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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 l3 I<. f1 l3 /jntF c. FAXS / .1- d' (] t ZI,,// T~/f'<.... 3]7'-)'f6b PHONS'" 7 j-6' 0 0 0 C~ ST TE.L'/l/ CITY ~,S,,-,'k j'4~ 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)