HomeMy WebLinkAbout06040009 Application
City of Cannell Clay Township . . Ai 1AJ Permit #:CYdJ4 OfJD 9
RESIDENTIAL IMPROVEMENT LM.~ION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
67:5 -;;1315/
PROPERTY
OWNER:
FAX
cm
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SECTION
ZONING:
-5 I
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
ItJ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMIL Y
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
SQUARE
./- ,.u (23. - FOOTAG_~g.,
ESTIMATED COST o~ ,~R@O~~1 \ 1 \~f/ LS \ \ \\
G LAND v, E)=..>::. 'Pf -'0/ . (\
NAME OF lfTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA I BPW DOCKET j ))
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): tAJ, APR - 4 2006
PL,U'l'BING cONTlwirOR; !:..- 1'lf/1 tJ. ~
tJp--rYrn(J\. ~ :J-I'l-CJ ~ J
Plumber's Indiana State1:it:ense#:
c..p /0000/6 /
TYPE OF IMPROVEMENT:
@-NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARr
o DEMOUTION
Which plumbing codes will be applied to the construction:
\;J Inl~rnational Residential Code w jIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~. Manufactured ^ FOUND~TION TYPE: (Check an that ap~PIY for the new
Permit: Y Trusses: L>f/ N constructIon area) ~~ . 1
. - 7:>.- 0 CRAWLSPACEIR/~g POST&BEA 0'
Lot Split: _Y Sump Pump: ~_N 0 SLAB ~,~ -BASEMENT
Does any part of the property lie within a special Flood designation area: _Y ~ 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 permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc 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, Of any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the Stare of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993~ (Z~289) and amendments, adopred under authority of LC. 36~7 er 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
s or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana
9 nit" p ,')(--e () Jtno U I C
P nt
3/3:J1of.
Date
OFFICE USE ONLY. *********************************.*********~u~~.*** **
. RELEA%ihb~:CONSTRULIIUN .
INSPECTIONS:~~UIRED: Subject to compllanco Wlt~ al! P'J~ o?O
F t' ~ F . ~U d Sl b oIlS~t~l1gq!~,Co:ae~ .
pper 00 mg '-Lower "!l -' n er a rnefi:caMMdJ~a\i2f:SERVICES S3t)D
~~,~~1~;:A~~YTOWNSH)?~C/ dO
TOTAL: . . s-f/
*****************
JO
# Charged Re-
Reviews
Final
SiGITY
Additional Fees
fJJL
Reviewed/Approve :
S:PermitsjF()(msjILP RESI
(Date)