�.................................: :........:....................................................................................�
REQLIdRED BASE INSPECTIONS * •' PERMIT FEES , ^� ` ^ �
*Additional inspectious may be rc9uired. ' Filing/Review �� Re-Review
� -`E�Ba�e Inspections �a°�� 5� �
Lower Footing Rough-In F�nal (�;{ �
� ��,�/' � : : Cert.of OccuPancy _� pther
Upper Fwting eter Base 1�Site � �� e-}-7 (.� �
� 1 j�P:RLF.
� ❑ Underslab �
- 3 i. , I
,� A TOTAL 3�-�$y� ;
�A� � � �14�--�T� V7 11���
_ ;�Re wed'/'Released Depaztrnent fGommvmtySe es' !)ace � ; FuRec � d DePer[mentofCommum[ySernce� Wre
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