HomeMy WebLinkAbout07030159 Application
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City of Cannell C1~~ 'rownship Permit #fJt.1Jl~~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER
OF
RECORD:
STREET ADDRESS:
LlL
BUILDElfS EMAIL ADDRESS:
PHONE: FAX:
CITY: STATE: ZIP:
'-.. ''T7
BEST METHOD OF CONTACT:
e~.
PHONE: FAX:
2
STATE: ZIP:
1~1 =0...) , 4(,,;)
SEmON: ZONING:
.v s-
PROPERTY NAME:
OWNER:
LOCATION
8r. PROJECT
INFO:
STREET ADDRESS:
Db
SUBDIVISION NAME:
',-.'Ct,\
ADDRESS OF CONSTRUCTION:
\4~
SEWER VTIUTY
PROVIDER: CT'~ ".5S)
WATER VTIUTY n \
PROVIDER: \.......,('..-..r-'V"~,,e--'
,~~g~~~E: 5 Lj ~I
ESTIMATED CO, ST:qF,~CONS+R0~ON: :,~: '\.' (3'
(EXCLUDING LA~DIVf'.LUE) '-".-4._~ -\".- ~_
.I II V
'u 1 II
~"*! MAR 2 1 2007
:'/
"
I'll
,
NAME OF VTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / 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:
o
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_Y/N
_Y...L-N
'tt' 010~\
TYPE OF IMPROVEMENT:
Q'{ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
LY_N
LY_N
,
TAX MAP PARCEL-#: "____
i
,
; "-
" - '''--.,....1
PLUMBING CONTRACTOR':"
seJ
Whi;JJ-plumbing codes will be applied-to the construction:
rsJ'International Residential Code:~/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) ~ ,-
o CRAWLSPACE~\)~~O~fll. _ BEAM _PIER
o S ~~~(WA.~K9UT:_yLN)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structu e~i' . ~~ '.'. . ences within 180
days of the date of issuance of the building pennit, and must be completed (Certifica '~~R~ sYf' ,_ issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State 0 \~k\6 ~Ye e ~~ e frames for beginning and
completing co . ~ S\Q.: \J\ ("~"\
I, the undersigned, agree that any construction, reconstruction, enlargement, relocatio ,or alterat~d ~~i~\J\ ~ ckange in the use of land or structur~;s
requested by this application will comply with, and conform to, all applicable laws of the~tat n~ha'fP'l~.~~~~nance of Carmel Indiana -1993~i(Z'
289) and amendments, adopted under authority of I.c. 36,7 et seq, General Assembly of t olWlGr,-1m.d ~5 amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that ~~ction will not be used or occupied until a Certificate of
Occu cy has been issu by th partment of Community Services, Cannel, Indi~
~e~r' 2~\ \(,..-s
Ptln
'O-n "0'7
Date
# Charged Re-
Reviews
Additional Fees
OFFICE USE ONLY: ********************************************************
INSPECTIONS REQUIRED' Filing Fees: Ci 30
___ ~' Base Inspections: --;7? sO
Upper Footing '-Qwer Fo g ~der Slab S-3 ~ .s-J
' Y Cert. of Occupancy:
Q.ough t~:::<Meter ~ Final Site ,) (; A
. ""------ P.R.I.F.: ill
c2o~i5<3{/
3/081D7
Date
-'"Z. -
ReviewedjAp roved: Dept. of Community Services (Date)
TOTAL:
d?~~
S:Permlts/FormS/IlP RESIDENTIAL