HomeMy WebLinkAbout06050137 Application
City of Cannell Clay Township \SJ .\Q ~permit #: ()0 0 r:; () /37-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME _
/0
PHONE FAX
317- ':J..57-073'1 Z-S"7-on2-
STREET ADDRE"g 0 ()()
BUILDER'S EMAIL ADDRESS
ZIP
Vb
~
3
LOCATION
& PROJECT
INFO:
NAME _
-.Jesse.-
PHONE
317 - 5ir() - '19 g (
PROPERTY
OWNER:
CITY
eel.
STATE
:r10
SEmON
+~
ZIP
'160
Z-
ZONING:
s- 2,-
F CONSTRUCTION SQUARE d
1'-141 A~lo:; P4 c FOOTAGE: 'L~'{)
SEWER LfTILITY WATER VllLITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: C + f' PROVIDER: G I (EXCLUDI G LANO'VALUE)::---CC-~~!';'7:--,,,,, 'C,,':::;-
I l tlr II1\.€- l/i: I r ,.-.' ~..,:o. < ,'--" .~, (;!(!.0./; -'"
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET G . ~f) III tlJ \ L~:-=J._>'::..-'~) :~~:::,1 u '". j \ 1
NUMBERS; TAC OATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ~<0\j ,s.~0 I) I !; ;"
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:", c,o ~ , 0 Y 1 8 2006 i::; i'
o SINGLE FAMILY ~ 0 NEWSTRUcr: O'<~~(j0 ~s~ ~~ 'U UI /~! ,
o TOWN HOME 9;td? (\ 0 ROOM ooJt{~\\\}~O \; lti..~~dian~ Stat~lIcense #: 1// f, I
o ~~/u~7~~Y I~f..h ~ PO ~~-s?O~\t' 00" I ,. J
ORE 00'0
o MULTI-FAMILY 0 ACC ORY ,nw..\t' ~
# of Units: 0 D~AC~A ~.'r' "
~ RESIDENTIAL (For 0 ~'HM:iiJ "" 'International Residential Code w/Indiana Amendments
Additions, Remodels, Etc.) ATTACHI!I')~ E 0 Uniform Plumbing Code w/Indiana Amendments
o DEMOL~~ . (Multi-Family Construction Code)
umbing codes will be applied to the construction:
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
Permit: _Y XN Trusses: _Y X-N construction area)
. 0 CRAWLSPACE
Lot Split: _ Y IN Sump Pump: _ Y LN 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y K N
(Check all that apply for the new
~
o
POST & BEAM
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 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.
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 '\vill 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 l.c. 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 afe connected to the sanitary sewer. I further certify that the construction will not be
used or cupied umil a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~;Z Btffur
of Owner or Authorized Agent .
;:1e,(<--, ,R" / C-€..Y
Print
05-o'f,-o?,
Date
Signatu
OFFICE USE ONLY: ********** *t1'**~f.***** **********************************************
INSPECTIONS REQU RM _!; 'J-b F. 'ng Fees: /61, 0 (,
~~ f ()' J' <'a #ChargedRe-
~LowerFooting UnderSab o. / IV ~. jo ReViews
Cert. of Occupancy: r3 . --)
~ugh.In )Meter Base Final Site i../
~': _ P.R.I.F.: Additional Fees
UJ L ~- ~~/.~T~~d;J t!f!~~
Reviewed/Approved: Dept. of Community SelVices (Date) - -
S:PermitsjFQfmsjIlP RESIDENTIAL Fee Received by: