HomeMy WebLinkAbout06010088-Application
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City of Cannell Clay Township f'J A- Permit #Of., () I D() 88
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release / Manufactured L
Permit: Y v f\l Trusses: Y N
Lot Split: Y ~ Sump Pump: 7y _N g ~~:l5PACE
Does any part of the property lie within a special Flood designation area: _Y ~
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this 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) within IS 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, enlargement, relocation, or alteration of a structure, or any change in the use of land or
strucrures 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 . aCertmcateofOccupancyhasbeenissuedbytheDe amu ntofC~~~;~servls,Cannel,IUdiana. 10 t
Print ~
ONLY:**************************~******************~****~*~***************** J
. ..' . FIling Fees: 1(.-76' 7, - 0- ~
INSPECTIONS REQUIRED: . -''"''N I......, 00 # Ch ed R
B?l5-e IAspectlons:.J / D. / arg e-
Upper Footing Lower Footing Under Slab.. FOR C.ui'<~< ..: .:.:....<\a"\ons / ,,--1 ...-;\ Reviews
t\~Ati\:;U ,. ..~r:t:lOf'Occup1incy: ....:> /. -'> u
Meter Base C fi"~~}'Si&fomp\''',,; ~.>~. n~-':)\ c:odc:s. CES
<. 01 state ant P;~.r.F-,;, c,'2,\1\1\
0'<1\11I')'\1., '. HIt"
DEP6~6~R~;',E!J.(:'J" ~ T L:
j'{ \,'~ l..~ II"'! '1'
(Date) I
Fee R ed
BUILDER of NAME
RECORD:
94Vt->
PROPERTY
OWNER:
SlREET ADDRESS
~~ ~
BUILDER'S EMAlL ADDRESS
lL,wi S
NAME S --'.....r
C-o \ ~
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
11..\;;
LOH t1~ ~
SEWER UTILITY
PROVIDER:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
/ # of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
...\n NEW STRUCTURE
-r2.~eJ16 ROOM ADDmON(S)
De \s\--. 9" PORCH ADDmON(S)
\ fI 00 REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
3Il-<6n_-"l"l"
STATE
IN
ZIP
Lffo/
BEST METHOD OF CONTACT:
317-b7v-CjQ3.
PHONE
311 -
FAX
51')- 0&<;
CITY
'lx<. Wfb{~'.cl't>
14 ~
STATE
:rtIJ
ZIP
SECTION
ZONING: ~ I
SQUARE
FOOTAGE: lfOD
ESI1MATED COST OF CONSTRUCTI
(EXCLUDING LAND VALUE)
,
p
Which plumbing codes will be applied to the
W Intemational Residential Code w {Indiana
o Unifonn Plumbing Code w{Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check!!!. that apply for the new
construction area)
~ POST & BEAM
M BASEMENT
WALKOUT:_Y~N
Additional Fees
rf r;?g7. )f
, -c2& ~{)t.