HomeMy WebLinkAbout07050015 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER LfTlUTY
PROVIDER:
City of Cannel/Clay Township Permit #D'7fJ500/5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX:
'511? I b 't f 17
ZIP: 1~o3>)-
STREET ADDRESS:
PHONE:
~11 )tIoTt/1
CITY: STATE:
Ca, IV
BEST METHOD OF CONTACf: rx
.i'\e 717J..lbiJ'lfl
Co-..-",-.c.-I
BUILDER'S EMAIl ADDRESS:
FAX:
NAME:
'PW0L-~ '2--\ f'SS
iotQl:~nNIN WOOo bf2-
lOT # SUBDIVISION NAME:
l~ W\I.r\~OO\?
ADDRESS ~1.CONSTRUCT10N:
\0 l. W\M\~\t-l!VbO\? W--.
PHONE:
311 P, '7:, 0'1,1/2---
enY:
CMmu..--
STATE:
l~
ZIP:
(-HX7~ '2-
ZONING: S' _ Y
SECTION:
'-floO ~
SQUARE
FOOTAGE: ex. ~
WATER VTllITY
PROVIDER:
TYPE OF CONSTRUCTION:
)8 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
o NEW STRUCTU
)&l ROOM ADDITIO
o PORCH ADomON
o DECK ADDmON(
o REMODEL
Basement Fin!
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
IANA
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
Early Release
Permit:
PROJECT INFORMATION:
_v-4
_VLN
Manufactured
Trusses:
Sump Pump:
_v --&
_V~N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
1tl. CRAWLSPACE 0 POST & BEAM _PIER
o SLAB 0 BASEMENT (WALKOlJT:_ V _N )
Lot Split:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences witl:Un IBO
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. 9ass 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
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structunis
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 autho iryC;"f LC 36-7 et seq, Geperal Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are conne d to the sanitary sewer. I fUrther certify that the construction will not be used or occupied until a Certificate of
a ancyhas been issued by the D artment of C mmunity Servic' ,Carmel, Indiana.
a L'-- ~b7
OFFICE USE ONLY: ******
INSPECTIONS REQUIRED:
~er Foo~Lower Footing
(liOUg~ Meter Base mal
***********************?~********
Filing Fees: / I '
Base Inspections: /"?p_ )'{}
or <'_ ~/)
Cert. of Occupancy: --="'-' J G/
******************
# Charg'ed Re-
Reviews
5"-'7-07
(Date)
'ct::/tf!J(}YJt/! 500, 1'7""-
Fee Received by: Date