HomeMy WebLinkAbout14040208 Application `�""� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # �-I- O O� �
RESIDENT(A6 IMPROVEMENT LOCATION PERMIT APPLICATION Sewer / Water Utility
�h01�N> For New S[ructures,Additions,Rcmodcls,and AcccssoryStructures Permit#�j] I
BUILDER NAME PHONE FAl(
oF .J C ►�a�� CL � �C. ��'1 -57 -4 _t�G:�-ooA3
RECORD SiREFfADDRE55 CITY, STATE 2IP
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E-MAIL ADORE1SS 'BES7 MEfHOD OF
C`� KL'hw�C.1S Q.Le�]n'..�� C�bn'�. CONTACT '�Mr1��
PLUMBING NAME STATEOFINDIANA PLUMBINGCODE
CONTRACTOR "�� �V1, � LICENSE NUMBER��j�,.� I-,-,`C [RC Q UPC
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PROPERTY "a"'E PHONE FAX
OWNER �E � Bu:u. �-�L�S llC- l7-5� -�I' � YJ l�?-Ivlc -LX,L�i3
SiREEi DDRE CITY STATE ZIP
�c5 (�,��. e "� d D , 4.1�032
PROJECT LOT NUMBER ' 1� SUBDIVISION NAME SERION
IOCATION # l_C'r��L(o, � ; 23
SfRE ADDRESS , C1TV STATE ZIP
l'f !�o e 1 ' , �D 3
�TAX MAP PARCEL NUMBER . � �ZONING FLOOD 20NE/S
�,ompllance wilh ail tegulation ���
'I-'D-2°j-[,`G-�S�L`5 es %�-� oa..v� �n-'E ?G
LOT�SP�S O NO SEWER U�L2TY D�A�ER�� UNITY SERVI ER�5 CAVATOR•1 . � _i 1 .n �C C•I ' .l
� FY�
LL>�F, VL•C '�3L'N
TYPEOF TrPEOFCON5T1iUCfION ��1��n MASTERPERMIT FLOORPUIN
PERMIT 4 SINGLE FAMILY � TNO FAMILY 0 �OME o res ' rvo t T� �,
PE OFIMPROVEMENT EARLY RELEASE
NEV✓SrRUCTURE O REMODEL 1�, AITACHED WRAGE � ACCESSORY BUILDING !. �
Ca'ADDITION—O Room/s O Pord� �Deck O BASEMENT FIN[SM O DETACHED GARAGE 0 DEMOLLTION O YES �NO
PROJECT P�N COMMISSION/BZA/BPW DOCKEf NUMBE0./5 AND/OR ESTIMATED COST ,�/� SQUARE FOOTAGE
TAC DATE/S C �!' , E%C UD NG NDN�� �//-J��L'I.' i UCJ I )�I�I D
VDFPUINS TYPE OFFOUNDATION MANUFACfURED SUMPPUMP PORCH
Q CD Q E-MAIL SLAB O BASEMENT-4 WALK-0UT 7RUSSES
4 CRAWLSPACE Q POST&BEAM 0 POST&PIER � YES �Q, NO O YES NO YES O NO
STATE OF �DR NUMBER RELEASE DATE CONSfRUCfION 7YPE OCCUPANCY CLASS
INDIANA (v '�.—I�—� V—Pj �jgi,,_��e�,iyQ
CDR �OPE OF RELEASE,,,� ,�,� TYPE OF RELEASE
FORTOWNHOMES m�FbN m�S`TR 4rr.nCH � o�EC �IGECH (p!FLUM Q SPKLR �
For Single Family and Two Family Dwellings ffiis Permit is valid only if conslruction'com s within 180 days o(the da � ssuance of�his Permi[and
must be comple[ed,having the Certifiote o(OccuPancy issued,within IB montha of t6e d iss�[�yq. OI�cFfg�pctu its are subject to thc State
uftndiana Ceneral Administrative Rules(GAR 6751AC.12)regarding cxPiration.time fra f be fidihy.in �o��felin tructinn.
1�the undersigned,agrm that any emstruction,remmtru�tion�enlargement�reloption, r alterotion o(a st2ucture�or any c nge in t6e use of land or
strunures requested by thie aPPlication will comPly with and conform�to ail aPPlicahle I s o(the State oflndiana and lhe"L nin�+Ordinante of Carmcl
Indiana—1993"(l-289)and amcndments,adop[cd undcr.authoriry of I.C.36-7 et scy�Gen. Aseembly�o(lhc State of Indiana and all Acts amendatory
[herelo. I further certify tha[only kitchen,bath�and fluor drains are connce[ed to lhe sa ' mnstruction will no�bc
used or occuPicd until a Certificate o(Occupancy has been issued by the Departmenl ofCommunity Servicros,(:armel�Indiana.
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Slgnahre o/Ownerpr AuNoAxeA Agent. pNntetl Name Da[e
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REQL[IRED BASE INSPECTIONS * � PERMIT FEES
*Additional insPec[ions may bc reyuired. : Filin�/Review `�'� L7' �`�j� Re-Revicw
,J� c BaselnsPections ��/ / � -�_� �
� ❑ Lower Footing .O l Rough-In �j Final ; Cert.of Occupancy Y�3 ,�
� --7(') Other
c'� UPPer Footing � Meter Base � Site � p,R.LF. f1p [ -1, �
�� Underslab
TOTAL
; ,�-/3 - i`� : ' ' --�
; Rmiewed/Releaeed—UeparcmentolCommunity.5ervices Uam ; ; FeeRemived—D en fCo munityServicex Da[e �
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S:�Permiis\FnrmsWO���rations\RC�ideniieNl.P ApplicationVU09-09 lasi UpdazW OR/13/2009