HomeMy WebLinkAbout06030069 Application
City of Cannell Clay Township (}J, G ~ Permit #:tJ6i,(:?t? /J7!
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
.5
STREET ADDRESS
BUILDER'S EMAIL ADDRESS 101)f1Y IS @ (Y)J.. C-
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
8
lONING: 5
ADDRESS OF CONSTRumON
SQUARE 22.0 /
FOOTAGE: J \::>
EsnMATED COST OF CONSTRumON: /' ~ / OD
(EXCLUDING LAND VALUE) i- b (>0 (f.
IX 01) K ~.::H=- 0
PLUMBING CO~TRACTOR: ~ ~~
~""I 12 -->_; /-tl ~ ~ ~A
Plumber's Indiana State License #: &::'.~
CH ADDmON(S) / t1 / 7 7 "7 "'1:, ~
REMODEL.., ilA
ACCESSORY B'y~~O\lllhlch plumbing codes will be applied'" the construction: .,.
o ~ETI ~ur";~tematiOnal Residential Code w/lndiana Amendments
g\..~~ f{iP. c des. D. U~lfonn Plumbing Code w/lndiana Amendments
.to: . t'\lJbCl d \.: \ 0 c:~\J\CE5(Multi.FamilY Construction Code)
: SUP\IlC \ ~\!l\ll all ~:f'{ 5.. ..,e.\-\\\'
Early Release V, .~~ ~'JI\IfI \J'o.'l iO'l.J,"'fil)OND~TION TYPE: (Check all that apply for the new
Permit: _Y .LN tl'iiti:i~Il."'\IfIS: qJ N construction area)
Y 'i'N Qf vrl" "'0 ~ 0 CRAWLSPACE 0
Lot Split: _Y -f\-NQ\l9Ulfip'~.!'mp: \''''_Y -f+N ~ SLAB 0
Does any part of the property lie within a special Flood designation ~a: _ Y L./1\i
SEWER lJT1LITY
PROVIDER:
POSf & BEAM
BASEM ENT
WALKOur:_Y ~
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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a strucrure, or any change in the use of land or
strucrures requested by this application will comply \Vith, 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 seq, 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 cupied until a IDeate ecupancy has been issued by the Department of Community Services, Carmel, Indiana.
. \O'(\JC-- ~(CCP 3:JB~
Print Date '
".
Additional Fees
'. proved: Dept. of Community Services (Date)
"IFormS/ILP RESIDEtfTlAL
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