HomeMy WebLinkAbout06100072 Application
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City of Cannell Clay Township Permit #:OIP I rf) D 7 d-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remo~els, & Accessory Structures
BUILDER
OF
RECORD:
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NAME:
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
LOT #:
~
PHONE:
FAX:
BEST METHOD OF CONTACT:
, (,C)fY1IH~\:
ADDRESS OF CONSTRUCTION: S'
, 1I
SEWER UTIUlY l
PROVIDER: C,,-r- hr\,-
WATER UTIUTY
PROVIDER:
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NAME OF UTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
__:~<PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATlON~ 0 DEMOLmON
Early Release /I Manufactured
Permit: _Y 4 Trusses:
Lot Split: _Y XN Sump Pump:
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
jg( RESIDENTIAL (For
/' "Additions, Remodels, Etc,)
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_Y~N
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PLUMBING CONT 'I,
1
Plumber's Indiana S te Li
: OCT - 9 2006
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & _ BEAM PIER
~ SLAB 0 BASEMENT (WALKOUT:_y-.lN )
For Single Family and Two Family dwel1ings, additions, remodels, andlor accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 structur ny change in the use of land or stru res
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an e ~Zoning Ordinance of Carmel Indiana - 1993 (Z;
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Jndi ,and all Acts amendatory thereto. I further certify t t only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the canst tion will not be used or occupied until a Certificate 0
Q cu ancyhas been issued by the Department of Conununity Services, Cannel, Indiana.
73
Lower Footing Under Slab
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(Date)
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# Charged Re-
Revie'ws
10
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Fee Received by:
Date