HomeMy WebLinkAbout06090129 Application
City of Cannell Clay Township Permit #:oIcDCJ D / ~ 9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of NA
RECORD:
STATE
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ZIP
PROPERTY
OWNER:
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BEST METHOD OF CONTACT: "- \
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LOCATION
lk PROJECT
INFO:
STREET ADDRESS
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LOT #
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ZIP
L( &x9~
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ZONINGS_ \
SQUARE.y I. ,.... ...,
FOOTAGE: L9 Ou I
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION: 0 10 "f'(r-..
(EXCLUDING LAND VALUE) .~ 0' , U~
o
PROVEMENT:
SJ"RUCTURE
OOM DITION(S)
PO ADDITION(S)
MODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
~v-\\-L "S?<CQ\JQ--\'"" it: D/POq D~8
PLUMBI~ CONTRACTOR: _
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Plumber's Indiana State License #: Q,J
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Which plumbing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
PROJECT INFORM~ ON:
Early Release ~ Manufactured /: FOUND~TION TYPE:
P.t Y T Y N construction area)
erml : _ russes: _ _ 'i5
Lot Split: _Y N ~mp Pump: LY _N 6 ~~:LSPACE
Does any part of the property lie within a special Flood designation area: _Y /N
(Check all that apply for the new
9.,..POST & BEAM
~ BASEMENT ~
'II! WALKOUT:_Y ~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply \vjthJ:i:llltif~~o:...m to, all applicable laws of the State of Indiana, and the "'Zoning Ordinance of Carmel
Indiana - 1993~ (Z~ 289) and amendments, adopted unde~1?~\CfN6-7 et seq, General Assembly of the State of Indiana, and all Acts amendat9ry
thereto. I further certify that only kitchen, bath, and floorO'f.Y.fictrfcloofr(c5"fJpt s nitary sewer. I further certify that the construction will not be
or occu d until a ~fflil:...a.te 0 cupancyh~been is ~f.ff!!!!rJiiitr mnnity Services, Carmel, Indiana.
~ U StEit C it If. I t.9-;;}s-d..o
Own 0 uthorized ge d in MU Odes. IOns Date
OFFICE USE ONLY: ************************* f'C'CJ ,IIf\)1"******~***********************
1~Fl.~s y rO~ 12S iJ?f 'l' 0
I SPECTIONS REQUIRED: A . 'NSHIP .//;' /71
Base Inspections: TZL ) U
Under Slab ~ 3 /0
Cert. of Occupancy: :))
- Site) /" 0
~ P.R.I.F.: 10 . Additional Fees
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Reviewed/Approved: Dept. of Community Services
S:Permits!FormsjILP RESIDENTIAL
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