HomeMy WebLinkAbout07030062 Application
City of Carmel I Clay Township P /CUJ ~~~ Permit #:--07 () 3{)ofe ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town HO~, &. Tw amily: New Structures, Additions, Remodels, &. Accessory Structures
NAME: Shannon Hinshaw . PHONE: FAX:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
STREET ADDRESS:
NAME:
STREET ADDRESS:
STATE:
ZIP:
PHONE:
FAX:
CflY:
STATE:
ZIP:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
.9 SINGLE FAMILV
)":!- TOWN HOME
o TWO FAMILV
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
_VAN
_VLN
ZONING:
SQUARE ~ '1 } IS
FOOTAGE: 0) /Lf
SEWERUTllfTYj)/l J. Y"\/) IJ n WATERlJTIUTY/l1l L rYJ.?/J
PROVIDER: l1.JJf/ r Lf...-i- PROVIDER: CLVV / t....L--L
NAME OF UTIUTY EXCAVATION CONTRAODR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF IMPROVEMENT:
'6i NEW STRUCTURE
D -ROOM ADDITION(S)
o PORCH ADDmON(S) I/i!l nJJJl c:-17
o DECKADDmON(S) CONSt~ /l/J
o RBASEQ .FO~, '. ,W,bich,p1!'m!>.lli9llS1es will be applied to the construction:
emeot,f)ws.q'GII1v,e VJltn W: T ~,~... 'l
o.fc& - ^' '\lut\:~.rrt,~~j LOCa~!I!temational ~esidential Code w/Indiana Amendments
o DETACHED GARAGE NI-'= r.C,il\l1o"CCl.b-" C d II d' A d ts
o A GARA"G[l~"r,~AU. l~<::unllonn-AaWI I~g 0 ew n lana men men
o il~~NCk'iMEL I CLA l=d~IfYMl'~~PE: (Check all that apply for the new
Manuf~ctured' INDIANA construction area)
Trusses: Ly _N 0 CRAWLSPACE
_YX-N
~ING CONTRACTOR:
Plu ~er~~Z~se #:
o POST&
BEAM _PIER
Early Release
Permit:
Lot Split:
Sump Pump:
SLAB
o BASEMENT (WALKOUT:_V_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within ISO
days of the date of issuance of the building pennit, 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 IAC 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 LC 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
OC > rpancy has be iss d ~ the D artment of Community Services, Carmel, Indiana.
LV ~ (!;J/I,J/JOJJ H-LA/J'HA/~j :}-~7
Sig ture of er or uthDrized ent Print Date
OFFICE USE ONLY: ***************************************************************0****************
INSPECTIONS REQUIRED: Filing Fees: 6 tP.3 ' S
~e~g Lower Footin Under Sla Base Inspections: Iv R Jr;]
/' Dn;;-nhh. Cert. of Occupancy: .
~ P.R.I.F,: 5' 7. {)O
S~/,
# Charged Re-
ReViews
Addibonal Fees
TOTAL:
CJ
~
Reviewed/Approved: Dept. of Community Services (Date)
S:Permlts/formS/IlP RESIDENTIAL
Fee Received by:
Date