HomeMy WebLinkAbout06100113 Application
CityofCarmel/Cl~ /f31~Y.iD7J A Permit#: ~r{)o(13
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of NAME Shannon Hinshaw PHONE FAX
RECORD:
STREET ADDR 40 Allison Pointe Blvd. #20QcITY STATE ZIP
BurLD~~o~~ ~T"~806-2941 Fax 317-842-3389 BEST METHOD OF CONTACT:
PROPERTY NAME PHONE FAX
OWNER: S 2S
STREET ADDRESS CITY STATE ZIP
LOCATION SEmON ZONING:
lit PROJECT -/
INFO: 4&()o:l-- SQUARE ~ g,fJ 4
FOOTAGE:
SEWER UTILITY WATERumLITY ~
PROVIDER: PROVIDER:. .
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn' WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PROJECT INFORMATION:
Early Release X Manufactured ,/
Permit: Y N Trusses: 1-- Y N
. - - - / 0 CRAWLSPACE
Lot Split: _ Y ---AN Sump Pump: _ Y -A-N ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y J<N
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
);a- TOWN HOME
r 0 TWO FAMILY
IAJlt # of units:
vlK<<- MULTI-FAMI'dfi-Y
# of Units:
o RESIDENTIAL ( or
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
rJ, NEW STRUCTURE
5 ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
r
Plumber' Indiana State License #:
/DJ.0t10S:'7
Which plumbing codes will be applied to the construction:
J&i International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(MUlti-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT
WALKOUT:--=_~=-;--N
Fo~ Si~gl~J;a~n:ilf N-~M~y@. Gh1~1 '~ em~dels, and/or accessory structur~s: t?~s_p~rrpg:~ (yal~ -~~i..;-.i~ c.qn~~~~~~~9~mences
WIthm I~~U"a~'e,",GfA&S~W1Witf~ rmW bu@ii~~lt, and must be completed (Certlftcat~\of O~~~pancy 1~e.9),W1thm:I8-~~ntrs of the
issuance dSu~ 1lQ,rr~~'~~fir"'~~,~e~s~o the General Administrative Rules of the Sta~~ pf1ndiaiiit(Sec 675 lAC 12) regar~:lihg ~~piration
of State a U - J BJjDq-{~~beginningandcompletingconstruction/!\ .. ill ~Il
I, the Unde~t9,e.~p:~~l.l:"tX rrtbrQru.fw~,Q,~rgement, relocation, or alteration ofh\srruc~ure, 1f\~l1)' c~an:~_e i~~ljc5use of:lanp.:~r
structures r~ed I::i thi l' '0' 'It';t':\W~mrorm to, all applicable laws of the Statd ~fln'diana,!thB the Zoning Ordinanh of Carmel
~rU'- - I 1" \' ... .'
Indiana - ~ ) Gmm~t~ under authority of r.c. 36~7 et seq, General Assembly 6f the State of Indiana, and all Acts aIllendatory
thereto. I hi'"ri:he~ certify that onltMUJ\ANM'-h, and floor drains are connected to the sanitary sewer. I fJt!thef"dertify-that the- toiirnuc.ti~~ will not be
use or occupied until Certif}cat of Occupancy has been issued by the ~epartmcnt of CommunitYIServices, Carmel, Indiana. ~
. "jJ-/AJIAIDAlI-/J)JJHPW------- 11!J-/O-tJ/;;
Sig ture f Print Date
OFFICEUSEONLY:****************************************************~rO******************
Filing Fees: (IlJ>S, 'Y
INSPECTIONS REQUIRED: " N '"", ~O
Base Inspections: !2'::!....L I v
Lower Footing 53 r-o
, Cert. of Occupancy: , 0"
~eter~ Final Site 6;z. 7. 0 (J
P.R.I.F.: _
/173.1-D
JI :3
# Charged Re-
Reviews
Additional Fees
(Date)