HomeMy WebLinkAbout07030225 Application
City of Cannell Clay Township Permit #: 07 0 ~op5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME: ::JAlA'Ies. F~y~
PHONE:
. :J:;-. L
~7blclt;::
CcP"'~
1C.~t
BUILDER'S EMAIl ADDRESS: I
::T'I '"" rC"N 4. E!. )-Iti+ ~ ~ L
~+owec
STREET ADD~: _ I\. '\
c:sSSt) I".
NAME: 0> III
STREET ADDRESS:
;8
LOT #:
2JJ3
?It
ITY:
~t.
~ 17 87b(ll~
STATE:
'--hJ
BEST
Co,"",
PHONE:
FAX:
L,l. ,.' '3 P" i.U tte
STATE:
~
SECT10N:
ON:
SQUARE
FOOTAGE: /8 DD
ADDRESS OF CONST'RU
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
'0 TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_Y '/. N
Lot Split:
_YYN
3C6
ESTIMATED COST OF CONSTRUCTION: ..--:
(EXCLUDING LAND VALUE) I!? 0
EJ6 c::>
TAX MAP PARCEL #:
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
o NEW STRUCTURE J.<". IV ..u Cl> re-f't..., I () 0 ~ I d-
O ROOM ADDmON(S) Plumber's Indiana State License #:
o PORCH ADDmON(S)
o DEcKADDmON(Sb_;b :\Jon
~REMODEL ~rf'iF/-h 5 l,ra.:]~~hiCh pi bing codes will be applied to the con5tluction:
Basem~i ~n 5 on "I.fP""
o ACCESSORY BUILDING International ReSidentlatCode:~/~~aiA"'~~~!'1en~,
o DETACHED GARAGE _ . . ! I r'.\ 1:=0 (( ;, ! PI! \v/l ,-,-, I". \
g ~~:;~O~ARAGE 0 UnIform Plumbm9,:ui IWlIndlana:Al11eodm~ots':111 \ \
FOUNDATION TYRE:, ~Check all that apply for th)]eW1
Manufactured constru~on area) II IU MAR 3 0 2007 II II
Trusses: _Y X-N )d1" CRAWLSP go 0 ~ _ BEAM PIER
Sump Pump: _Y _N 0 SLAB ~ a; OUT:_Y_N) I
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, thi~ 1 V t ~,,' ~ences WIt
days of the date of issuance of the building pennit, and must be completed (Cenificate ~~.. 'ti~t~~~. IJi,.~1 . NJnce date. Class I
structure pennits are subject to the General Administrative Rules of the State Of5nd' ~!~ "'$~~",~iM\'6A.~: ..'Il'.' es for beginning and
completing co _ Olb\'\O n.\6~' ,:,,~\,}'~~~I:'\~;o.,';"{(~
I. the undersigned, agree that any construction, reconstruction, enlargement, relocationctID'c: ati~~~~"or ~r _', -jil.'tKe use of land or structures
requested by this application will comply with, and conform to, all applicable laws of, the "'State of Inj'~~~i\1~~ance of Cannel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I.e. 36-7 et seq, General Assembly of the s_~(Jl(I~~p.il rif'::ff\~1'tt'1atory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that t~~ro~ibii J n~d or occupied until a CerciBc:lte of
Occup has been issu y the Department of Conununity service.s ,......?, .i.........el. lend. 7~ u ~
cv.-... ;> 'f-~ I t:-- '3 -7-1 -0 ?
Print Date
OFFIC SE ONLY: ************* **************** **********************7***~**?[J******************
FT F 3;>~
INSPECTIONS REQUIRED: ling ees: ,
. . Base Inspections: / / /. t 0
Upper Footing ower Footing I , ....-u
Cert. of Occupancy: 5'2> . J
~
# Charged Re-
ReVIews
P.R.LF.:
Additional Fees
c.Y<0"
ReviewedjApp Dept. of Community Services
S:PermIts/Forms/ILP RESIDENTIAl
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