HomeMy WebLinkAbout06120015 Application
City of Cannell Clay Township Permit #: 0 b ) ;).0{) I S-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME:
?<.....\ciC)\(' \-\aV'r\e.s LLG
STREET ADDRESS: CITY: STATE:
lA,\9\.t 1::, 1 ~~ S~. =>'-iJdJ :::r: \s ::DJ,
BUILDER'S EMAIL ADDRESS:" . \ \\ BEST METHOD OF CONTACT: . \
e-\\ 2.c..\;)t.\\-'s 'oJ <A~bO<" r--..o"",~s C, c"""" e"""c""
NAM~,....'IoC).r \~\'V\LS u..L FYd -~:1("~
STREET ADDRESS: _
L.LN~ b:- ./'St"\S-\ ~400
LOT #;
SUBDIVISION NAME:
~(\v-o:\\~ ~,
PHON~'d_ \~'l5
FAX:
4
.~~t,b'
ZIP:
'0' sa
CITY:
STATE:
~JJ.
ZIP:
..-'"
\S
SECTION:
\
~~ \02:",,,
~t "> tS;:\t. \<1. ,-:s:rJ , '-/1.0'7,-/
C.-c-"""", ~ \
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S) - \-.,<-, ~ ,\ \\~'.
FOR THIS PROPERTY: '/;/ \\ \ \\
/'-, /" \\ \\\
TYPE OF CONSTRUCTION:;:>' TYPE'OF"l,.,PROVEMENT:
.q{ SINGLE !,A~IL~;V 't\:)~~W sfl\UCTURE
o TOWN HOME/ " ~ 0 ROOM A~ITION(S)
o TWO FAMI~ Y, &,,, 0/ PORCH,ADDITION(S)
# of uhitS~~ing~ /0 D,ECK ADDlTION(S)
constructed at thiS ,/ D/R.EMODEL
time: \\\. \\\ // /' _ Basement Finish only
o RESIDENTIAL (For ,./ 0 ACCESSORY BUILDING
Additions. Remodels, Etc:j' 0 DETACHED GARAGE
\ / 0 ATTACHED GARAGE
PROJECT INFOR~ATION: 0 DEMOLITION
Early Release
Permit:
Lot Split:
V./ N
VLN
Manufactured
Trusses:
Sump Pump:
-4_N
LV_N
SQUARE LJO<CXl
FOOTAGE: 1 10 'lS
ESTIMATED COST OF CONSTRurnON:
(EXCLUDING LAND VALUE)
~,,~
\'dS,ODb
\... X C <A. v c;.."* \~:tf ofo I J COI
TAX MAP PARCEL #:
PLUMBING CONTRACTOR: .
u.f.\\""'t'2- ~\V'~\oL'"'d
Plumber's Indiana State License #:
~\OZ,DDcl'7
Which plumbing codes will be applied to the construction:
~temational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB .e( BASEMENT (WALKOlJT:_V / N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance cl t}1$..lwi.W-~ ~d.~' Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are sli\1flt~GJu\..~d:intni~UI~ it es 0 St~te of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
Subject to compliance with ,dl reI< RG,~construction.
I, the undersigned, agree that any c~~sEfffi~iqnnr~PJL~~E.q~ement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will co'iriE1)r w~.ili;\\ ~~a fPq.lo-rrq.10, ,\!~tpP.~tl}:t,~ of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, a~p.\iP.cGlrutGQy-&fliO.A~Nt et "'ect,-Gen~r'!il A-sJ-~~I:( of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and flOOl;A,~S,a~ ~~.sa~i6t..~~r11].litJlN9ttjfirthat the construction will not be used or occupied until a Certificate of
Occupancyhas been i~li l,y'Mr~ D ~bHet~(5)~NAni Services, canne~, Indiana. ,
~\CQ.~_V'\ 7f'_\\)!Y~ j ~<~ \-;:)-5-Dl..
Print Date
EUSEONlY:******************************~~********************~*~*~{)******************
INSPECTIONS REQUIRED: Filing Fees: ;.L- -.---: -;:-
~ti~ ~w~r F~O~~ Under Slab Base Inspections: c7 J; . ~
~ r.;:: . ~ Cert. of Occupancy:
~!1.In ~~se fmal Sit~/ /' < /tf
~ P.R.I.F.: b
~3 Y/ Pi!
Dept. of Community Services
S:Permlt5/Forms/ILP RESIDENTIAL
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# Charged Re.
ReViews
Additional Fees