HomeMy WebLinkAbout06030189 Application
~ City of Cannell Clay Township Permit #: f) (e ().30 I '3cr
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
/",
dUILDER of
RECORD:
NAME
CUlLY
~ClU/7tof...1
~
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
NAME
Cht..,~ /t.t;p~-t' t<1frV1
STREET ADDRESS
/ CfVrc.. >9U,/"""-
PHDNE
u,..,_,fJ,oV '57/- L /1"2-
CITY
LOCATION
& PROJECT
INFO:
LOT #
SUBDMSION NAME
PHONE
FAX
CITY
ZIP l-f f'J 3 If
BEST METHOD OF CCNTACT:
FAX
STATE
ZIP
SECTION
ZONING:
ADDRESS OF CONSTRUCTION
/30 S, J"'C;~L.P.JC
WATER lITlLfTY
PROVIDER:
-20 SCW7t-1 /2"~irt./<.JE,f
jl.O,O - '25/ t?- "2-'" 57 s, W
SQUARE ~
FOOTAG~
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
Permit: _Y _N Trusses: _Y _N construction area)
. 0 CRAWLSPACE
LotSpht: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
SEWER lITlLfTY
PROVIDER:
NAME OF lITlLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll. AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME Lo/YJ,n.Q(fqJ'I/O ROOM ADDmON(S)
o TWO FAMILY -no"" (O PORCH ADDmON(S)
..~ # of units:-----1P"" ,0 0 REMODEL
D MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc,) }i5f... DEMOLITION
ESTIMATED COST OF CCNSTRUCTION:
(EXCLUDING LAND VALUE)
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the consb"uction:
o International Residential Code w jIndiana Amendments
o Unlfonn Plumbing Code w jIndlana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_Y_N
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 pennlt, and must be completed (Certificate of Occupancy issued) within 18 mouths 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
IudiaDa - 1993" (Z.289) and ameudmeuts, adopted under authority of Ie. 36-7 et seq, Geueral Assembly of the State of IudiaDa, and all Acts ameudatoty
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will n t be
used . . Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
L~r .... O(..PJ I /),1<<>01#,. f /l",P""u"'/41#r7
Print Da
OFFICEUSEONLY:************************************************************************
Filing Fees:
Base Inspections:
Cert, of Occupancy:
INSPECTIONS REQUIRED:
Upper Footing
Lower Footing Unde~
Meter Base Final ~
P,R.I.F.:
Rough In
d TO~
.v'l-d
Fee celved by:
1/ -<'-,'!Io~
1 n!tJro
Reviewe /Approved: Dept. of Community Services (Date)
LP RESIDENTIAL
# O1arged Re-
Reviews
". Additional Fees
. n. CUI, C-Q..