HomeMy WebLinkAbout06030226 Application
City of Cannell Clay Township Permit #: fJ (.;, 03 0 /3.;lJ.o
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
UILDER of
RECORD:
NAME
ST~"2..
C.O/oJ S,,,uc.,IO..J
COj<i'
PHONE
1{,.'2.-4q'1"'l
FAX
STREIT ADDRESS
4'2.'1 f.J. pnvj..JSofLVJu16 57.
mY
1l..JI.JMJ.iI' ""s
STATE
14.1
ZIP
'(t.lo<f
BUILDER'S EMAIL ADDRESS
BEST METHOO OF CONTACf:
1.(,1.-<(9'7']
PROPERTY
OWNER:
NAME
CAP11J1.... NIT!; LL c. _c.,.",6f.., 12<<A:rVltto
STREET ADDRESS
O~tr CivIC, S rpUJner
PHONE
ts>r1 C/jvW WlI S ItON
mY
CAIt"1"'--
FAX
STATE
ltv
ZIP
'-Ir.h1'2.
LOCATION
& PROJECT
INFO:
LOT # r- .1-
SECl10N
ZONING: 13 .-- !
:sQuARE.! I ~/8()O
~FOOTAGh Z! , A ~
n5
ADDRESS OF CONSTRUCTION
:,e> IN. MMtJ ~T.
SEWER UTIUTY
PROVIDER:
~~
WATER UTILITY
PROVIDER:
~
tESTlMATED COST-OF..:CONsTRUCTlON:"
'(EXCLUDING LAND VALUE) ..
1s"J.I, ""'BIg A_
-;z Dt)i!)
"..
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
.1
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o 1WO FAMILY
# of units:
MULTI-FAMILY
# of Units: 4
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE 0 International Residential Code w!Indiana Amendments
o ATTACHED GARAGE w. . .
o DEMOLmON '7" Unlfonn PlumbIng Code w/Ind,ana Amendments
RELE (Multi,Family Construction Code)
PROJECT INFORMATION: . ASED FOR CONS-;-t<IU"'TlillL
E I R I L;,;; M -tl.tt!r~ifo comp;lan"s w"r ..FOUNDATION TYPE: (Check all that apply for the new
i1r y. e ease a,;,u,_ f ..,'. ~ I, I 'co"striictio-Wlirea)
Permit: Y -U-N Trusses: 0 StatEY'!!Jfl..!N'Cill Cae:",.
Lot Split: _Y =z isuruP.M-T:PFj'fYVIMLN\JITY 8P~W!fPACE 0
--~I' - .... F CARMr:' 1(' &St:AB / 0
Does any part of the property lie within a special frlicilides/gh~th;riQii'\iNSHlfY -LN
r" I r'\ I 1\ ,~
For Single Family and Two Family dwellings, additions, remodels: andt~r~~'cessory 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 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.
It 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 LC. 36'7 et 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 funher certify that the construction will not be
used ~ied . a Certifica.te of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. j.
Li! 5 c O'-O.!.
()//fot:-"7"'" or !,6t?a1Itn-'1' tI1tPJ7 3~ t, a;.
Signature of Owner or Authorized Agent Print Dati!
PLUMBING CONTRACTOR: 13<0 fZ-~
Plumber's Indiana State License #:
POST & BEAM
BASEMENT
WALKOUT:_ Y vN
OFFlCEUSEONLY:************************************************************************
Filing Fees:
Base Inspections:
Cert, of Occupancy:
INSPECTIONS REQUIRED:
~ 1J]Jt
Upper Footing Lower Footing Under Slab
~UghIn) ~ Site
# Charged Re-
Reviews
P.R.LF,:
Additional Fees
Reviewed! roved: Depl. of Community SelVices
S:PermltslFonns/ILP RESIDENTIAL
~TAL'
F eRecel y: - 17.
"- ;!(CJA AI .
. 5/30/ /J?-