HomeMy WebLinkAbout13040211 Application -_ _ v 11
RESIDENTIAL IMPROVEMENT LOGA1A'ION PERMIT APPLICATION P . PERMIT # J?.Water u 14 y
•
\ouxn� For New Structures,Additions,Remodels,and Accessory Structures Permit�$/' � . . `'6
BUILDER NAME // 'I PHONE FAX
OF 0`\fr /5 n-)e-s 81 ?_ gl%-9746-9
RECORD STREET ADDRESS CITY STATE ZIP
3keg pr, OrIA/ $ S. Iry 4h /.S fh 16.25/6
E-MAIL ADDRESSC 1 p / B_ METHOD OF
(tV1Lras krI /. D' t/t keo, .coo CONTACT GI d
;PLUMBING NAME STATE OF INDIANA PLUMBING CODE
CONTRACTOR //.^'�, y 1 yq LICENSE NUMBER G 9,19 L� ..y _.. e�O ��:5/�1 e4. IRC UPC.
;PROPERTY NAME yJl PHONE FAX
!OWNER b fbmes '!9 alo23 817--,P66 r
STREET AD RESS CITY .. STATE- ZIP
&b6-5- ,ri a,- c 4 4Jy S A— An o%o/s hi S!(,?Sl d
,PROJECT LOT NUMBER' -SUBDIVISION;NAME SECTION
LOCATION /024/ - . vt _ • (v; ilk Sf Y- 19
STREET ADDRESS - CITY STATE' ZIP
1 //9y/� ay�3.rUfr+ �tart5yl1&- /'I ' 6077
TAX MAP,PARCELNUMBER ZONING FLOOD ZONE/S
/7 -O7. 3/•= o0-.0`7:- w7• CO O 6 i )6 uKSAtt .0
LOT SPLIT SEWER UTILITY - WATER UTILITY SEWER/WATER j�y�
O'YES O NO, C7'2w,0 ,Genie UTILITIES EXCAVATOR /p , a4roJ
TYPE:OF TYPE OF CONSTRUCTION M i n1 FLO PLAN /J
PERMIT -`SINGLE FAMILY ❑ TWO FAMILY ,0 TOWNHO �G �_ ��
!!.Y ❑ NO� goat
PE OF,IMPROVEMENT \ ,EARLY RELEASE
:NEW/STRUCTURE 0;REMODEL>,`II 0 ATI CI� %GE�• ACCESSORY BUILDING
0 ADDITION-0 Room%5 0 Porch. 0 Deck 0.BASEMENT t• ❑aj' RAGE 0 DEMOLITION 0 YES NO
PROJECT PLAN COMMISSION/BZA/BpW,DOCKET NUMBER/S AN it r EII\\SITTIMATED COST SQUARE FOOTAGE '
TAC DATE/S OF CONSTRUCTION,
EXCLUDING LA i - e 000 SS?,
PDF PLANS TYPE OF.FOUNDA_TION MA -a . - D SUMP PUMP PORCH
0 CD 0 E-MAIL 0 SLAB BASEMENT-❑WALK-OUT 6' r- 5.
o CRAWLSPACE 0 POST&BEAM 0'POST_&P_IE_R YES 0 N A,,YES 0 NO 'YES 0 NO
STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE OCCUPANCY CLASS
'INDIANA -
CDR SCOPE OF-RELEASE \\CN TYPE OF RELEASE
FOR:TOWNHOMES 1;1 FDN 0 STR 0 ARCH O• ELEC:0 MECH 10 PLUM 0-SPKLR, 0 'Cl*
c j F‘c
'CO�J a01e°°-J\o
D
for Single Family and Two Family Dwellings this_permit is valid only if eatiobtenim l date of issuance of this permit and
must be completed having the Certificate of Occupancy issued pp i� yq��r bf �a is a r`���\s's I Structure Permits are subject to the State
of Indiana General Administratne Rules(GAR 675 IACI 12)regarJ x hToRig(I e /re itng and completing construction.
1,the undersigned,agree that any construction reconstruction en1a ment'Qelfs . o l ion ofa structure or any change in the use of land or
structures requested by this application will comply-with and confor:MTh , 1 La o Sb�[.State of Indiana and the"Zoning Ordinance of Carmel
Indiana—;1993' (Z-289)and amendments,-adopted tinder-authority of�L Th T e` �5 embly of the State of lnd ana a d all Ads amendatory
;thereto I further certify.that only kitchen bath,and foo drains arc ,p*� ' ' o the ad ry sewer I further certify thatthe construction will not lie
used occupied unt ertifica of Occupancy has been issuedby.�Vplep mcnt of Community S ices,Carmel,Indiana. /
�l .'1s I3
''��r� Authorized Agen'et art/4-7-",„“,,w.-
5i9reof�vorAed'Agen[: Printed
Date
REQuVVVVVV IRED BASE INSPECTIONS * : PERMIT FEES
•* E Filing / Review 10
�-2,-`(3
Additional inspections may be required. r�ff��,,. Re-Review
, Ly ,� io 2,( @ ert of Occupancy 2<r)y -�.riVitIpper Footing Meter Base L7 .Site I5, („ .
P.R.LF. Y.J
❑ Uriderslab �q f`` ��
(� , TOTAL r✓�/ .
CVal.;,Q. L L' R-,/ 3•!T Casa .. aW A ,
Reviewed/Re ased Department of Community S rn es Date Fee teceneel e WI em o Coetm uty Servic - Date
S9PennitsiFOmsiiMpl,cationetRe AetiaNLP Applicationt200908 Last updated 08/13/2009