HomeMy WebLinkAbout06090039 Application
City of Cannell Clay Township Permit #: ~ 1) 10()':57
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
SEmON
3
ELEASEO F~"~_ ??\~,.~~l~~
ulliAf.1k-ffo EiiS+6F CONSTRurno,J; ,,;j'.'~
(EXCLUDIIlG,~~~Y,A~U~),; 'lIS l!lfjf1:.V}~ES
o ,...n... . .iv'
~~~~~~A~g-)~~g~~~':^~~~Lr~D7g~~~~~Np~~~ :'~~I~~~~CABLE): ...111 Int:k'f~""{\" .
CI vV ..,'n- .r. f"; '-{Ai
PLUMBING CONTRACTOR:
fJ,4
Plumbe":s Indiana ,State license #:
TYPE OF CONSTRUCTION: \ \ QJ-,. TYPE OF IMPROVEMENT:
o SINGLE FAMILY JI0 J)O NEW STRUCTURE
o TOWN HOME \ a~ 0 ROOM ADDmON(S)
o TWO FAMILY \ ~Q PORCH ADDmON(S)
# of units: 0 REMODEL
o MULTI-FAMILY t? 0 ACCESSORY BUILDING
~ # of Units: 0 DETACHED GARAGE
RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
PROJECT INFORMATION:
Early Release , /' Manufactured v:
Permit: Y,kN Trusses: _Y ~N
. Lot Split: Y ~N Sump Pump: _Y -p-N 8 ~~:LSPACE
Does any part of the property lie within a special Flood designation area: _ Y LN
BUILDER of NAME fJu -M "'" : I
RECORD:
STREET ADDRESS
3CJ 1'1 er,"; '"
BUILDER'S EMAIL ADDRESS
c\ Sc hell::>
P!etl
PROPERTY
OWNER:
NAME
S()
4 l'I1i
STREET ADDRESS
130 ~ "",6/
{!,;-e..1
LOCATION
&. PROJECT
INFO:
LOT1}
SUBDIVISION NAME
(OllIe sl1,r
ADDRESS OF CONSTRumON
5""
SEWER UTILITY
PROVIDER: Ca./
WATER UTILITY
PROVIDER:
PHONE
30- S-S7- OST
CIlY
Ca.'....e..
FAX
517 ~ylf-ZS'-i2..
STATE
IV
ZIP
V"'\
BEST METHOD OF CONTACT:
t'WI"''' I
PHONE
317- ll'1S:O.)) ,
FAX
-815--0)-/2-
ZIP
4~V5
STATE
/i'v
"....
Which plumbing codes will be applied to the construction:
o International Residential Code wfIndiana Amendments
o Unifonn Plumbing Code w fIndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
._,_~ '. '-"_'" 1
For Single Family and Two Family._dwelling~,-ag<!-!riOI1S' rem?\4els,1~dJor'fi.~cessory structures, this permit is valid only if construction commences
within 180 days of the date of i~~-c;~\of ~e ~~~a~g:p~~Z~'d:ml;1f~ BfRompleted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 structure pe~~ ~r~,suh~ect.to the<GeneraJ.Ad.~~sq~pve Rules of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
\ ~ \ ) J \ time frames for beginnmg 'and completing construction.
I, the undersigned, agree t;hat any c~~4\\~~qn, reconstructio:& ~mentj, ~el?~~tion, or alteration of a struc~re, or any change in the ~se of land or
structures requested by a catIon Will compl~, <1iid Qo~o, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993" (Z~289) endment~,\ad6pted ~n"d~ authOrity of I.C 36j7-et':~eq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. c only kitchen\ b~th. and ~.drains are connected to t~ sanitary sewer. I further certify that the construction will not be
used or d n ~iEicate offccuPano/has been issued ~~~~ent of Comm~ Services, Carmel, Indiana.
/- L._- ----- Pct v. d A. ::x.. It t'/b 9/ fe I OfR
Signature of Owner or Authorized Agent int Date
I
********************7************************~**
Filing Fees: _ 7 Ct! . 7(/ I ~:','
Base Inspections: Ire u . .:s: 0 # Charged Re~
5 .3 . e:- 0 ReViews
Cert. of Occupancy: -....:I
/
__.,~:'hO
OFFICE USE ONLY: ************* **~*****
INSPECTIONS REQUIR D: f'J I
Upper Foot; Lower Footing Und r
Meter Base ~
P.R,LF.:
Additional Fees