HomeMy WebLinkAbout07030063 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/Clay Township fJ~7~~ Permit #: (!) 7D,~ nOiP3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town HOI1)e.... & Twq Family.: New Structures, Additions, Remodels, & Accessory Structures
\.(-::;ncex HOmes
NAME: Shannon Hi nshaUJ PHONE: FAX:
STREET ADDRESS:
STATE:
ZIP:
FAX:
NAME:
PHONE:
STREET ADDRESS:
CITY:
STATE:
ZIP:
ZONING:
g~~~E: /) 1 L/j
N/d{),58I
~hO/L-
TAX MAP PARCEL #: ~ 70"300 <e'l'
SEWER UTIlITY (} t1 t n/1 11 J WATER UTILITY /J /1. I rl/1 /J J!
PROVIDER: L.LL/LI1 U--^- PROVIDER: t:-lUU / ~
NAME OF UTILITY EXCAVATION CO/'ITRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
FTOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT: rL~lMBING CONTRACTOR:
~EW STRUCTURE Lf.; T LIn~
o ROOM ADDITION(S) Plu ber's Indiana State License #:
o PORCH ADDmON(S) ~. ~)f) f) L-n
o DECK ADDmON(S) ----eNLL.;;) -L
o REMODEL ... r."f.'\O r.QN5v1 u\llbi~eS will be applied to the construction:
~~1!...nTSn'onIY 'h~\ rog\Jlat\
o A~Y^8\UZf-P:IN.Glc.e W\t1 ' ntemational Residential Code w/Indiana Amendments
o D~'GAAA". ~ \-00'" :CC25.
,-'.' 'I""Iow;. anu ~,-A-"~n rUoifO~bing Code wI Indiana Amendments
o ATTACHED_lUIGE ",,' ","T'1'c~" ~'
o DEMOU;gONc.: r.QtlJlhl1U\ ~t "":::-~':.tJt\\c:::.\o-\,p,i
Ut:r)', ~ I ~ '"EL I r-,i..A'~: (Checkallthatapplyforthenew
Manuf"GI/1ilcl 0.& CAR rJ,' ;;NA construction area)
Trusses: .)'- _V --.--L\iIlD\ 0 CRAWLSPACE
_V-X.N
Early Release
Permit:
PROJECT INFORMATION:
}\
_V_N
_VLN
Lot Split:
o POST &
BEAM _PIER
Sump Pump:
jZf
~IJ"B
o BASEMENT (WALKOUT:_V_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 or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 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 used or occupied until a Certificate of
Dccu cy has been issued by tJ.le Ocp ent of Community Services, Cannel, Indiana. .
. uJ R 71-1IlA/;)()J HIJJSf-ffllAi
Print
J-5-(J 7
Oate
OFFICEUSEONLY:*********************************************************************************
_ _p-l,NSPECnONS REQUIRED: Filing Fees: ~tP?'7 SO
/ _ . Base Inspections: a.11,..50
"Up~er.fo Lower FootIng Under Slab K"3 ~ 0
Celt. of Occupancy: 0.. U
S tDO
IS;2/. SO
# Charged Re-
ReViews
Final
Site
Additional Fees
P.R,LF,:
wJL. ~
TOTAL:
Reviewed/Approved: Depl. of Community Services (Dale)
S:Permlts/ForrnS/ILP RESIDENTIAL
~
Fee Received by:
Date