HomeMy WebLinkAbout06060063 Application
..._~-;
f:ity of Cannell Clay Township Permit #: I) & 0 ~ (J1) ir 3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNi:
LOCATION
&. PROJECT
INFO:
BUILDER'S EMAlL ADDRESS
...:;GrJ ~120CK&//L17EI25, (b,.ry
NAMEA.I1 / PHDNE
r/R~ ~p/H'
SUBDMSION NAME
d.3R4 OLg8OV~~
{]
NAME
~
IL-OezeS
STREET ADDRESS
~
LOT #
/1-9
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o AlTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
PHONE
...:3 7-558 -67 Si?
FAX
3/
-B~
ZIP
.z. P "-I-G25 b
BEST METHOD OF CONTACT: . //;77 Ke"'M ~I>
E?7/T/L- 7/o-3S!?P
FAX
cm
L'/.-S
/J STATE
L"AerneL _' tV
ZIP
4~a~
SECT10N
ZONING:
5-1
~g*~E: ..::l 51 "'-i
~
'"
PLUMBING C .
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~ Unifonn Plumbing Code wI Indiana Amendments
(Muiti-Family Construction Code)
Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
_Y ~ Trusses: Y ../N construction area)
/ ..~. - 7"~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~ Sump Pump: _Y -Y 0 SLAB . /' 13 BASEMENT_y _ ....-/
Does any part of the property lie within a special Flood designation area: _ Y..B WALKOUT: <:::...-I<l
For Single FamilflCl6A:SiD.~c5L~ ' '.' nd/or accessory structures, this pennit is valid only if construction commences
within 180 daY6l!i*M~~~illheiliinJEllh~ttliJI.'~must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I struc8fSffifi!1~~Pt..~Oe~neral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
:' , . Q.'.'II.~J~tJsandcomPletingCOnstruction.
I, the undersignedpjJlttaOfi'y C OOt'tl6rl,lltI.:brlsttdCtibh, e em t, relocation, or alteration of a structure, or any change in the use of land or
structures requ~~ pp@AfllM'E'!!!.cpr@lYA'\!hTaUlW ill applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993" (&:2ljgj an"'"a amendmen~,~qltftq lAnder authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchH}! Y.~~oor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
c::J-9...,. /J<; (i', /h;>u/~
Print
iP-t3 -Q;;;
Date
P.R.LF,:
,2/,66
~ TOTAL:
Fee R b[V1 AA
$c?)ff. @dditiOnal Fees
11, l-' U fLIlci-
t.e\ ?v~\ 0 (p
OFF E USE ONLY: **************************.******~***********~)"JA!*I*~'l'~**'cf*********
Fllmg Fees. ~ _2/5
INSPECTIONS REQUIRED: . /4'/ /7/7 . . # Ch ed R -
Base Inspections: 4-J-, (LV arg e
Upper Footing Lower Footing Under Slab ' ReViews
Cert of Occupancy: 5""""3, <)0
CRoug'!Jil-- Meter Base C-~-=~
Reviewed/Ap oved: Dept. of Community Services
S:Permits/FormS/ILP RESIDENTIAL
(Dale)