HomeMy WebLinkAbout06030073 Application
City of Cannell Clay Township W - ~,# Permit #OhO~":i CO 'l3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
SUBDMSION NAME
ZONING:
5
SEWER UTILITY
PROVIDER:
~g~~E:5Y16
ESTIMATED COST F CONSTRUCTION' (O.rV\
(EXCLUDING LAND VALUE) L-LJ
-It{)bJn::>'OO7.;L
P OV MENT:
EW STRUCTURE
ROOM ADDmON(S) Plumber's Indiana State Li~~ #. A#.'
PORCHADDmON(S) I06C}f!L ~':iL~~
REMODEL ~~
ACC~S.ORY BUILDING ~iCh plumbing codes will be applied to the construction: ." po
DETJi:lijEr_=FOR International Residential Code w/Indiana Amendme~
o ATT8Q6JiR1 ~7JA4JI5il_.'
o DEMOLmOI\l Pl/snCB' . -'-".!'C1lY Code w/Ind,ana Amendments
"'/ State & Wit ffi~lIi\JmStfuction Code)
PROJECT INFORMATION: I O~p; OF C nd LOcal Co "ona;
Early Release j ManUfactOmr,~t'1I.R~~lMU ON ~~E: (Check all that apply for the new
Permit: Y N Trusses: r ''N'" I c; ~ \
Lot Split: Y N Sump Pump: Y IfJJDIA / SLAB Hip ~ ~S;:E~~M ,
Does any part of the property lie within a special Food designation area: _Y N WALKOUT:_V-t-N
o
o
For Single Family and Two Family dwellings, additions. remodels, andlor 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 (Cert:ificate 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 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 Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authOrity of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that nly kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be
used or oc pied u6 . a C .. t fO cupancy has been issued by the Depart.Qleut of comm7!JFJ'ccs, Carmel, IndIalla.
~fl) q'Y; Da~IO-Cft;
OFFICEUSEONLY:************************************************************************
Filing Fees: -R 2. m
INSPECTIONS REQUIRED: . //l
~ Base Inspections: b 7. 5 v # Charged Re-
Upper Footing Under Slab ...-' ReViews
-"- . Cert, of Occupancy: . <S /-(0
ough In Meter Ba Site P'~'I'F" L;; b! dd
~-'. / TOT~! L: '. pi 1/2 {';>> 80
~~. (Y1
Reviewed/Approved: Depl. of Community Services (Date)
S:Permlts/FormsjILP RESIDENTIAL Fee ReceIved by: '
Additional Fees