HomeMy WebLinkAbout07010129 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER lJTIllTY
PROVIDER:
City of Cannell Clay Township Permit #: 01 L> I () / J-. q
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX:
.s )<r:S'/ Cf'
STATE:
Z
ZIP:
'/,2$'
BEST METHOD OF CONTACT:
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FifO.?w/V2
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BUILDER'S EMAIL ADDRESS:
L ~NE:
YI. ./
eel
C
lOT#:
SUBDIVISION NAME:
SECTION:
ZONING:
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NAME OF lJTILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
O"\S\""UC",^~Of\S
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TYPE OF CONSTRUCTION: t.JI,~) AA -- MErl1:~I\Gt.S PLUMBING CONTRACTOR:
o SINGLE FAMILY '?-<;;.\: cttOC~,~~~'" RE'CY'N',-.,S'0\?
'0\'3 rA..~.\: ,r \ \ ...
o TOWN HOME S\l 01 """ ~ . ION(S)" Plumber's Indiana State License #:
o TWO FAMILY o'fP ~Ql;)ItION(S)
# of units being 0<;;'1'\ p", DDI1'IQN(S)
constructed at this Of \;1f" EN06flP'I-'
time: C\\i ~B~ement Finish only Which plumbing codes will be applied to the construction:
o RESIDENTIAL (For 0 ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
Additions. Remodels. Etc.1 0 DETACHED GARAGE 0
o ATTACHED GARAGE Unifonn Plumbing Code w/lndiana Amendments
~DEMOLITION
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,
"'-,
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TAX MAP PARCEL #:
_Y_N
_Y_N
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Earlv Release
Permit:
Lot Split:
_Y_N
_Y_N
o CRAWLSPACE
~SLAB
o POST &
BEAM _PIER
o BASEMENT (WI\LKOUT:_Y_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 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 IAC 12) regarding expiration time frames for beginning and
completing construction.
It 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 with, and conform t licable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana ~ 1993" (Z~
289) and amendments, adopted under aurhori ~7 et seq, Genera mbly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connec to the sanitary sewer, I further cer 'fy that the construction will not be used or occupied until a Certifica.te of
Occupancy as been issued by the partment of Community Services, C el, Indiana.
1?~ G4 !h)P' 1/?/07
INSPECTIONS REQUIR
Upper Footing
Rough In
Date
**********************************************************
( ]j,:Jg
Lower Footing Under Slab
Meter Base Final 8
" ~ . 601
(Date)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re.
Reviews
P.R.LF.:
Additional Fees
~J'31" va
Date
Revie djl\pproVed: Dept. of Community Servic s
S:Permlts orms/ILP RESIDENTIAL
\
Fee Received by;