HomeMy WebLinkAbout06020079 Application
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-City of Cannell Clay Township ~ permit#('Jt tJ:; 00'11
. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
D
FAX
317 347- ?3J1?
STREET ADDRESS
STATE
IN
ZIP
'/, J ~
BEST MElliOD OF CONTACT:
PROPERTY
OWNER:
FAX
-9JS3
CITY
C R
STATE
T
ZIP
'I, 33
s-
SQUARE
FOOTAGE: 5 '5
ZONING:
LOCATION
&. PROJECT
INFO:
LOT #
95
SE30N
ADDRESS OF CONSTRUcnON
/3 .
ESIlMATED COST OF CON5lfUCTION:
(EXCLUDING LAND VALUE) I/' J J
o
o
o
JbH CON"t A 11 G 41= 060~oo75'
PLUMBING CONTRACTOR:
1LliJ E. SM;.nl
Plumber's Indiana State License #:
10\777
wh.!P"plumbing codes will be applied to the construction:
i:!1 Intemational Residential Code w /Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release / Manufactured v<
Permit: Y ~ Trusses: ~ N
,/ v 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB /
Does any part of the property lie within a special Flood designation area: _Y ~N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o /poST & BEAM
Gf BASEMENT /'
WALKOUT:_y-LN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if constructioncomrnences
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 Scate of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing constru.ction. .
I, 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 Indian~ and the "Zoning Ordinance of Carmel
Indiana -1993" (Z' 289) and amendments, adopted under authority of Le. 36~ 7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I funher certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services. Carmel, Indiana.
. a.~. -' L '1 . '. -J.lENI;N ;( hI-dOl,
Signature of Owner or Authorlz Agent Print N Date
OFFICE USE ONLY: *** ************"IiIi",*~&!O **1d\"'''''''~**************************
111:1.. eel" .i"E!eS>: v;it\1l\1\ <1"'-' 9'fi ;< ()
INSPECTIONS REQUIRED: ~ Subject tOt N~~~fld Lee!); CCdl\.~\J'\f'ES ri /;; ,.....-/1 # Ch ed R
C -----...- ,Q ~se nS,AAG:t:lons: Sc.r' v ~!2 L .> 1/ arg e-
Dpper:.Eootill". q,ewer F~g Under se~fl" 01'= ell: ":";'~:: "..:'I-fQWNSHIt"' ,-- J -n ReVlews
___________ ~c iiiI:N-Of ~~'~ffi.p~CJJPaACY. J &. IV
-IRouohInJ ~terBa...... ~dnal -"':) P.;~.~O\ANA , do
;25"'"3 (), ?;:U)
.;l...;;;2.{J'(J.
Additional Fees
Reviewed/Appro ed:
S:PermIts/Forms/ILP
(Date)
"