HomeMy WebLinkAbout07040026 Application
City of Cannell Clay Township Permit #:O'70L.{-OO2Jo
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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STRE~ ADDRESS
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PROPERTY
OWNER:
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LOCATION
&. PROJECT
INFO:
LOT #
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ADDRESS OF CONSTRUCTlO
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FOOTAGE: if
SECTION
SEWER UTILITY
PROVIDER: ~~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
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PIil!n r'i1I ~ tate License #:
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~~ p~l!l"~ will be applied to the construction:
~"$..J~~esldential Code w/Indiana Amendments
I{ji l4J)if~'Pi@iblng Code w/Indiana Amendments
= !pt#." ~ify,Construction Code)
PROJECT INFORMATION: :": ., 'u .:(;'
Early Release Manufactured ~: (Check all that apply for the new
Permit: _Y LN Trusses: _Y /N ,;t~truo,o!!::l'rea)
. /' ~"1j U ~PACE 0 POST&BEAM
LotSpht: _Y ~N Sump Pump: _Y _N 0 siAEf-- 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y A WALKOUT:_Y ...........N
TYPE OF CONSTRUCTION:
lit SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
, # of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
@' NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
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 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 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 I.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
ther . 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
or cupied tll a Certili~at of Occupancy has been issued by e Dep~n'f"!'t of Community Services, Carmel, Indiana. Id
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f Owner or Authorized Agent Print Date
USE 0 NLY:**************************:*******************~**~*~**************
FIling Fees: :?.
SPECTl QUIRED: IV A
Base Inspections: d cJ 7. ) 1/ # Charged Re-
.....- //1 Reviews
Cert. of Occupancy: . ?O. ,) 1/
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P.R.I.F,:
Revi ed/Approv. ' of Community Services (Date)
S:Permlts/FormS/ILP RESIDENTIAL Fee
Additional Fees