HomeMy WebLinkAbout07020069 Application
\~
City of Cannel/Clay Township' Permit #: C/7D;).1J1J lt9
-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family,&. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
STREET ADDRESS
NAME
CITY
i ne... ed.
BUILDER'S EMAIL ADDRESS
YiearlVl ood'ncl'Yl(~. ( O\'Y'\
PROPERTY
OWNER:
FAX
STA1lJ
Z4-ltJ ~
ZONING: S ~ \
~g~~~E 7?fC11
LOCATION
&. PROJECT
INFO:
SECTION
SEWER UTILITY. ESTIMATED COST OF CONSTB,U)TION:
PROVIDER: C\a. (EXCLUDING LAND VALUE) ~ \ \ DO ODD
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA j BPW DOCKET Cv ,,~ ' I' t
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ~ r-t-o... Vu. I I Y) vIti )S>
o
F N TR
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
N:
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
PLUMBING CONTRACTOR:
\)nno.ld b.~&t-onJY
Plumber's Indiana State License,#: J. ...,..
"/. f,'" . -
\ 0 00 'q'
)
/. "., ",
Which plumbing codes will.be applie~ to the struction:'~,," " -
~ International ReSide~tlal COd~'W!India~~mend~ei1ts
o Uniform Plumbing COdew/I~dian~"Amend~ .
(Multi-Family Construction Code) '"
" ' '
". '... .//"l
(Check all that apply for. the miw"
'~" . '-,2:>-;/
e- POST, & BEA~'-~/}/
;N;~Q y 1 N
For Single Family and Two Family dwellings, additions, remodels, and/or accesso rl(:~ ~'~~lV. Mlli ,>)).pt~. ft~!~,'~ir~:n com~ences
within 180 days of the date of issuance of the building permit, and must be compI8t!bi~1Hc e ~~\;~' 'S' __ ths of the
issuance date. Class I structure permits are subject to the General Administrative Rules of.th~ : U~~ .,~-",_.; _' I \l8\Cxpiration
time frames for beginning and compleWil:""''Ol"'iGO ' I .' I l.."'i1'OW. ,;Ir
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, ~!r~~ p.l~~S4r~yotMnge In the use of land or
structures requested by this application will comply with, and conform to, all applicabl~ffl{f lblfSt~ n', I~ "Zoning Ordinance of Carmd
Indiana - 1993" (Z- 289) and amendments, adopted under authority of LC. 16-7 et seq, General Assembly of the, t-Jfi'nctiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and nom drains are connected to the sanitary sewer. I further certify that the construction will not be
(fJ,~80t:z.ncYbas been issUCh~:;~:;ZOfRsT;~;ices, Carmel, Indiana. ~I G /01
Signature of Owner or Autborized Agent Print Date
o
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
fOUNDATION TYPE:
construction area)
yXN _y)LN
v 0 CRAWLSPACE
Lot Split: Y ~N Sump Pump: X-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area:
OFFICE USE ONLY: ********************************************:"
Filing Fees:
Base Inspections:
INSPECTIONS REQUIR
Under Slab
# Charged Re-
Reviews
V
Reviewed/Appr ved: Dept. of Community Services
S;Permits/forms/IlP RESIDENTIAL
1
,~3
''''J ::{,,; ~~r~~j:--
Fee Rece' ed .?<- - v '}J \5 I () 7
Cert, of Occupancy: