HomeMy WebLinkAbout06050166 Application
City of Carmel/Clay Township WG, ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
rv AC:: hl,_J ~
Permit#~
For Single Family, Multi-F
New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
Shannon Hinshaw
P~ONE
FAX
PROPERTY
OWNER:
STATE
ZIP
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
ZONIN<ji1 .
lr/
SQUARE AI nf7
FOOTAGE: T /7
SEWER lJTIlITY fJ J
PROVIDER: U
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:~____ TYPE OF IMPROVEMENT: PLUMBING ONTRACTOR# C'J6 '16
(tl S,I!'l~G~E,FAMILY--~o i i'&1, \ NEW STRUCTURE L/JI LtYf(){JJ f _ oJ'~$~
8 ~~~r~I~~ H-----I \,KJ)\\ ROOM,ADDITION(S) P, ',IU Q/'s I~d;~a State License #: ~,'t;,., ~
'#''-'f'' . 1\,101 PORCHADDITID~:rf'\JO ,~ .~.......
, 1,0 ,U,n1ts. 06 ' ", f!1OA ylJl'lQ ,.
o M,u~~~FAM~'AY '2 j 20 ~,,' , IltilQltvtll.\l:8\\ reQl/"ch plumbing codes will be applied to the construction: ~~,
#,Of,Unlts: ..' r>."",,;.,,,,,,,n~ode~feeS't- I R 'd t' I C d II d' A d 1I.>_
O RE' S'ID' E' N' TIAL (F ___..J!,' ...-~ E .ona es. en.a 0 e w n .ana men menqr
:or-~--~- 0 \ ' '\SlIT'{ S
Additions, Remodels, Etc.) o. rt;Q'fiA ,," l~IUmbing Code wI Indiana Amendments !
PROJE~ fNFORMATIOti;-----6f-rv'--Of OAf'\. IN\..O. ~r:;:l U"(MUlti-Family Construction Code) ,
Early Release Manufactured V FOUNDATION TYPE: (Check all that apply for the new
Permit: _Y ~N Trusses: ..!':::...Y _N construction area)
y 0 CRAWLSPACE
Lot Split: _ Y -p-N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y IN
o
!A
POST & BEAM
BASEMENT
WALKOUT:_ Y x.. N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 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 for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land Of
structures requested by this application will comply with, and conform to, all applicable laws of the State of 1ndiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 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
use or occupied unti t:;ertjfjcat of Occupancy has been issued by the Departfi:t~nt of Community Services, Carmel, Indiana.
, ~ ~I!!JtJIJON /-fIAjSfl4/A1 0:9-01.--
Sign ture f 0 ner r Autho lzed Print Date
OFFICEUSEONLY:**************************~******************~cf?;*********************
FIling Fees: . f'o
E UIRED:
Base Inspections: 02 77. ) ()
Cert, of Occupancy: S J. s'O
"
# Charged Re-
Reviews
P.R,LF.:
AddiUOnal Fees
ReviewedjApp ved: Dept. of Community Services (Date)
S;Permits/FormsjILP RESIDENTIAL
Fee Received by: