HomeMy WebLinkAbout12120147 Application n ^q
°`"° t"'�� CITY OF CARMEL / CLAY TOWNSHIP PERMIT #Ai O 147
.RESIDENTIAL.IMPROVEMENT LOCATION,PERMIT.APPLICATION Sewer / Water Utilit
ren�� For New Structures, 'Additions,Remodels,and Accessory Structures PCrm lt.#
/8IIa0I4
ILDER NAME-- / / PHONE FAX
rl1//-/a fh�a 649-gale- QSS-- 727 #
(CORD STREET ADDRESS n C f/, STATE P
E-MAIL ADDRESS z//44.., .. BEST METHOD OF
chr.s5 'CONTACT � i/
aJ� �/y/ / CDm
UMBING NAME / STATE OF INDIANA PLUMBING CODE
'NTRACTOR .Z'A. ///GAviZa/ LICENSE NUMBER ta- Q UPC
IOPERTY NAME �Ci 1J / '/'/ / PHON FAX
AMER NAME
v : //f//�/ayny �/A-� �/�j//�s _4..9/81x5 ' 4046:3g- 727499
fi�c--/4 S�j°////�4% S #fl / / ST TE Z
tO)ECT LOT UMBER SUBDIVISION ME /� I / SECTION
)CATION ''SZ I///q "741 S1Z I 164.7
STREET ADDRESS ���� ITY,t STATE ZIP
25 "/ L �,Tl'A�/�Jitin7( 14° �4, / /7/ 9 432
TAX MAP PARCEL NUMBER ZO, FLOOD ZONE/S
T SPLIT SEWER UTILITY WAT UTILITY SEWER/WATER
Q YES Q N0. ( I/`/ j) Winn UTILITIES EXCAVATOR ./j J A 0,q
YPE'OF TYPE OF CONSTRUCIIO V MASTER PERMIT FLOORPLAN
ERMIT SINGLE FAMILY O TWO FAMILY Q TOWNHOME Q YES NO
_• • IMPROVEMENT EARLY RELEASE
.g NEW STRUCTURE O REMODEL Q ATTACHED GARAGE Q ACCESSORY BUILDING
❑ ADDITION Q"Room/5 ❑.Porch,Q Deck: .Q BASEMENT FINISH Q DETACHED GARAGE 'Q D EMOLIIION Q YES
ROJECT PLAN COMMISSION/BZA/BPW DOCKET NUMBER/S AND/OR ESTIMATED COST n SQUARE FOO AGE
TAC'DATE/S' OF.CONSTRUCTION,/ G/AZ 5- /A
EXCLUDING LAND [f/ /' U y
)F PLANS TYPE OF FOUNDAT ON MANUFACTURED ;SUMP PUMP PORCH
CD Q E-MAIL cl SLAB BASEMENT-Q WALK-OUT TRUSSE
❑ CRAWLSPACEr - POST&BEAM Q POST&PIER' ES Q NO ...?s-YES Q NO DYES Q NO
TATE OF DR NUMBER RELEASE DATE CONSTRUQ,` N TYPE OCCUPANCY C v
DR
NDIAN
'SCOPE OF EASE O�� d \\St°o� OF.RELEASE
OWNHOMES I Q Q STR Q AF CH ELEC Q MECH Q PLUM Q- � B$
SC, •last°t pe7 t
9Z¢-V\. om�P� o\�A v\l,
km.For Single Family and T , Family Divellu gs this permit is valid only if cut rutiCti. a �LD\,`(w.1••••#cycpp .i�sof the date of issuance of this permit and
must he comp) ted bavin6 the Certiln.atc o&Occupancy issued,within 18 tn,p i %TI+ks\rie. Class I Structure Permits we subject to the State
of Indiana General A ni tat Rules(GAR 675 IAC 12)regarding ',t,,rip�,'jo des lr r41v( mm tg and completing construction.
I the understg ed agree that any coast t4ct on,reconstruction,enlargUti fr(Y�e a 1 astOttFT on of structure,or any change in the use ofland or
structures requested by this oplication ill comply with and confor.�t-•i)C,Ck dlyppbcabl 1 of the State of Indiana and the Zoning Ordinance of Carmel
Indiana-199.1",(Z-289)and mcndmen[ adopted under authority of l 36,7 et seq,General Assembly of the State of Indiana,and all Acts amendatory
thereto. I flirtlitir:certify tift only kitchen,bath,and floor draibs are connected to the sanitary e c . I further.certify that the construction will not be
used!or ocr•M7,11 ' c of Occupancy has been issued by the Depart eat of Co-am y Se vices, armel,Indiana. /ra
____ v1 / ' % ,// / /2'/ra
Signat of Owner or 0th• iz.,•Agent Prin d Name Date
1
REQUIRED BASE INSPECTIONS * PERMIT FEES . /� G��/ //�
*Additional inspections may he required. Filing / Review i ll41''cJ.762) Re-Review
Base Inspections 3 1 5.W
Lower Footing ugh-In n al I ^I. j�f\
Cert.of Occupancy to De Other
Upper Footing )Meter Basc Site Ol(
I ^ fV\
P.R.I.F. .I lJ�-�
❑. Underslab a
TOTTAL is•
CALM hcfAitIA -c----1 .4 .13 01 i 13
Rcuesdcd/RU ed Depart +it of G,m un it Semites Date F •Recciced-Department of Gmvnwuty Services Darr.
ic\nmApplicaionstReside&aNLfAPPlicaIioni'W9-R5 - Iasi Upd:ned 051132009