HomeMy WebLinkAbout06030054 Application
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City of Cannell Clay Township Permit #: 0& 0 3 ac,~ if
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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FAX
BUILDER of
RECORD: I
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NAME c-.' \ \_
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PROPERTY
OWNER:
STREET ADDRESS
l.Dlololo t:. I lb 'S-\.~ 1../00
LOT #
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
/' Manufactured /"
_Y ~N Trusses: y.-Y _N
/' L 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y y-N Sump Pump: Y _N 0 SLAB >;;5 BASEMENT
Does any Ri)te~s lie within a special Flood designation area: _Y LN WALKOLIT:_Y ../ N
For Single MHiiyfRb~~~!!f~lliI1ge. ana t ,XAQN.s, and/or accessory structures, this permit is, valid only if construction commences
within ISO day~ of tOf ~fS.ffi i%,S~ar~e dri:tle<lJlilamgQ~r~d must be completed (Certifi.cate uf Occupancy issued) within 18 months of the
issuance dat9-f9b:r t1rcwi{p~lfuh~1'Q.s9~she Generar Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
r'" vU/VJMUNITy:i~r;lrot;~lor beginning and completing construction,
I, the ull(:lerls~cOiteO~A~J:CJ1stz.ut\ijm~\e.>='tMSth1.Mi~.e.s;:gement, rclocanon, or alteration of a structure, or any change in the use of land or
structures requested by this app ct.~ WlW~JI1Y ~Wiil5Wlrl!) to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993" (2-289) and ame !HlHdf~N.4Jted under ~~th~nllM i.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen: b;th, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or cupied u '} aCt' icace of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER: C. \\<-\,.J~
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
-0" NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
OFFICE USE ONLY: *********************************************~* ~* ***********************
. Filing Fees: ~~~ '"'50-
INSPECTIO UIRED: - ,-
"~ Base Inspections: .;2 (; '1. 50 # Charged Re-
pper Footing Lower Footing Under Slab r. ' /?\ ReViews
~') Cert, of Occupancy: ...... '2../' ) U
inal Site /} '7 { .
P,R,I.F,:/' f.' (0<.7,7". Additional Fees
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ReviewedjApprov d: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL
Fee Received by:
ZIP
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CITY
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STATE ZIP
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SECTION
ZONING:
"2>- \
SQUARE r" \'"-=>..
FOOTAGE: LP d -.::>
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"'-.r _'- \ :I:tJ, '-1(,0'1
ESTIMATED COST OF CONSTRUCTION: ~ F'P\O
(EXCLUDING LAND VALUE) ()(, () II'--^-'
w.\ \ '-j:::,v-.,
W l\X~_d::~-ewe .-
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PLUMBING CONTRACTOit '-,- '-- '"--'I! \ .
:: JII )'Ili'
\D c...~'\ir-c~c--t-O""S ill:
Plumber's Indiana! State Li"#: III I', Ii;
lit I l i ' ~ ' ,
<-g \ OG4 '$ Lt/.p [l':::j I
I . ._- . . .--..-..,
Which plumbing codes'will be applied to the construction: I
-Q( International Rl:idential,C:Ode'W/lndiana-Amendmenjts
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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Date