HomeMy WebLinkAbout13040202 Application - -0;rat,''E< CITY OF CARMEL / CLAY TOWNSHIP ER T # '
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA"[I Sewer / Waterr Utility'
tnmxx For New Structures Additinns RRa.r.nArl n t1I// Pry Structures Permit# /3O
BUILDER' NAME .,. E. D IE 1 rt 6 .NE'. FAX
.'
OF `Z� .,.c❑. C\ \ .E�% . td'at .3 `Ki64 .-a_t -
RECORD STREETADDRESS I AP.R...2,9 11 �/ ITY STATE ZIP
aoac JO . \.� . tom. a.vs : , wc0 4o
E=MAIL ADDRESS -- I EST,METHO OF
� p`n c.A) r °`^^_`GJV"'� - (ONTAC1 0 .,l
'PLUMBING NAME STATE OF INDIANA, PLUMBING CODE
CONTRACTOR „iL ati .���p LICENSE NUMBER Ora O UPC
PROPERTY NAME l -_"'s \ PHONE `�' FAX J l �/
OWNER 1 �c e t-Z�I{\cW CITY 4L —awl g3ArE ��� ({aa /
STREET.ADDRESS' v •
PROJECT LOT NUMBER SUBDIVISION NAME SECTION
LOCATION \_ -&` \Y. 1.4-\ZS oeYc t C-CL
STRE ADDRESS CITY J STATE Z
V 1\ w� e\ . i 4 t.015 `�,
TAX_MAP'PARCEL NUMBER rNING' FLOOD ZONES
UTILITY WATER UTIL SPLIT Sy)yER UTI L SEWER/WATER c IT\Y
❑ YES NO' ``QlN`, _ C UU
UTILITIES EXCAVATOR Star._ `f
TYPE,OF TYPE OF CONSTRUCTION \ MASTER PERMIT FLOORPLAN
PERMIT SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOME 0 YES .;140
T�./y E OF IMPROVEMENT EARLY RELEASE
'IA NEW STRUCTURE El REMODEL. O. ATTACHED.GARAGE O ACCESSORY BUILDING _ /
❑'ADDITION D'ROom/s 0 Porch-0 Deck. ❑ BASEMENT FINISH 0 DETACHED GARAGE O DEMOLITION 0 YES M NO
PROJECT PLAN COMMISSION/'BZA/,.1BPW DOCKET NUMBER/S AND/OR ESTIMATED.COST F�,y` \` SQUARE FOOTAGE
TAC DATE/S EXCLUDING LAND `V ` 1 • 1 l 1�'
PDFPLANSS TYPE'OE FOUNDATION 'MANUFACTURED SUMP PUMP PORCH
0, CD usE-MAIL O CRAWLSPACE POST&BEAM WALK-OUT 0 POST.&PIER TRUSSES S O NO . YES 0 NO .'YES 0 NO
STATEOF CDR NUMBER RELEASE DATE CONSTRUCTION.TYPE OCCUPANCY CLASS
INDIANA
CDR SCOPE OF RELEASE pt\C ti'E OF RELEASE
FOR TOWNHOMES O FDN O STR '0 ARCH 0. ELEC ❑ MECH 0 PLUM 0' SPKLR 0 OTHER _, '(p 40
Qcf Sk W�\bacr \,\GF>�Q
tF Single Family and Two Family Dwelling this permit is aI d only if construcCepAt,Vht�erZgns•Arv�t ���lp101y t l .of issuance of this permit and
must I e completed having the Certificate t Occupancy issued within,18 mont tl�VgF�ti - % pvw' SS(w tore Permits are subject to the State
of 1 diana General A i inistrati a Rules(CAR 675 IAC 12)regarding expiration timeS�ramesto�("�`�y`p a , Pleting construction.
I,the undersigned,ig a that any construction,reconstruction,enlargement,relocation t, aq\if�'s t r (or any change in the use of land or
C71"r
structures requested by this pplication.v 11 ply with and conform to all applie Q. s hina and the"Lonmg Ordinance of Carmel
'Indiana 1993 (Z 289)and a ndments,adopted under authority of I C 36-7 et seq `c§(1 ssemh the State f Indiana,and all Acts amendatory
,thereto. I further certify that only kitchen bath,and floor drains are onnected to 4t nitary:sewer. I fuither certify that the construction will not be
sed or occ..ied until a C. i Cate of-Occupancy as.beets issued by the De artmen of Community Se vices,Carmel;"I iana.
3�ae _, . , tan.. t1 S
1 r .ut .riz gent Prin etl Na \ D l
REQUIRED BASE INSPECTIONS * PERMIT FEES
*Additional inspections be required.
Filing"/ Review q W 3I °/�Vp Re-Review
y ( Base Inspections ��.;,t), bb
1/
Lo er Footing CJ Rough-7n 2F'aial _ (0,9‘ ,Ob
Cert.of Occupancy � � . ��(-� Other
Upper Footing 9/Meter Base Site' L d t ,2./
PiR:I:F: 6 �1,:Z..� J
\❑ Undcrslab (" o
TOTAL �. o 1 0 .
I`r� di-t 4 .3or13 :.• /� .. - 13
wed/Re d `Departnienr of Commiuiin'Services Date Ie'Re� d Departnt nt of Commmnity Sen ices Date
ern'Appl mowsAR d t�l'ILP Appl r l c iA2009 O8 _ iii777 - Lon Updted OS/13I'009.