HomeMy WebLinkAbout07050206 Application
City of Cannell Clay Township Permit #: 0705 () 1..0 (p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA:rION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIllTY
PROVIDER.
s
E So.' ft: J::>
BUILDER'S EMAIL ADDRESS:
c.v
WATER UTIUTY
PROVIDER:
CITY:
STATE:
ZIP:
1.//0).7'6
,:'":':'l
~
'l
SECTION:
3
ZONING:
$-1
SQUARE
FOOTAGE: 51
ESTIMATED COST OF CONSTwrnON:
(EXCLUDING LAND VALUE) ""':l ~ I
070502.05
NAME OF U11UTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATI(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE.OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
-y4
_Y1N
TYPE OF IMPROVEMENT:
rrI' NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
-6_N
~Y_N
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
~I E. S""ITH
Plumber's Indiana State License #:
10171'7
Whi? plumbing codes will be applied to the construction: !
ey( International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPA9 0 POST & BEAM _IJER
o SLAB r!!1' BASEMENT (WALKOUT:_Y~N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wi~hin 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 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 sn'ucrures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zonjng 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 thereto. I further certjfy 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
o cupancyhas been issued by the Deparnnent of Corrununity Services, Carmel, Indiana.
'Ll,B> .
Print
LOR" A. f.2J: RbSnI'lc' - J.I~;I\1E
5/;;:;'/07
Date
OFFICE USE ONLY: ****** ************************************************ ******************** *******
INSPECTIO~ REQUIRED: Filing Fees: . ~ 1 ~ ~
. ~ ~__..__ ;> Base Inspections: ~_ _~ _ (j # Charged Re-
~ pper Footln ~ Under Slab ReViews
_ Cert. of Occupancy: S)> ;0
Rough I ~Bas~ ~ S~ j' 7 6 I ()O ..
~ P.R.I.F.: _1lS:- {.;.. AdditIonal Fees
5-3?-07 - ,;z~7(.M
(Date) /
'vie
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Tlits/Forms/ILP RESIDENTIAL
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