HomeMy WebLinkAbout06030008 Application
City of Cannell Clay Township \.0, lo., ~ Permit #: () f.e 03() 008
RESIDENTIAL IMPROVEMENT LOCATI~ PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release ~ Manufactured /-:-.
Permit: Y Trusses: -LV_N
/.:\ 0 CRAWLSPACE 0
Lot Split: _Y Sump Pump: _Y ---t!V ~ SLAB 0
Does any part of the property lie within a special Flood designation area: _Y----W
BUILDER of
RECORD:
.os
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME OF UTILlTY CAVA CONTRACTOR; PiAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY j
~ TOWN HOME7lt e(
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PHONE FAX
:575 -ol3'5:J &38 575-
STATE ZIP
[)~
BEST METHOD.QF CONTACT, /
C Ir'R I
PHONE
FAX
CITY
STATE
ZIP
ZONING:
c..
PLUMBIN CONTRACTOR:
funmo-S:inS -:::me..
Plumber's Indiana State License #:
LP 'COoa J6 }
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT '
WALKOUT:_ Y
0J)
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 pennit, and must be completed (Certificate O.f.l~l)~ 18 months of the
issuance date. Class I structure pennits are subject to the General AdminiSm~ tb4.t$BD.~oU ~~~d regarding expiration
time frames for beginning an 'Irm'O'te'rii . with a I regulation
I, the undersigned, agree that any construction, reconstruction, enlargement, rei ~iffit~. ~'l!~1r~~~e(W~ange in the use of land or
structures requested by this application will comply with, and conform to, all applicable la~ 6f ffie'SB.~'tl:t1~ ~~I~' ce of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of LC. 36-7 et . \!ifl"l!<Gp.~Iil>>Yl.tf1:\J l.!e bfi?8ih\a, an amendatoty
thereto. I further certify that only kitchen, bath, and floor drains are connected :~q~!'lPi'i"]"i'l\'!!!M~!f(sE;f# 1{i(i)W tion will not be
or occupied until a Certificate of Occupancy has been issu y the D~e:MJtr ~'l~mltrd'~~ Carmel, Indiana.
. -< " e~ S+e.U IN ') - ~ ~71oCt>
Si ature of Owner or Authorized Agent nt Date .
OFFICE USE ONLY: *** * **** * *** *** ** **** **~* ** ************* *********** ** **** ** * *** ***** *** *
'1 3Filing Fees: t':l-~.;l 0
PECTIONS REQUIRED: ..J I r
Base Inspections: re, 7 . v 0 # Olarged Re-
Upper Footing Lower Footing Under Slab __I 5- f) Reviews
Cert, of Occupancy: v _' v
/oZtR /. 0 0
TOT~' ~ ~'1:1~l~
FeeRecelved~Jl ell"
Rough
Site
P,R,I.F.:
Reviewed/Approved: ept. of Community Services
S:Permlts/FonnS/IlP RESIDENTIAL
(Date)
Additional Fees