HomeMy WebLinkAbout06020080 Application
~ City of Cannell Clay Township (/\\\ Permit #: Ofo b a 008 D
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME OF UTI EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANO/OR COUNTY WELLj,NO/Of!:SEPnC PERMIT #'S (IF APPUCABLE):
_._~- .--4 \ __ ,
TYPE OF CONSTRUCTION:~\\ '~j \::~ \ \
~ SING~E'f~~lL~, ~ J
o TOWN,HOME-- 0
o TWO F~~~LY\ . i \j 'I.(J(Jlb
# of Unlts:'\ ~ F'iI
o MULTI-Fi\~I('Y. 0
# of UnitS: \:>
o RESIDEN~L(F~r. _.~
Additions,~.) 0
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: Y =Z Trusses: v' Y N
. - - /- 0 CRAWLSPACE
LotSpht: _Y N Sump Pump: -lLY _N 0 SlAB ./
Does any part of the property lie within a special Flood designation area: _Y LN
BUILDER of
RECORD:
.C
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
ADDRESS OF CQNSTRUcnON
S
ROVEMENT:
STRUCTURE
ADDmON(S)
ADDmON(S)
EL
ORY BUILDING
CHED GARAGE
ATTACHED GARAGE
DEMOLmON
CITY
I
STATE
IN
ZIP
b-
BEST METHOD OF CONTACT:
PHONE
cm
I
STATE
L
ZIP
4t,;2
IS
SECTION
a
ZONING:
s-
c;,
SQUARE
FOOTAGE:
ESTIMATEO COST OF CON5ll'UCTION:
(EXCLUDING LAND VALUE) f1 ()~
=lFao;?'OO7~
3D . R
PLUMBING CONTRACTO
~SMiTII
Plumber's Indiana State License #:
10/777
Whi~umbing codes will be applied to the construction:
Q?( International 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)
o fiOST & BEAM
~ BASEMENT ./
WALKOUT:_Y~N
For Single Fanilly and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
. within 180 days of the dace of issua~ce of th~<R~~d.J!tg;,~~~, ~~ ~s~ bf fg?l.Plf~c:.~ ~ ~$.r;V}.;~~ of Oc~upancy issued) within 18 months of th~
lSsuance date. Class I structure penmts are s~PJec~ to tl~eGeneral AdrruDlstranve~R'Ules,of.the:$tate oflndlana (See 675 lAC 12) regarding expiratIon
. . .::tiIDe'fram~ for beginning andco~plet~ng'~J1~~9~l?p. .
I, the undersigned, agree that any construcOon, reconstrucq.on;.~arge~ent'lt?l?90on. ?r.~;eratlOn of a structure, or any change m the Use DEland or
structures requested by this application will con~:p~y~~~, ~d5onfo~ t~, ~ ~PP?f~~J(~~~~~ 0$.,~F~~~of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z'28~) and amen~ents, ado~~f~..?nd::r. au~~~ty_ o!I.~:' 36,! ei seq"General'.As5eI)1l?W~9f the State.of Indiana, and all Ac~ am~datory
thereto. I further certify that only kitchen, babh,~d'lloor,drag1~'w~.c.q~~st~d~~e~ s:mf3!Y;~l1lJ~~urt.J1er certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued bv th~Depanment of Community Services, Cannel, Indiana.
.. . '!~.U1~ ~
LOft, . ;R..bSD~j-=llf~J;N[ JJJLI,'{)~
Print Date
OFFICEUSEONLY:******************************************************~'****************
Filing Fees: /0 S-':<, '/0
INSPECTIONS REQUIRED: ') 6' -7 --" tJ ed R
.-~, Base Inspections: c7' ::> # Charg e-
pper Footin ower Footing Under Slab __I.' .r' () Reviews
~ ~ Cert. of Occupancy: ~.:;> ,
Final _ Site 0
_ P.R.I.F.:
Cr<t..::t I-1I~p/ '2-Zo-6f, f
Reviewed/App ved: Dept. of Community SeNices (Date)
S:PermIts/Forms{IlP RESIDENTIAL
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