HomeMy WebLinkAbout07030059 Application
City of Carmel/Clay TownSht/Gil -/~if'!i!JkL Permit #: 07 0500Sr
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INFO:
NAME: PHONE:
Shannon Hlnsh
STREET ADDRESS: 8440 Allison Polnte Blvd. #200
FAX:
STATE:
ZIP:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
STREET ADDRESS:
FAX:
CITY:
STATE:
ZIP:
ZONING:
SEWER UTlLTIY(j
PROVIDER: 'CI.JLrnJL
NAME OF lJTllfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
IXl TOWN HOME
t5 TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
yX N
yIN
Lot Split:
7
TYPE OF IMPROVEMENT:
iBING CONTRACTOR:
PI" [r's~se#:
m:;'O(){JS7
,2l( NEW STRUCTURE
o ROOM AOOITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o R~i EMOD:~e..Qt.FiniSh only ~Which plumbing codes will be applied to the construction:
o f4 eRY:8\J[P~ International Residential Code w/Indiana Amendments
o to EDtI>AII.M;'E:JH CO~ C-:r-" . .
o :-ATTACHED G~GE'lIance ~ Juh.1@1rr~ttrbln9 Code wI IndIana Amendments
oj [l'g'9~p'iqN~;l/ate and L' With AI! rO!I.btl.......--_1
, . I GF Cn, ,:,'., OCal CofJ~ ~1lIl\I TYPE: (Check all that apply for the new
M SJlJti"rlilF r'~ ~i1",j'UiVl r',r Scp.'). tructlon area)
an "" !""t~Ii'-1 ,~-.,1V~6 1
Trusses: ----.:y/1t:...W CI 1''' " ~,. ~ !9AWLSPACE
J u.., ; .JWNsI 1
Sump Pump: -Y'~NA l"~ 0 BASEMENT(WALKOUT:_y_N)
o POST&
BEAM _PIER
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only:if construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS months of the issuance date. Class I
structure pennits 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 Certifica.te of
Oc} cyhas beT"Uebyt~e Deputment of Conununity se'];;;s;:; t;~an;; HII\!, ~ 1-1 f)/J I .3 - s: () 7
or Au onzed Ag, t Print Date
OFFICE USE ONLY: ************* *****************~~****** ************&.******************** *********
INSPECTIONS REQUIRED" FIling Fees: - J-S: .t,f7
" Base Inspections: '}..)7. -50
S3. SO
S~ 7 t> 00
JJ J{1-73. A-jo
~
# Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F.:
Additional Fees
TOTAL:
(Date)
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms!ILP RESIDENTIAL
Fee Received by:
Date