HomeMy WebLinkAbout06060089 Application
City of Cannel/Clay Township c:.#-permit #: tJfaO(oro?:fj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA'TION
For Single Family, Multi-Family, &. TWee~~i . ew Structures, Additions, Remodels, &. Accessciry Structures
BUILDER of NAME ,Shannon HinshrPWNE FAX
RECORD: ,.
l(i('~, U~em .: ~ t
,Indiana 0115 H~ '(;
,0& ~~7:~g9-g9~J f~ 9) 7-94.~-~~D OF CONTACT
)",~ f\ SECTION
If'l \ ~\J{\ 3
&>\J\v~ . ~ ,D-J \{[D?;
CAJY'v\ 01
...[ Manufactured "'-
Y /- N Trusses: ~Y_N
- y- )( 0 CRAWLSPACE q POST & BEAM
Lot Split: _Y N... Sump Pump: _Y _N 0 SLAB E5---. BASEMENT '
'-p'oes.any'part;of thi!'prop~rty i,ie within a special Flood designation area: _Y LN WALKOUT:_ Y Y N
\ r<\F4r~_~gleFamiiy and Two Fa'm~IY\~':vellings. addftions, racl1~aP:E)RrO@.N:S-T~GTif(j)N; valid only if construction com~ences
\ 'll )'fithin 180 day' of the date of i,"u~n,ce of the building PS1l'iSiIWPiuebPnliffilR~ff'!( lli~'Fil~~<aI'fli!lancy i,"ucd) within 18 month, of the
\'fssl1a nee date. Class I ~t,..~~ture P, erI1,1i"t,s are subject~to the GenebiJ~' Ig~~ftive~1es 0 tJ:ie a~onn(f;ana (See 675 lAC 12) regarding expiration
\ \\\ \ . \ U N 1 ~ .:) ; \ time frame, fot be&[n n 'i\~cM,~I<'t o't![/ 1\bn
\ ~. the undersigned, agree that any constnl1ction, reconstructicQ eBrt t,GGMiMld li)i:i&6A.'V:1G:5& or any change in the use of land or
lfQ\!dtures req~~.d by.this applidltion wpl comply with, ~~qnn:1'~'tQill~le P)'N10ht-be~~,4)irliCillllilind the "Zoning Ordinance of Carmel
\ ::~a\"'~1993" (Z.289) and amendmen,,:adopted under au'lj;~riry o'r'i'c.'rl0'e\'UIr,~che~hQ'~mbly' r\'''hl~lbf Indiana. and all Aw amendatory
thereto. I further ::!_~gy that only kitchen: batb, and floor drains are connected to lttJ DtAl't4~weL I further certify'that the construction will not be
d. pied until ertjncate {Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
) . 1 \JIJIJtJi/DiJ l/17tI..~ff/-/'~( it -j-{Jt;?
51g ture of woe or Autho Ized gent Print Date
OFFICE USE ONLY: **************************~*******************~~~* ******************
FIling Fees: ~ 0: ~
INSPECTIONS REQUIRED: 7 ,--,
. Base Inspections: ~ 7 7.0 G # Charged Re-
<l:im?er l'Ooti~ L~ Under Slab ~ ..3 r '----/1 ReViews
Cert. of Occu pa ncy: J 1/
~lcreter'~'~nal Y P.R.I.F.: <'5"') 1, 00
TOTAL: # /1 if;
(:, ;,:1. 0
STREET ADDRESS
c.
BUILDER'S EMAll AD
PROPERTY
OWNER:
NAME ~ ~
STREET AnnI?F<::<::
LOCATION
&. PROJECT
INFO:
LOH L-\ 1>
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
\
U~
SEWER lJTILITY
PROVIDER:
NAME OF UTILIlY EXCAVATION CONTRACTOR; PLAN COMMISSION / 8ZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
R SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
cLA.
ReviewedjApp ved: Dept. of Community Services
S:Permits/FQfms/ILP RESIDENTIAL
(Date)
STATE
ZIP
PHONE
.-AX
CITY
STA.........
ZIP
ZONING: S _ \
SQUARE A -1./7 D-.
FOOTAGE:v0l-f U
H~\
ESTIMATED COST OF CONSTRUCTION:
(EXClUOiNGLANDVALUEy'-----" ./
,
B<..CAvuJ-i OY\
PLUMBING CONTRACTOR:
~ f"\.OO~
Plumber's Indiana State License #:
IO&-oDOSl
.s <P""..,
\~
Which plumbing codes will be applied to the construction:
~International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Additional Fees