HomeMy WebLinkAbout06100110 Application
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City of Carmel/Clay Township (~) permit#:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llo. Two Family: New Structures, Additions, Remodels, llo. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
FAX
Shannon Hinshaw
STREET ADDRe8440 Allison Polnte Blvd. #20()::ITY
STATE
ZIP
,
BUILD~o7{'~ !T':a06.2941 Fax 317-842-3389
PROPERTY
OWNER:
NAME
(f)
STREET ADDRESS
LOCATION
llo. PROJECT
INFO:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
'1l6 TOWN HOM E
/0 TWO FAMILY
Hb # of units:
/MA. MULTI-FAMI~Y
# of Units:
o RESIDENTIAL ( or
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
rl6 NEW STRUCTURE
6' 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:
BEST METHOD OF CONTACT:
PHONE
FAX
CITY
STATE
ZIP
ZONING:
~~~E: ~ 9b4
1/ u 6/4
ftU!flJ)-a it {]rz ()/# 10 f)
PLUMBING CONTRACTOR:
Plu~;;:In;(22~se #:
/ OP-()/J () 57}
Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
I
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
M d FOUNDATION TYPE: (Check all that apply for the new
J anufacture V construction area)
Y ^ N Trusses: ~Y N
Lot Split: RE~SE[jm1'\~Jl!R%muc1XnN ~ ~:'::LSP~CE:_~::;8.::._~~~;E~~M . _.
Does any partofth8~tienoP~~e'c~j ~~!ination.la'tea: _Y '~\'\NJ;:; ((:~. :\'i,^:LI<PLQ;: :.:Y---',l-:-N
For Single Family and Two Faml ~_ r,;l~?\f\Cf'aV:i~, C~\1sccessory structures, thil ~e/rhlt is valid only if constru CtiOll.i I~~niriiences
within 180 days of thDEP~ i an~ ' ~lAJldi.h eh'tfu:, an must completed (Certificat~ of-Od:upancy issued) within 18 month~ b[ the
issuance date. Class IeJTr~1{!)M~e~t~"i ~ ative Rules of the Stat~i4t I~~~ana &&T675JIA1: l~~Bfgardi*~ effiiration
i... I PWfi:< N--flRlCS for beginning and completing construction! \ t i ! ! L} / j
I, the undersigned, agree that any constructicM:t\:tMl\t~ion, enlargement, relocation, or alteration of ~Jtructure" or any chaI).ge in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the Stateflf Indi;-;~,-;nd the "Zoning Ordinan~e of C~mel
Indiana -1993~ (Z~ 289) and amendments, adopted under authority of LC. 36~7 ct 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 furthercerdfy-ihai1lic'65'nsffuction-w-ill"'not be
used r occupied until a e. tificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
7 lJ oJlI/lAA/f);.j HrNJI--J:lIA/ /0- /O-O~
OFFICE USE ONLY: ********* ********** ********************* ************,*'~*****************
Filing Fees: (p /5'. '7 V
INSPECTIONS REQUIRED: . ';(,7'7 ~O
Base Inspections: . '-..J
r Upper FootinQ/. Lower Footing 5::3 6'0
'--- ~~ --. Cert. of Occupancy: _'
,...<<6iigh Iii eter B inal Site f'l r-f. 00
'--_ _ P.R.I.F.: Q II'- I
Print
.
Reviewed/App oved: Oept. of Community Services (Oate)
S:PermltsjFormsjILP RESIDENTIAL
D.~
# Charged Re-
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Additional Fees