HomeMy WebLinkAbout06030196 Application
City of Cannell Clay Township ,9' Permit tlJlr;O,3 () 19/P
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of FAX
RECORD: 576 -.;;<.31
STATE ZIP
~ 3'
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PROPERTY FAX
OWNER:
em STATE ZIP
-."'-
LOCATION
& PROJECT
INFO: 0/.).
NAME OF UTIUTY fXCAVA CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release is Manufactured =B
Permit: Y Trusses: Y N
o CRAWLSPACE
Lot Split: _Y Sump Pump: Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: Y
TYPE OF IMPROVEMENT:
~,NEWSTRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAG"
o ATTACHED GAR!'
o DEMOLmON
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
-:J Unifonn Plumbing Code w/lndiana Amendments
(Muiti-Family COnstruction COde)
(Check all that apply for the new
O/l'OST & BEAM
~\BASEMENT
- 1')7 WALKOUT: Y
For Single Family and Two Family dwellings, additions. remodels, and/or accesso~:s~c9!r~. t l.; pe~1 i~vThdJ_~ . 'if~oW~tw~UQP commences
within 180 days of the date of issuance of the building permit, and must be comp~W~tti'f1&Q[ ofdct::lfp~'f(t~fi a)EWIY&m'~ !Bonths of the
issuance date. Class I structure permits are subject to the General Administrative Rules of th@Sfutedf Inmantf(See ~tA'Q 12) regarding expiration
time frames for beginning and comPl~l!he1k~ rv1 M UNiTY SERVICES
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati~ t~oJl;oJ, Hw.cq.lre, 9I>~X \~~\9.. fb.lt,lol..'lel1\.4md or
structures requested by this application will comply with, and conform to, all applical:k' dt:tne Se.ltVOnheilm!, :md-t'ne"~Mrlg'0~ of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authortty of I.c. 36-7 et seq, General Assembly of tIi<!'~w.<iql'~ana, 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
ed r occupied until a Ceni/icace of Occupancy has been is the Depanment of Community Services. Car;nel, Indiana. J J
" - e.U u 3[0)C)..!.f1 te
Si ature of Owner or Authorized Agent Date
OFFICEUSEONLY:**********************************************~*************************
Filing Fees: 99~ C}b2
INSPECTION UIRED: ' v - ( ~
~ Base Inspections: ') (; "7.:> V # Charged Re-
f linn". "~g Lower FOG' Under Slab <;:) ..-- / 50 Reviews
~.......-------- ---....... Cert. of Occupancy: ...:> (.
~(tfeterB~ <[inal Si~ P,R.I.F,: 102 C/ 60 Additional Fees
'- -?~OTAL. . S'"'0? 70
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