HomeMy WebLinkAbout13050011 Application I ._ . CITY OF CARMEL / CLAY P
TOWNSHIP' ERMIT # /305 9oc
RESIDENTIAL IMPROVEMENT:LOCATION PERMIT•APPLICATION' Sewer / ter'pithy
Na p For New Structures,Additions,Remodels,;and Accessory Structures �!G Permit# .J0.. at 10
BUILDER a‘\.\ \ P E FAX /
OF �cac 0� � 341� aa,�
'RECORD STREET ADDRESS - CITY" STATE ZIP
°eaas JO. - ye 's yo 40
E-MAIL ADDRESS BEST METHOD OF
�, \c...3%, CONTACT
PLUMBING NAME STATE OF JPIDIANA PLUMBIN CODE��_�, LICENSENUMBER
CONTRACTOR ��2_ inl��e�' PC� QL. RC ❑ U PC .
'PROPERTY _ E PHONE FAX
OWNER \`Ct 5C a.:.c` C \ \ •"--4 VtLr• tT'S---. 2,9 CO' 4aay
ST(St CITY
�aS N , .yev IC =`-_( s STATE - y(f 4Z�
PROJECT LOT NUMBER SUBDIVISION
�tNAME 1 `c� -�n �" 1 ` SECTION
LOCATION \ Thee n ]S Ott 1 '& ec c4 .
STREET'ADDRESS CITY ATE ZIP
-. `Ai.
TAX AAAPPAR NUMBER .I \ . FLOOD ZONE 1 a j-A ni
LOT O SPLIT
YES':'M No Lvc UTI I I S I\` �: 1 Hy I _ 'LITIE' Il►•VATOR 3e.v.,'\avC
,
TYPE OF S )FCON CONSTRUCTION'
N , MASTER 'aril FLOORPLAN
TYPgpF CONSTRUCRON
PERMIT 1Y/ TW AMILY 'I OWNHOME' 0 YES •' 0
TILDE OF IMPROVEMEN ' -- - EARLY RELEASE
NEW STRUCTURE • a,REMODEL .A .19 ARAGE ❑ ACCESSORY BUILDING
❑ ADDITION-0 Room/s • Por ,„ ❑ BASEMENT FINISH 0 .DETACHED GARAGE, ❑ DEMOLITION 0 YES N NO
PROJECT PLAN COMMISSION/BZA r ET.NUMBER/S AND/OR ESTIMATED COST- ^ _ _ 1 SQUARE FOOTAGE
TAC DATE/S ,OF CONSTRUCTION, 1( „Ul I'M lb �.,...�J I
• ,EXCLUDING LAND �Y �WMJ,,,,L11 -LUG
❑ SLAWLSPACE ❑ POST&NT- ❑ POSP MANUFACTURED SUMP PUMP PORCH
PDF PLANS/ TYPE OF FOUNDATION MANUFA "CH
❑ CD r�E-MAIL / YES 0 NO /YES O',NO .g YES' 0 NO
❑ SLAB L7 BASEMENT-❑'WALK WALK-OUT TRUSSES
&PIER
STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE 'OCCUPANCY;CLASS'
INDIANA
CDR SCOPE OF RELEASE ;TYPE OF RELEASE
FOR TOWNHOMES '0 FDN 0 STR 0 ARCH 0 ELEC 0 MECCti3O PLUM 0 SPKLR ❑ OTHER
.1,qtyj 'Pea
For Single Family and Two Family Dwellings this permitipycilid on' $/cyo�nf�, ion commences within ISO days'of the date of issuance of this permit and
must lie completed,having the Certificate of Occup i A wit�init*mip the date of issuance.,,Class 1 Structure Permits are subject to the State
of Indiana General Administrative Rules(GAR 675 Ie� a(�f th I ra•e • is es for beginning and completing construction.
I,the undersigned,agree that any construction,ieconstr c er retell a Iteration of a structure,or any change in the use of land Or
structures requested by this application will comply witliUin+Lpf a e State of Indiana and the"Zoning Ordinance nfCarmel
Indiana 1993"(Z-289)and amendments,adopted under authors C. ��sI. fti61j of the State of Indiana,and all Acts amendatory
thereto.J1 further certify that only kitchen,bath,and floor.drain . t e sanstkty sewer. 1 further certify that the construction will not be.
occ') 'ed'un C to of Occupancy has •-en issue cb t� ommum Sere,•'es,Carmel; ndiana.
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\_..�a�1����i\ A. A Va A fa A - - 5-1 -13.
-,-"''at. Sr or • _ nt Pn1 -- ( ` Date
REQUIRED BASE INSPECTIONS-* PERMIT FEES I f�h I^ n
*Additional inspections may be required. Filing /Review L v'v�'C/�'`�+ '9i�-"P Re-Review
Base:Inspections , _ .�.:J •
Lower Footing rough-1r Pi, 1. _ �/� d�
Cert.of Occupancy (g At• Other
Upper Footing Meter'Ba�e ite h�ac....,c
P.R.LF, �J tom/
❑
TT- 2W 1 „OTAL , � (,� 0-.004. (
Reviewed/Released—Deartaent of Commune .Services Date fcReceied rtm tof Commune Services �� `
P Community Date
SWensusw srmi\Applicationt\ResidentamLP Application V009-08 Last Updated 08/13/2009
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