HomeMy WebLinkAbout06020046-Application
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City of Cannell Clay Township t1^ Permit #(J00dOI) ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
1/0 '11"",
Ff.:1.
6'7/- '-II
,ZJP
C:/62&;
STATE
1'7
BEST METHOD OF CONTACT:
PHONE
Ff.:1.
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT # SUBDI~lSION 7E
ADDRESS OF CONSTRUCTION
SECTION
I
ZONING:O ....,
4:- 5
SEWER UTlUTY
PROVIDER: {,.
iOY ~ -z;+r~+-
WATER UTILITY
PROVIDER: I ((V1,.
SQUARE
FOOTAGE:CZ:
NAME OF UTlUTY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
d06
VY_N
tsii CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: ~._N 0 SLAB D._~SEMENT
Does any part of the property lie within a special Flood designation area: Y ./ N~ . r;'I'/ALKOLIT:_ Y_N
For Single Family and~~L~itill(i [\F~llr~gJ~\i jtlo'.~~:'t~wb]J.~(~r );~5ccssory struc~s. .' ft'fm' . \'rJI'''; mtl!io~commences
within 180 days of tl?~\~~~c: of ~u~!-:,~:~,.~J:le-bltildYigpirinirHmth,,~t'be completed ( . r at. ,J, .<; P ~.~>\ ~~) l' \~ "~ '.~.._lhs ofthc
issuance date. Class I ~rticture p<;,,~mit~. ars. s.l;lbjSC\.G~~M ~~I::Administrali\'e Rules 0 I . QSe 6G!t5\"~ iQ) ~ amin expiration
\r' ,-' .."., _'.:i:imelram~~,fw.beg\~e:tI$complcting construction.
I, the undersigned, agrc1t-~.~~;a~; ~pstru~ti~~',iUb'n~t'H.icbci~i~j~e~c\f"\~~l.f@ion, or alte~ation of a srruc~ure, or any c~ange. in the ~se of land or
structures requested brtl f.tPrr'i(~&!pqr\ )Xill~W~h:. \tl~.Jftl ~onkloll\i\;,taU:applitable la\vs of the State of Indiana, and the Zonmg Ordmance of Carmel
Indiana - 1993~ (Z-28~ Ji imMdmc'hh, jdoRi:.~~de~t1Jthority of LC. 36-7 et scq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. J further certify that only kitchen, batH,~~ins are connected to the sanitary sewer. I further certify that the construction will not be
used or upie u I a CertdicateofOccupancyhas been Issued ,'Zepmment' Comm)'U1ty Semees. Carmel. Indiana
.n' ,,{, 2-6-0(:,
SI Print Date
OFFICE USE ONLY: ************************************************************************
C Filing Fees: (( tf):;( .710
INSPECTIONS REQUIRED: '1.\<:1 , .., / D 00
. !J . Base Inspections: ~ -L ..
(lipper Footingyower Footing Under Slab / () '6 0 /V1
__... ~ .- Cert of Occupancy: _ ' LL
('Rough I;;I! Meter Base Final Site") . ., 5""::Z ~ , 0 0
~. ~ P.R.LF.. I"-
-'.'-- J TOTAL: 11' ~5 () I. 'tD
Reviewed/Appro ed: ept. of Community Services 1" I/J ~
,,_._,m ~"". >"~"" ". <N\. ~ --:~ If I;' (q
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
[B'" TWO FAMILY n
# of units: .:-
o MULTHAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_Y_N
TYPE OF IMPROVEMENT:
I3"NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
'-__\1 'I \ 'oj
'\'1 il;
l), !\i
Iii 11\
~l0\
\
Plumber's Indiana S
~p '3 ~'iJ
Which plumbing codes will be applied to the construction:
tB"""intemational Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re'
Reviews
Additional Fees