HomeMy WebLinkAbout12110094 1:46 PM CITY OF CARMEL I CLAY TOWNSHIP' PERMIT # Ial I OD4
l RESIDENTIAL.IMPROVEMENT LOCATION PERMIT APPLICATION. Sewer / Water Utility
`xau.a> For New Structures,Additions, Remodels,and Accessory Structures Permit-#
BUILDER NAME' PHONE FAX
OF !Er' C ill
2✓' (3(73 '5533
RECORD STREET ADDRESS CITY STATE ZIP
S�tB�/ ei�+l ., b/U rUnblev r°IIE it-n) q&O6 g-
EMAIL ADDRESS BESTS METHOD OF
CONTACT
f -R mncel's q@ ltao+, ne -1- (3/7),3G,a - 5533
PLUMBING NAME STATE OF INDIANA PLUMBING CODE
LICENSE NUMBER
CONTRACTOR r'oPL'i" f�.lv.rr. b1,t<.. C'a5`6,,,na92 L IRC 0 UPCI
PROPERTY NAME U. HONE FAX
OWNER !"7'/41 r z J I'e b .. o:ho (317) gc1)s-393
STREET ADDRESS CITY STATE ZIP
113g9s- W-/er-5 IIclCc +re, , ( Car-r-,eI ►'hr-. 4/60 33
PROJECT LiiOT.NUMBER SUBDIVISION NAMEn�jj Li �.I �.I""��.,�.� �'�^�"�� SECTION
LOCATION ! 5� � 0/1JTu b L j-�-lAtfjfIVKt.
STREET ADDR SS TY 'STATE ZIP
)i'399c 5e /e, 5 R,'Nrir c3 tr t' I Car r-ne l Sr. Woe) 3 3
TAX MAP.PARCEL.NUMBER ZONING .FLOODZZO�NEE/S
LOT SPLIT �E ER�TILITY I� 1116,TE�,,ft,, �l�? /VVVI .:SEWER/WAT�R x u shark e_d
0 YES 10 NO a /l..n e y 0` .p y UTILITIES EXCAVATOR
TYPE OF TYPE OF CONSTRUCTION 'rw� MASTER'IPERMIT FLOORPLAN
PERMIT WSINGLE FAMILY ❑ TWO FAMILY .❑ TOWNHOME O' YES ❑ NO
TYPE OF IMPROVEMENT EARLY RELEASE.
0 NEW STRUCTURE: D REMODEL 0 ATTACHED GARAGE 0 ACCESSORY BUILDING
❑ ADDITION-O-Room/s ❑:Porch- ❑Deck k,BASEMENT FINISH ❑ DETACHED GARAGE 0 DEMOLITION 0 YES 0- NO
PROJECT PLAN COMMISSION'/'BZA/BPW DOCKET'NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE
TAC DATE/S OFCONSTRUCTIO ^�l�
��RE EXCLUDING LAND 17;_,-) ckoV I, -7g
PDF PLANS TYPE OF FO ny/gelo4 S c. _ MANUFACTURED SAP PUMP PORCH
0 CD ❑ E-MAIL ❑ SAD J CtC� @A lrtn g WALK OUT TRUSSES
- - -- 0 CRAW1 PACE [Y �+t�A Lt?-0/ ❑ POS,,&PIER ❑ YES f-- L a _!�r� 0 0 ,YES 0 NO
STATE OF cDR T-ceFto tae�nR .,. CONSTRUCT rI L•E t 4Ar 01
CDR
INDIANA SCOPPEE1O�r7F�l7ROEA R20�o,of,,, "? L00cd/CB// lO LION 11 O AS
FOR TOWNHOMES .0 FDN ❑ STR CI ARCf��✓,ECY��E Oa .PLUMt/�7$PKLR 0 OTHER 'IVOv b0 9
For Single`Famil and Two Tamils De ellings this perat is salid AI, }/3}ryai iii n •s itl .. .nys of the date of issuance of this permit and
must he completed,having the Certificate of Occupancy i a+ ;i s t e date of issuance Class I Stricture Permits are subject to the State
of Indiana GenerallAdministrative Rides(GAR 675 LAC 121 e- �P.` piralion time fames for beginning and completing construction.
1,the undersignedcagrce that any construction,reconstruc on,cnla geivent,reloation;or alteration of a'structure,or any change in the use of land or
structures requestedbv'[bis application iw will emnplylvrth and conform to all applicable laws of the State oCln 1 ana and the"Z_oning Ordinance of Carmel
Indiiiia—1993"'(Z-289)and amendments,adopted'.uiider authority.of I.C:'36-7.et seq,General'Assembly,of the State of Indiana,and all Acts amendatory
thereto. I.further crtifyThal onlv kitchen bath;and floor drains are connected to the sanitary sewer. I further certify that the construction vv ill not he
.._
.one 1 or occupied until a Certificate of Occupancy has been issued by the Department of Commmuri Scr ices;Ca d;Indiana.
C:. -1l It C m'e— M ;I ler 11-30-'?
`Signature of Owner or,Authorized Agent ff Printed Name - Date
REQUIRED,BASE INSEECTIONS'* PERMIT FEES
*Additional inspections':may be rcyuired. Filing/ Review Re-Review
jBase Inspections
❑ Lower Footing: ./tough-In .Final
1 Cert.of Occupancy Other
❑ Upper Footing , I❑ Meter Base _ ite
PA.I.F.
❑ Underslab i 'TOT_ AL
illf Re iewed'�eiea a'tm tit 1 Community S'r\IC95, Date fee 1, ei e l De , m [of C ii t Sen ices .Date
S.APernikAFarm.Wppf,ah,nsAR.dentiulAiLP ASPlkationA 20119-Ut Last Updated 08/:3/2009