HomeMy WebLinkAbout06050114 Application
City of Carmel/Clay Township \ylo ~ Permit #:(J(p05CJfJ1;
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATIO
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Str
BUILDER of
RECORD:
NAME
PHONE
FAX
Shannon Hinshaw
STREET ADDt440 Allison Polnte Blvd. #200 CITY
BUILPflOIi8I11'b2941 fQi 317-842-3389
PROPERTY
OWNER:
NAME
PHONE
STREET ADDRESS
CITY
STATE
ZIP
TYPE
ryJ
o
o
LOCATION
8< PROJECT
INFO:
ZONING:S 2
SQUARE ", /)
FOOTAGE: U 00\
SEWER lJTIlITY
PROVIDER:
o
o
DETACHED GARAGE
ATTACHED GARAGE
DEMOLmON
P
Early Release
Permit:
X Manufactured FOUNDATION TYPE: (Check all that apply for the new
J construction area)
Y N Trusses: ~ Y _N
- " 0 yAAWLSPACE
Lot Split: _Y -LL-N Sump Pump: ~Y _N c:;VSLAB
Does any part of the property lie within a special Flood designation area: _Y LN
o
.r&
POST & BEAM
BASEMENT ~
WALKOllT:_ Y--pLN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames foe beginning and completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply \vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
used r occupied until a Ce ri{jcate of (Jccupancyhas been issued by the Department of Community Services, Carmel, Indiana.
. r fflIiAlJJ()N !lIft/JIlf}W 5-M-[)(tI
Print Date
OFFICEUSEONLY:***************************************************~********************
Filing Fees: ~!; r;i. ()
INSPECTIONS REQUIRED: J ~O
. r-- .---:. 'DD> Base Inspections: 0< '11, .J
pper Foot'" L.Q~~FootL Under Slab ~ 2> <'()
~ ~ Cert. of Occupancy: -.':l . J I
ough ~ ~~~ P.R.I.F.: $s.:r1 00
~&"t!&fl ,_, ~J2f1 ;20
S:Permits/Forms/ILP RESIDENTIAL Fee Received by:
# Charged Re-
ReVIews
Additional Fees