HomeMy WebLinkAbout07050254 Application
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BUILDER of
RECORD:
dOltahir /84(J l!Jllajlu ~--h'[)1l A -- _
City of Carmel! Clay Township Permit #: () 711S () 451
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Fam~!t:er~~~: New Structures, Additions, Remodels, lit Accessory Structures
Shannon Hinshaw
NAME
PHONE
FAX
STREET ADDRESS
STATE
ZIP
fCbm CONTACT
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
lit PROJECT
INFO:
/)9,6'-/
SEWER LfTILITY IJ
PROVIDER: cOJLrruL
NAME OF LmUlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
ON:
o
w -l1w /1.urt2hi
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
00 TOWN HOME
tJ TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
Cl6 NEW STRUCTURE
BROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the constr-uction:
o DETACHED GARAGE ~ International Residential Code wI Indiana Amendments
o ATTACHED GARAGE 0 Uniform Plumbing Code wI Indiana Amendments
o ffl1~LITIASON (Multi-Family Construction Code)
PROJECT INFORMATION: S ED FOA C
UbJect to COm. O~~N TYPE: (Check all that apply for the new
Early Release V Manufactured df"'~ 'PiJance Wit'"" trifcWcIrII NJ
Permit: _Y ~N Trus5eSf)EPT. ,<:stfW~Loc ,"'lf1Fres..UJati""_
OF CI"1,\f,f, ... a C~s:KAwt9~CE
lot Split: _ Y IN SumlOl9'PIt';JF .'t'~NI7Y SE~~ '
Does any part of the property lie within a specia~j;)6iM~W~ . cS lX N
Plum er's Indi na State license #:
!()J. {)()JJ57
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, an 0, ssory structures, s,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) vvithin 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, enlargemenr, 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 Cannel
Indiana - 1993" (Z~ 289) and amendments, adopttd under authority of l.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
thereto. I furrher cerrify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use or occupied until a Cer{ificacc of Occupancy has been issued by the Department of Community Services. Carmel, Indiana.
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Print
.1-aa -()7
Date
OFFICE USE ONLY: ******************************************************~***************
Filing Fees: ~ :<; () , ~'V
INSPECTIONS REQUIRED" . '7 ~ 7 "-CD
' Base Inspections: ^!:,), '-J _
Upper Footi /- L 5
Cert. of Occupancy: 0 ...:..:> ,
P.R.I.F.: 5;)" 7, 00 Additional Fees
.1$ ~500, '-/0
# Charged Re-
ReVIews
TOTAL:
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjIlP RESIDENTIAL
Fee Received by:
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