HomeMy WebLinkAbout06020045-Application
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City of Cannell Clay Township uJ-~- Permit #:0&;0 {lOO Lf 5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
16-/tf71
N
PHONE
FAX
67/- LfI76
ZIP
L( 6Z(/~
cf
CITY. I
J;,cA <
STATE
n
BEST METHOD OF CONTACT:
7/6-14'1,
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAM
d
!:bu~5
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
32 L
s -1v-<..d-
SECTION
/
SEWER UTILITY WATER UTILITY
PROVlOER: U /, PROVIDER: \ I k,. (EXCLUOING LAND VALU~i '
NAME OF UTI EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPWrliilfj(1j% Il.C:I=D FOR CONSTR
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF'J<to~\'d\lIttl'" ranee with all ra
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ofPl!.W m
o SINGLE FAMILY ~EW STRUCTURPEPT OF, C I
o TOWN HOME 0 ROOM ADDITI~ OF,
~TWO FAMILY 0 PORCH ADDITION(S) C pN~ 60 13 y-
# of Units: 2- 0 REMODEL -- ~
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
WhiJl" plumbing codes will be applied to the construction:
r;llntemational Residential Code wjIndiana Amendments
o Uniform Plumbing Code w/lndiana"Amendments
(Multi-Family Construction Code) ...
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE:
Y t-- N Trusses: vy _N construction area)
- - C!rCRAWLSPACE
Lot Split: _Y "'---N Sump Pump: L--f _N 0 SLAB /
Does any part of the property lie within a special Flood designation area: Y N.
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT: Y N
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 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.
T, the undersigned, agree that any construction, reconstruction, enlargement, 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 Carmel
Indiana -1993~ (Z- 289) and amendments, adopted under authority of LC. 36-7 et scq, 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 upied II a C _rti[jcate of Occupancy has been issued by the epartment f Community Services, Carmel, Indiana.
.....------- :jllA I~L 2-6-0("
P nt Date
OFFICE USE ONLY: ************ ***(!;***.**_!.******* ****************************************
'2V7/ Filing Fe : ~ $::<' "/0
INSPECTIONS REQUIR :.- ./ nO
~ ~ J o'J ~'Base spectlons: - _' (/1
,-Upper Footinjll Lower Footing Under Slab' : '.1.) d== . ~
ert. of Occupancy: /03.6,t::>'T , - -
--- ~i~ P.R.I.F.~~ ~ ~};:. -0 &- Additional F-r-
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t1;~~l\ -d-,"L1f, t.4W~ ~StJl. L{O
FeeR'~ --:3f\\O\(>
# Charged Re-
Reviews
Reviewed Approved: Dept. of Community Services
S:Permits/FOfrnS/ILP RESIDENTIAL
(Date)