HomeMy WebLinkAbout06050072 Application
CityofCarmeI/Clay Township i/tmit#: oro0.5001~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-F~~~ tretn~g'iIY: New Structures, Additions, Remodels, llo. Accessory Structures
BUILDER of NAME Shannon Hinshaw PHONE FAX
RECORD:
X Manufactured
_V _N Trusses: Lv N
v 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _V ~N Sump Pump: _V ~N ~ SLAB 0 BASEMENT
Does any '" _ _ ~~fON'lood designation area: V KN WALKOUT: Y N
, For Sing((Jj~~~~ttG Ctgmp.>>a~IU?gi.lhB.@G~,IPJ'J'odels, and/or accessory structures, this permit is valid only if construction commences
within. ]8.0 days Of~f~a~q\~h.~aiftl1am&Sding permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance da.tei:;<;.~~s S~.~1i i~rnu~.ESe. ral.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
,'.'''.D<-.l t ;- l...UIVI t~l I~gmmngandcompletmgconstructlon.
I, the und~q;).gtef'l:M~w:trG6A':fredM , Hlargcmcnt, relocation, or alteration of a structure, or any change in the use of land or
structuresrequestectby this ~pp4'i\."1fHi':P.t\"NiAomply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199r (Z~ 289) and amehl:I1Mr\fS', aHopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and ail Acts amendatory
t~ereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used r occupied until a ertiflcate of Occup"ancy has been issued by the Department of Community Services, Carmel, Indiana.
.. J!-JI}NNfJA! HJ)./SI-!!1W O:-/-Oifl
Print Date
OFFICE USE ONLY: ** **** ******** ******* ***********************'*******L*'*******************
6. Filing Fees: {~(6 , J_O
INSPECTIONS REQUIRED: j\') . .., 7 7 e; 0
r.- _ 16\ Base Inspections: ^ . _' v _
Upper Footing Lower Footing ~der SI~ 5 Z '"
Cert. of Occupancy: v · v 0
~ P.R.LF.: 57-']. 00
A-g'. ~J /1f7 3, 'if)
STREET ADDR
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
llo. PROJECT
INFO:
SEWER UTIUlY
PROVIDER:
WATER UTILITY ~f) /1 ,.; rv'l A A
PROVIDER: L!WLf I LRJ<....
NAME OF UTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
%0 SINGLE FAMIL V
TOWN HOME
TWO FAMIL V
.i\I # of units:
~ MULTI-FAMILY&..
# of Units:~
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
PROJECT INFORMATION:
Early Release
Permit:
Rough In -
el
Meter Base
CITY
STATE
ZIP
PHONE
FAX
CITY
STATE
ZIP
ZONING:
PL
q. I" ;() ;()l\l
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A ~;()
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lr.1' "It.>
01.>,.
Plumb r's India a State License #:
!t)/),OJJD/J'l
which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
rlr Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
ReViews
Additional Fees
,
(? ~6.. _ i C~ 1t,S-Ar- 5 ~ l \ - 0(,
Reviewed/App ved: Dept. of Community Services (Date)
S:PermitsjForms/ILP RESIDENTIAL