HomeMy WebLinkAbout06030179 Application
City of Carmel/ Clay Township CA~ Permit #()fdliOI 79
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
New Structures, Additions, Remodels, Bt Accessory Structures
For Single Family, Multi-_etJll5ftW'i1y:
Shannon Hlnshow
NAME
PHONE
FAX
BUILDER of
RECORD:
ZIP
PROPERTY
OWNER:
NAME
PHONE
FAX
LOCATION
Bt PROJECT
INFO:
STATE
ZIP
SECTION
ZONING:
1N 4
SEWER IJTILffi f)" Il
PROVIDER: Ci:' U
WATER IJTILffij) /\ rv\ A t1
PROVIDER: LLLk" ~
NAME OF IJTILm EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
00 SINGLE FAMILY
[] TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Ete.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
IW.
Which plumbing CJtI__ .m hA 30plied to the construction:
.tQ. International Residential Code w/lndianaA"nr-- ents
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
V Manufactured \I FOUNDATION TYPE: (Check all that apply for the new
_Y LN Trusses: ~y _N construction area)
" V 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y A-N Sump Pump: ~Y _N 1} SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y AN WALKOUT:_ Y_N
For Single Famf9.IEt!H:A~~rG<)NST.Q.US:lilGW.d/or accessory structures, this permit is valid only if construction commences
within 180 d~ 9f~~ff~e Btiffl~ffin&Q!rlhWI~~AfWj~ust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. d'a~firruc't'urxp~nrMs are ~~f tQ~l!iJ~iieralAdministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
of ~!a.te and L . e ~~r.~$inning and completing construction.
I, the undersigne~lh@:fHY@€)MM+.dN.tWnS:Eid;\\MlJ.ESnt, relocation, or alteration of a strucrure, or any change in the use of land or
structures requ~~ ~~Mn~ c1~' )\'V.,~lfWUQUIIti applicable laws of the State of Indiana, and the ""Zoning Ordinance of Carmel
Indiana - 1993~~~ .!s!i) ~a~~~lF*t~t~A a~t~~l~~l't:~~-'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitc~~oor drains are connected to the sanitary sewer. I further certify that the construction will not be
used.or occupied until a ertificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
7 ..;I SHRNAI()A} f!-LtJSHIJ/J &J..O-Qfp
Print
Date
OFFICE USE ONLY: ***********************************************I**~********************
Filing Fees: tL;;;H:),/O
~ INSPECTIONS REQUIRED' --761. C-C(}
r . ' ") Base Inspections: 17. d.
~er Foot!!!lv Lower Footing :')/_ ~()
Cert of Occupancy:
~~9h IV Me. ter Base Final
P.R,I.F,:
# Charged Re-
Reviews
Reviewed/Ap roved: Dept. of Community Services
S:Pefmits/Forms/ PRESIDENTIAL
Additional Fees