HomeMy WebLinkAbout14070015 Application 1 � V \
``ZVOFGIIy� . � �_� _
*�''i'��'; CITY OF CARMEL / .CLAY TQWNSHI �PERIVIIT # �i`f a�T O�IS
RESIDENTIALIMPROVEMENTLOCATION.PERMITAPPLICATION Sewer f WaterUtility
��. �xoux�- For New Structures,Additions,Remodels,and Accessory Structures Permit� �y��O��y
�BUILDER. NAME' PHONE FAl(
oF � , t�. . (lc 1�- 5�0- 8��8
RECORD �REETADDRESS CITY STATE ZIP
2�.IS?-l1 S4.a� \f�Sl-� Lcv.e.. N�b�esvi��e �N �6flb�
E-MAIL ADDRESS ^ - `BEST.MEfHOD OF
WI•AI�eSSG CI'Q- C��:� `(D/'nC0.S�.S�� CONTACT- EM��
BLUMBING NAMEI .SfA7EOF,INDIANA �7 PLUMBINGC'O/DE
CONTRACTOR �jCI�K\Ef �kM,�' - ��-G �I�ENSENUMBERe� �+OS�JLS ❑ IRC H
UPC
PROPERTY N E' PHONE iAX
OWNER , R PrN't '� � �vL-I-A ., �"CC 3l'�-�7—�L�7'� 3r7-�f�6- I8'
STREET ADDRE55 CITY STATE ZIP �-
SS� � �_ `1,� 9�- ��-, S-� 3 ��o�s � �-+ �b�o .
PROJECT �OTNUM9ER SUBDIVISIONN ME � SECTION
LOCATION
SfREETADDRESS � tl � SfATE ZIP
1661 W, M��r �. �- � -�,.� �-E�o3 Z ,,
TAX MAP PAHCEL NUMBER ING�. FLOOD ZONE/5
��-o -a�=o�-oo q�!k�� 2014
LOTSPLIT SEWERU7ILIry W TERUTILIfY S ER/WATER � �
� YES � NO CL� ��{p ��,�'( LITIES EXCAVATOR ��AJ 0..�^
TYPE�OF TY�P °FCONSTRUCfION � TE/�,pERMIT FLOORPLAN
PERMIT �'SINGLE FAMILV O TNO FAMILY q TOWNHOME �YES q NO
�TYP�E'OFIMPROVEMENT EARLY RELEASE
fp�NEW�STRUCTURE O REMODEL ❑ ATTACHEDGARAGE q ACCESSORYBUILDING
0 ADDITION-�O Room/5 O Porch O DeCk � BASEMENT FW[SH ❑ DETACHED GARAGE � DEMOLIT]ON , O YES � NO
PROJECT P�N COMMISSION/_BZA/BPWbOCKEf NUMBER/5 AND/OR ESTIMATED CO57 SQUARE FOOTAGE
TACDATE/S OFCONS7RUGTION, S�l�OO� , 1^��
� E%CLUDING�CAND ���ot -
PDFPLANS TYPEOFFOUNDATIO� � MANUFACfURED SUMPPUMP PORCH
q CD O� E-MAIL O �SLAB BASEMENT- WALK-OUT TRUSSES �
0 CRAWLSPACE O POST�'BEAM O POST&PIER O YES NO , YES q NO L9'YES q NO
�STATE��OF CDRNUMBER RELEASEDATE �CONSTRUCfIONTYPE OCCUPANCYCLASS
INDIANA
SCOPE OF RELEApSCE'. t� TYPE OP RELEASE
ODR OWNHOMES� � O FDN O S7R��7-FA�v�O�G[>?NMEEVFe���LUM. 0 SPKLR � OTHER
� ., ot s��a�e- G � CpES�
For Single Family and Two Family D'���l��ii �s �i�pjdF(Ni��li ion mmmences w�thin 1A0 days of the date of issuance of this permit and
tV���.
must be mmpleted�having the Ce�r[i�q'qryf��n��ith�n IS months of the date oFissuanec. Clasn I Structure Permits are su6ject to thc State
oftndiana General Administrativ�al�s��:A I P1��dirig expiFation time Crames for fieginning and completing constru tion.
I�the undersigned,agree that any consMURion reco �tion,enla�gemenq relocafion.2ir alterat�on ofa stru�YUre�or any change in the use ofland or
struc[ures reyuested 6y tfiis appliwtion wi0 comply with and conform�to all aPPlirablc laws ofthe State of Indiana and the`Zoning brdinanec of Carmel
Indiana—1993°(Z289)and amendments,adopted under authority of LC.36-7.et sey�Gencral'ASSembly of thc State of Indiana�and all Acts amendatory
thereto.� ceKiFy that only kitchen�bath�and(loor drains are connected to the saniGry sewer. I fuRher certify lhat the construction wil3 no[be�
used�or cu e5 mtil a Cer[ifipte ofOceuPancy has been issued by theDePartmmt of Community Services�Carmel�Indiana.
'P��n�,� S , 5�1�— a- �
SignaW o� ner AuMo'� Ag¢n[ PdntedNa� Da
�........... ..........................................................................� . ...........................................................................................
REQLIIRED BASE INSPECTIONS * '• PERMIT FEES
*Additional insPections may bc��re9uired. : Filiqg/Review � � � r �/-�� Re-Review
�,J/ �// : Base InsPections 5,3��W�l.J
: 6d LOwer Footing� ld. � ugh-In � al ��_� F�,•�
� � � ' Cer[.of Oceupancy _��. _iLi Other
: L/J UPper Footing LJ. Metet Base L/J 'Site 1� ' ,_� �
J/ � P.R:I.F. {--u—`F-F-'�L
�°•� L�J Anderslab � �
• TOTAI,�
: c��� ����-.� �r i�o 1�� : ..�/�,�_ � � ►�/�y
'�; Rev�ewed/`ftel J Departme t f,C cy S ee.+. . Dare ; Fee e ed Depm-trnent . ommun[y Sernces Date ;
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