HomeMy WebLinkAbout06100114 Application
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City of Carmel! Clay Township C f.., ~) Permit #: t!) (e 10 . I
RESIDENTIAL IMPROVEMENT LOCkrION PERMIT APPLICATION
For Single Family, Multi-Fa ily, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
-"
BUILDER of
RECORD:
NAME
PHONE
FAX
STREET ADDRE
Shannon Hinshaw
I Ison ointe Blvd. #200:ITY
ZIP
BUILD~cml3 "39"r-~06-2941
STATE
Fax 317-842-3389
BEST METHOD OF CONTACT:
PROPERTY NAME ~(/R- PHONE
OWNER: S
STREET ADDRESS CITY
LOCATION 0S- iha
&. PROJECT
INFO: CJ~"Jt ~^,BRU
SEWER umLITY r!.-0JcrrLll WATER UTILITY r!oJL!TLLl
PROVIDER: PROVIDER:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (DUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
,9,/SINGLE FAMILY
...'ISJ, TOWN HOME
o TWO FAMILY
.4Ivt # of units:
'fIN MULTI-FAMILY It/I
# of Units:---IYIl!-
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~
NEW STRUCTURE
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:
FAX
STATE
ZIP
ZONING:
SQUARE /) if J/ r-
FOOTAGE: J') / q j
7~q q[f
fJ!.tu.J{thm e rolo /2})
PLUMBING CONTRACTOR:
~ Lf71 ()j))(J
Plumb r's Indiana State LIcense #:
I ()~ [)(}fJ~1
Which plumbing codes will be applied to the construction:
.9d International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
j Manufactured X FOUNDATION TYPE: (Check all that apply for the new
_Y ~N Trusses: Y N construction area)
- V 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ....A-N Sump Pump: _ Y -.'\-N ~ SLAB 0 BASEMENT
Does any part of the prope ~\Qljl\,cial Flood designation area: _Y AN WALKOvr:_ Y_N
For ~W<:f~t95.ib \' ~o F~M.t&v~!II~, ad~iti~ms, rem~dels, and/or accessory structur~.~.;,.~!t!Sl'~gh~~~.~Y1l!.a._.lo~..ilY)(~~P~.~~~ti~~;commences
. ~48\"f Pi&~~",~at~~lse;~'t~e::,dffi\e bu~permlt. and m~s~ be c~mpletcd (Cert~f~~af~ 9Hlp~l!P.-an~Y:!SSl}ed):Wlt?!..~1 W ~~?ths o~ th~
IssuaS\J~'!~ ~rstM~tdr er~ageqajJdf...t~~rGeneral AdmmlstraUve Rules of the1S~at~,of.IndIana(See'675 lAC 12) r~gardl~.g expIratIOn
o 1'"'('\tJ't';i N\\ - mNSkfi\WTorbeginningandcompletingconst~cti6b. 1\\ \1\
I, the U!l~@,'G.g~a~y F'e~'Cfi~qd:on~truction, enlargement, rclo~ation, or alteratioA ?f,~\.d,tructw~_t}[ a1;ly ?a~?~i~ the ~Se of l~nd or
structu~q~~<14?&..~~dap~q ~n.ll comply \vlth. and conform to, all applicable laws of the State of Indi1J.k.. hnd che~Zonmg Ordmance of Carmel
Indi<Uf%':.rl~3~E~~) .and ,~~~adopted under authority of r.c. 36-7 et seq, General Asserr{~ly qf ~he State of Indiana, and all Acts amendatory
theret~l further certify that orily kitchen. bath, and floor drains are connected to the sanitary sewer! 'IJfurth!:I..certify.that the construction will not be
u or occupied until Certjficate of Occupancy has been issued by the Department of Commdnity Services. Carmel, Indiana.
; tfl/AAlNOA! #.L1VJf.k4W- lo-;{)-{)6
51g ture '0 ner r Author eel A ent Print Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: Ca (0. 3 . -5-0
INSPECTIONS REQUIRED: . ('--rf'--f ~O
@ ~ Base Inspections: 2,,: ~-L . Q
pper Footing Lower Footing nd C-- -2 ~O
~ - ~~ Celt. of Occupancy: ( :::2...- ,,2' v _
C ROUgh~~ete-r~ Site P.R.I.F.: 57.-7, 00
5^-.
II
# Charged Re-
ReViews
Additional Fees
ReviewedjAppr e: Dept. of Community Services
S:Permits/FormS/IlP RESIDENTIAL