HomeMy WebLinkAbout07030024 Application
Eity of Cannell Clay Township Permit #: 0'7 () 3002 t
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
~, JeI\~'1S
PHONE: ?Ill) ~ 1 3 - '5 3 () 7 FAX:
ZIP:
4~()1
CITY: STATE:
'W ~S 0-e I d '-'-N
BEST METHOD OF CONTACT: l
. ~. ? l - 403 - ~ 31 S C-e I
PHONE:
L
kilY\berl
STREET ADDRESS:
1-;:L'1'-i"1 Vo""'+-L-II
'P I A. c-e..
STREET ADDRESS:
\3011
LOT ':";3 {
'VIS
CITY: STATE:
W~'5-t+ie\d IN
SUBDIVISION NAME: 'S \,e \ 6"'4 r-\<\ e. E<;f~';ON:
flOOD ZONE AREA DES~T1~N(S)
FOR THIS PROPERTY: r JAW
BUILDER'S EMAIl ADDRESS:
. eY\ksr
NAME:
RickClrd
ADDRESS OF CONSTRUCTION; \
1'301\ \1-Iv..rY'\oY\C\ \No.
ZIP:
Lj
_Z-oNmn,;l,
-~
SQUARE 0
FOOTAGE: 001
ESTlMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ,d...i 0 00 . 00
~.~'
V .
SEWER UTILITY WATER lITILITY ,''''''
PROVIDER: do. -r;.,-,,,<;\' i PROVIDER: LlArrne-\
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDjOR COU",", WELL ANDjOR SEPTIC PERMIT ,'S (IF APPUCABUE
TYPE OF CONSTRUGTION:__ TYPE 0 IMPROVEMENT:
'bc5 I i\ \ I.!:.--, ."f-..;::;./r-t::"'7.I I
~ SINGtE fAMILY"~,,, ,~~ Ii ~ NEW,STRUCTURE
o T01ol(l!I~~- -, u _.. 0 ROOM ADDITION(S)
o TWq.~ JL Y 0 PORCH ADDmON(S)
# fit. nits """'!Ill... .- 0 DECk ADDmON(S)
c~h~t.!Jctedlllill&1is- 5 2007 0 REMODEL
~1!',~Ltl; : J.J.1 pasement Finish only
o RE$IDEN1'IAl.c(Fo, QJ ACCESSORY BUILDING
Ad&iiions, Remodels. Etc.) --0' DETAcHED GARAGE
L.l . 0 A1;T~CHED GARAGE
PROJECT INFORMATION: ----"O'E1:::DEMOLITION
Early Release
Permit:
Lot Split:
_y"X. N
_yXN
Manufactured
Trusses: _y XN
Sump Pump: ~y _N
TAX MAP PARCEL #:
170 -. 0
.03J.;.
PLUMBING CONTRACTOR:
Sc..I".d.e.r\Jlu.OV\V'''f::! h~c.. ,
Plumbers Indiana State License #:
-.:!f'iH0553bS .
Which plumbing codes will be applied to the construction:
~ International Residential Code w /lndian~ 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
o SLAB ~ BASEMENT (WALKOlfT:hY_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 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 structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z'
289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupa.ncyhas been issued by the Department of Community ~ervi.ces, Cannel, Indiana.
~JfJ" ,~v'/
Signatu... of Own., 0' A"~'~A9.
~\
~-:J..3-07
Date
Print
OFFICEUSEONLY'*****************************************************~***************************
. . . Ij C;' ( '70
INSPECTIONS REQUIRED: Filing Fees: / '.J , .
Base Inspections: :{) ~. (J C # Charged Re-
....... Reviews
""3. )~,)
Cert. of Occupancy: ~ c
P,R.I.F.: J 2. G /. (JO Additional Fees
S:Permits/formS/ILP RESIDENTIAL