HomeMy WebLinkAbout06080017 Application
City of Cannell Clay Township Permit #: O(PO~ 0 birr
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLlCA!TION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
NAME
I!o~~
d~Cr
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS
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c.
FAXS / .1- d' (] t
ZI,,//
T~/f'<....
3]7'-)'f6b
PHONS'" 7 j-6' 0 0 0
C~ ST TE.L'/l/
CITY
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BEST METHOD OF CONTACT:
b ' eI' Q,/;
PHONE
FAX
NAME
STREET ADDRESS
LOT # SUBDIVISION NArjE Il
3 6v..ilftJrc{ ('.G5-f?rr
ADDR.E~ OF hONSTRUCTION --=---
o DOW/lJ_YflJlfIe .r Le
SEWER UTILJTY.C r- n WATER UTILITY J. /.
PROVIDER: I 1'- ~ PROVIDER: Z'Nct,(;,.;fI'o-;S
LOCATION
8< PROJECT
INFO:
CITY
STATE
ZIP
SECTION
(l -L
ZONrNGjJ L( (
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
-..J V construction area)
Permit: _Y -L:-N Trusses: ...p.-Y _N
_ 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _ Y AN ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y
NAME OF lJTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:.
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
;I!iO.. NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
'L
EsnMATED COST OF CQNSTRumON:
(EXCLUDING LANO VALUE)
PLUMh~G ,CONTRACTO,,: I
tu I~ ~r -p ~i'b'\V'.t
Plumber's Indi a State License #:
Cptf7IJO /36
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~ Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WAlKOur:_Y_N
N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structur~~:-.t~is'p~rrrilf~i.svalf~' qI;1ly)'[.c~;s~nlCtioncommences
within ISO days of the date of issuance of the building permit, and must be completed (Certi{icaie of:9ccup~ncy issuedr"",i~hin 18 months of the
issuance date. CJa.s~ ls~tt5 ~eyrr eO~~l:icteCfq~~J.Ad.ministrative Ru~es of th~l Ha~~ ~Hndiana (See 675 lAc 12) rf~:ard~~g expiration
Ht:.Ll::. ... . .ilTI.e.tr'ame .tl r b,e.~lnnmg and completmg constnuctlOb. i \1 I!!
I. the undersigrildlliltellitlatcailf"!f/I\..fl&fldltl~ iM~l!aQ\jjll~~litaigement. relocation. or alterati9~ P\], \ttuct~f'ror any change in the'!u~e o. fland or
structures requested by th~P.:St.3te:Ianl01UOO8.p~OOB,&.nd conform to, aU applicable laws of thej~t\atf\9f Ind8nh~Jana'th~ "Zoning Ord~a~de of Carmel
Indiana - 1993" ~~nA~~~~",qcm,~ ~t0f~;r.C. 36~7 ct seq, Gtneral Assenj1~!y 9~ fhe State of Indiana, and all Acts a-mendatory
thereto. I e .ttnfY...rlkt on}fkft~'1ien iSa'tfi an r .~~ (-(t~05fiected to the sanitary sewe~. I ftirE.her.certify that the construction will not be
used or It'dUA ~fP a J~~:by th Depar ment of Com nity Servicey:armel, Indiana.
....L6; _-7~d7.c2b-06
Date
Sl
OFFICEUSEONLY:*****************************************************,,*****************
Filing Fees: Ce E:~ . 712
INSPECTIONS REQUIRED: SO
Base Inspections: ;2-:1:"1, # Charged Re-
~r Footiiig) Lower Footing ~er Slab ~3 ,5 V Reviews
Cert. of Occupancy:
~ ~as0ct!nal Site::> P.R.LF.: , () 0 Additional Fees
Services (Date)