HomeMy WebLinkAbout07050256 Application
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City of Carmell Clay Township Permit #: 0 7()5 0 ~ ,,(p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, s.c~~'fl!IO: New Structures, Additions, Remodels, & Accessory Structures
NAME: annon Hinshaw PHONE: FAX:
I
\.
BUILDER
OF
RECORD:
PROPERTY
OWNER: .
LOCATION
& PROJECT
INFO:
STREET ADDRESS:
NAME:
STREET ADDRESS:
STATE:
ZIP:
PHONE:
FAX:
CI1Y:
ZIP:
STATE:
ZONING:
SQUARE I) I) / . / J
FOOTAGE: c7f t7'f(J'1
SEWER UTILITY () A
PROVIDER: LlJ--~
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (DUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
JYPE OF CONSTRUCTION:
o SINGLE FAMILY
\ill. TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_VlN
_V -l.-N
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
bROOM ADDITION{S)
o PORCH ADDmON(S)
o OECK ADDmON{S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmDN
Manufactured
Trusses:
Sump Pump:
-'LV_N
_v-A.N
2-
TAX MAP PARCEL #:
PLUMBIN~:
PI~r. Indiana State License #:
/ Ud.()()O:5 7
Which plumbing codes will be applied to the construction:
PQ. International Residential Code w/Indiana Amendments
o Uniform PhJmbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o POST &
BEAM _PIER
odels, and/or accessory structures, this pennit is valid only if construction commences within 180
s;( SLAB 0 BASEMENT (WALKOUT:_V_N )
Site'
P.R.I.F.:
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormS/ILP RESIDENTIAL
(Date)
....~:~.:.~~...........******
"2 q,'7. bO
- 56.50
5;), 7 . aD AddiUonal Fees
-if ~ G Of} , 1-/0
OFFICE USE ONLY: ********************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
TOTAL:
FeeRI~~
Date