HomeMy WebLinkAbout06060227 Application
BUILDER of
RECORD:
City of Cannel/Clay Township Permit #:.Of,.,ObD.1.17
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
New Structures, Additions, Remodels, & Accessory Structures
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NAME
PHONE
For Single Family, Multi-F
STREET ADD
PROPERTY
OWNER:
PHONE
STREET ADDRESS
CITY
ZIP
LOCATION
& PROJECT
INFO:
SECTlON
ZONINGJ - .1.
SQUARE
FOOTAGE:
~~~~~LITY Cl.. ~:~I~~LITY (}MmLL
NAME OF lmlfTY EXCAVA ON CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
t)t. NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Plu er's I~d a State License #: 1f'''~
Wh(~~bing COde~~e applied to the constructio~ ~~;~
f8f International Residential Code wI Indiana Amendments"
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
_y--.iN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses: lY_N
X 0 CRAWLSPACE
Lot Split: _Y AN Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
o
~
POST & BEAM /
BASEMENT V..
WALKOlfT:_ Y ~N .
For Single r~ an wo ~wj a ~e~' '8~4ipiA{Jh:ffl8Yjgels. and/or accessory structures, this permit is valid only if construction commences
within 18crt1~ft h' ot1ssu cc 0 ~u fafilg permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I .Qf.~;~~IQ ~aE:t~.the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
DEPT OF COMMUNITlfiGeRIII<lGES:ginning and completing construction.
I, the under~ ~ tll.~ t5lK..tE:t'>tl}l~fn.AV~i"filf#H~~ltEemem, relocation, or alteration of a structure, or any change in the use of land or
structures r~t,lstid'eY th'w~Ul!jhrln i'ilt'crrtn)::Hy tVtth~-!:^al."tl'nfb~m to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amen.4M&tA~Aed under authority of I.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further cerrify thar only kirchen, bath, and floor drains arc connected to the sanirary sewer. I further certify that the construction will not be
used r occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel. Indiana.
. ' I rllfJ;.);j()J f!-LAI. W-/RW .5-{)o-fO.4,'
Signa re of wner or Authoriz print . - Date
OFFICE USE ONLY: ************************************.*********
Filing Fees:
J Base Inspections:
P,~ Cert. of OCCUP9~CY:
P.R.I.F.:
INSPECTION UIRED:
LOW~ Under Slab
50
.E 3. .:::;0
5;;':1,00
TOTAL: iT /7 ~ i ,SO
~;.iL -5:€f '7- / ((I In [;
Fee Received b . { I
# Charged Re-
Reviews
Additional Fees
c~,~ Mt~err fo--Z1-06
Reviewed/App ved: Dept. of Community Services (Date)
S;Permits/FonnS/ILP RESIDENTIAL