HomeMy WebLinkAbout07070213 Application
BUILDER
OF
RECORD:
J~j17A
City of Carmel/Clay Township Permit #:07070213"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, llr('"ef1~~!'1lJ~in~~w Structures, Additions, Remodels, & Accessory Structures
NAME: Shannon Hinshaw PHONE: FAX:
STREET ADDRESS:
"
Indianapolis, IN 462Sff'
l ax
STATE:
ZIP:
PROPERTY
OWNER:
NAME:
PHONE:
FAX:
STREET ADDRESS:
CfTY:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
~91~ .
/bv -
ZONING:
SQUARE fl1' /-
FOOTAGE: ~ ~~
SEWER LfTIUTY () ^ I. V'"'\..., n 11
PROVIDER: UULI r Lf-L
WATER UTILfTY 17 /l I. '"'~ " I
PROVIDER: LLl.../1J [ ~
ult)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
.i:il TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
~yXN
~yiN
o CRAWLSPACE
o POST &
BEAM ~PIER
Sump Pump:
J<l SLAB
o BASEMENT (WALKOUT:~y_N )
J-:...----
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid;~~ly,V ~.~~cifct.io~.~'4~~~~~ ~th0:180,
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18months of the issuance date::CJass I', I '
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardi~g h'p'Jation time frames for beginnidg imd)!
. . completing construction. . i I r~ i i., ~ ^ ,_ III 11
I, the undersIgned, agree that any construction, reconstruction, enlargement, relocatlOn, or alteration of a structure, or any,cfian. .. ge In J.Ube or.la\!p Ol@fJJ.1cture;s:I}1
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning 9rdinance of Carmel Indiana - 1993" (~~ I
2~9) and amendments, ado~ted under authority of r.c. 36~7 et seq, General Assem.bly of the State of Indi~na, a~d all Acts ,kmendd..!.~.Ey_~~..:r:.:<: ~ ~u_rther ,c~rtify th~F.~;~lY
kltchen, bath, and floor drams are connected to the sanitary sewer. I further certify that the constructIon will not be used or occupIed untd a Certifica.teo{J I
Dcc 'Fancy has been issued by the epartment of Community Services, CarIn. el, Jnrana. . . L I
7 . . \ rflfJA!/J!)/J f/IA/S/-JIJU / - ---l-J-iJl~
Print Date
OFFICE USE ONLY: ************* ******************************************************** ************
INSPECTIONS REQUIRED: Filing Fees: (p-l '8 ' SO.
~ . Base Inspections: ? 8' 7, ,&)() # Char~ed Re-
c~~g Lower Footing Un ReViews
~giRil) Site Cert. of Occupancy: 55 . -50
..... P.R.I.F.: S 27,00
(', ./ .20TAL: /~~O
~~~t!~
Fee Received by:
Reviewlf:!:oved: Dept of Community Services
S;Permlts/FormS/llP RESIDENTIAL
Additional Fees
(Date)
Date