HomeMy WebLinkAbout06030160 Application
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City of Cannell Clay Township Permit #:_rJ~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
PROJECT INFORMATION:
Early Release /r., Manufactured /"::'\
Permit: Y...L-.JIlI Trusses: -W/. N
. -~) ^ P CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ----LV Sump Pump: - Y --L!V tJ 511\B 0 BASEMENT
Does any part l!f l:J:!e . .: 'Dj!\~~ltIfIPod designation area: Y ---L1i) WALKOUT: Y ~
For Singl~ F~'~' iWR'I~~~9.y.hubvdtrig~lliffi6Qi\&\~~, andlor accessory structures. this pe~is'?-!t4-~lf'~E~~SffU,~9,O~~6~~~~
withini8H~kyg-ot t . ~~~ of~~15ebf~~g permit, and must be completed (Cenificate of q~If~D~~i~,~);~Wh 18.EI~ Rf tr~
issuance date. Class ~ ttnccuile iJ:e,nni1;S. '1, ste~o,\IKI~.".J Administrative Rules of the State of I~~,,*~!see 675'IAC 12)regaro, i ng efRirar If n
DEPT OF CO(\J11..1U!~1 ri!!i~Jrldr'i>kinningandcompletingconsrrucrion. !iU '\il III
I. the uncl<;I;~e,e-$l~my, E'l!.s&.mJi\."'c~<:tIrl.lPgement. relocation. or alteration of a stru~~n;, any cq~eif1 ~e u"",~land8r i i;
structurek-ttciuested'by thir"a'pI)llcilAAIl . c.Rmply with, and conform to, all applicable laws of the State of Indlana'land rIM Mnilig 0rd.iD.:M2e of Cahncl i
Indiana - 1993" (Z- 289) and amerldli/ent, .;pted under authority of LC. 36-7 et seq, General Assembly of the $Ut~lqt Indiana. and all Acts amendatciry:J i
thereto. I further certify that only kitchen, bath, and floor drains are cOIUlected to the sanitary sewer. I funherf6'tif)ltlt~t.th.e_construction'will nbt be \
(use or occupied until a Certificare of occupan? has been ire by the Department of .community Servifes. Carmel,. Indiana. _/_._ J
.. '-- 1'\ Q €- L I .::d~. -sLf? 0
Si ature of Owner or Authorized Agent Pint Date .
OFFICEUSEONLY:************************************************7***********************
Filing Fees: 1b:3 _, 50
INSPECllONS REQUIRED: /1 I 7 ..so
Base Inspections: ' J" lo ~ # Charged Re-
~r Footing) Lower Footing Under Slab ~ 1.....-;;:"1 Reviews
- ~ Cert. of Occupancy: '-' u.,:) L/
~9h ~ ~ mal Site P.R.I.F.: !- ~j , 0 0 Additional Fees
TOTAL: -t t'J.- II I 30
1 0 Jt tJ j, 17. ---.: U iV'vtY\
FeeR~t v l..{fHloLe
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
llr. PROJECT
INFO:
NAME OF UTILITY EX VATlO Jl/TRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COWTY WELL AND/OR SEPT1C PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
g-TOWN HOMEalhsief
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
U ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
CV",,--;q h/~e.-v- 3-:x,-Q<.
Reviewed/ApprovM: Dept. of Community Services (Date)
S:PermIts/Forms/ILP RESIDENTlAl
FAX
'67'5 ;;{3/
'3d
CITY
STATE
ZIP
ZONING:
;)..
SQUARE -. ~ /. _
FOOTAGE: o<0'?' 3
ESTIMATED COST OF CONSTRU.9'ION:
LUDING LAND VAlUE) 'T'
~
'.-{
PIBING CO CT R:
~-
'M??h1'JC7'- -/-11 (" ./
PI mber's Indiana State License #:
(!f I ClCOO/O /
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)