HomeMy WebLinkAbout13030174 Application I\
M., CITY OF CARMEL / CLAY TOWNSHIP ERIVIIT # [ 3030 7
RESIDENTIAL IMPROVEMENT LOCA'I'ION,PERMIT APPLICATION Sewer / Wa r Ut�ilit}}'���.,
�nouxo• For Ncy.Structures,Additions,Remodels,and Accessory'Structures Permit # 1
LDER NAME PHONE FAX
FLVYc Home> 317-575 -) 350 )C) 3/7-5J7)9 ..).
ORD STREET ADDRESS CITY STATE ZIP
1156)0 N, 1"►- , d,,.. s3. 1s3o C .&.4..1 IA' 96 031
E-MAIL ADDRESS BEST METHOD OF
CONTACT
Stizet�G4 S�h(,�e-hGq RIk. µ-t Ern Al I
NBING NAME T STATE.OF,INDIANA 5-)US PLUMBING CODE
TRACTOR RT M ra IC2 LICENSE NUMBER Cp�f l`oo f�RC Q UPC;
IPERTY NAME PHONE a FAX
NER Pi. ik 1-I 0 /YW) 317-S75- --013. 0 317- SP - 779
( STREET ADDRESS CITY STATE ZIP
) I.5go N. )vMu5 -�- Si- , As3Cr Ccr"(// 7-/V 4/6a3)
I]ECT LOT NUMBER SUBDIVISION NAME SECTION
'ATION 3C1 V;1\ck e CYL WCS Ctc t goo")
STREET ADDRESS CITY STATE ZIP
I ',3'1 AbecGOrn 54 . C cu.r'-tI XI\) 1-1 b03 )
TAX MAP PARCEL NUMBER ZONING FLOOD ZONE/S
17—Doi - D.ici- 00 -55 -olio,000 S-( X
PLIT SEWER UTILITY WATER UTILITY SEWER/WATER
i YES Q NO C1 G 1 pye5l p,,t A a C"'Kt) UTILITIES EXCAVATOR RT ; Do/ C.
E OF TYPE OF.CONSTRUCTION MASTER PERMIT FLOORPLAN
,MIT' PftSINGLE'FAMILY Q TWO'FAMILY ❑ TOWNHOME ç YE Wf10 3. QI V✓-N6S own
TYP�OF IMPROVEMENT EARLY RELEASE
ItVNEW STRUCTURE Q. REMODEL Q ATTACHED GARAGE 0 ACCESSORY BUILDING
❑ ADDITION-Q Room/s Q Porch 0 Deck t?•BASEMENT FINISH 0 DETACHED GARAGE 0 DEMOLITION 2 0 YES yJ NO
IJECT PLAN COMMISSION/BZA'/BPW DOCKET NUMBER/S AND/OR ESTIMATED COST SQUARE FOOTAGE
TAC DATE/S OF CONSTRUCTION,
EXCLUDING LAND 929, `p
/O GD / 1
LANS TYPE OF FOUNDATION PIII rt NUFACTURED SUMP PUMP PORCH
❑ SLAB BASEMEN kAa 4LKSITE, PIER`ff r USSES" _/
Q E-MAIL Q CRAWLSPACE ❑ POST&BE �J Q POST Et PIER 1 IS, YES Q NO Ir YES 0 NO IZVES Q NO
TE,OF: :CDR NUMBER RELE• I ;ATE 262013 .,6 STRUCTION TYPE OCCUPANCY CLASS
IIANA r[T'F
I SCOPE OF RELEASE S06; F� [� TYPE OF RELEASE
OWNHOMES. 'Q FDN o STR Q ARCH. Q ELEI ❑ MECH Q PLUM.0 SPKLR Q I •
lee,• 49 .
r
r Single Family and Eno Famil w
Dellings this permit is sal id only if construction c Q thf la!aesc el
1 ,issuance of this permit and
ast be completed,has ing the Certificate of Occupancy issued,within IS months of the date fi seam 1$(91 tuittliefnP//pt����,a�e 'uI ject to the State
'Indiana General'A bn,nistrat a Rules(GAR 675.IAC 12)regarding expiration time frames f> beg, a ph a i/ar�trett/tu/i,�
the undersigned,agree that any roustrructis cconstru t m,enlarge lent,relocation,or altcrvt no juc r M(r'hsge,,tiinnnttui9 c of land or
uctur requested by this application will comply with and conform to all applicable tins of the Sta y'1tfti>¢/.tyy'an42 Qg itci�i of Carmel
;liana,.1993^(Z-289)and'amendments{adopted under authority of I.C.36-7 et seq General Assembly'o tat o IIIn'li altd all 4.j,aiWndatory
ereto. I further certify that only kitchen,bath,and floor drains are connected to the sanitary sewer. I furt ffi t f` .t tl nstructi6S will not he
ed or occupied until a Certificate of Occupancy has been issued by the Department of Community Services,CarriXel,Inter,.t(/ie
/,I/I ,.�.. Surl'e+4c Sic (,t c tte rrkjS 3I�sJ/3
;nature of 0 ner or Authorized Agent Printed Name /y/^ Date
REQUIRED BASE INSPECTIONS* PERMIT FEES
*Additional inspections may be required. Inspections/ Review I ' A��ar�O Re-Review
Base nspections 3 ( c/ .O
Lower Footing .II_ •ough-In Final
_ j , DO
Cert..of Occupancy ^� Other
Upper.Footil r .\ - .eter Base Site (
P.R.I.F. �yE cs-T.W
1 L tde slab ! (1/
TOTAL 3 V
rrva_!
ed•/Rele d partment of Community Services )ate Pee c iced-Depar sent f Comn unity S n-ices Date
ncA plicninnsmesidentiaNI.P APplicabn12009.03 Last Updated OS/),,