HomeMy WebLinkAbout07050234 Application
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City of Cannel/Clay Township Permit #: 07A f,:()J{?L}
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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NAME OF UTIun EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
BUILDER
OF
RECORD:
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BUILDER'S EMAIl ADDRESS:
.
PROPERTY
OWNER:
<:Ol.L \ Ll
IL
6eouP
STREET ADDRESS:
'"\~~Ou.1 c:-\ ~l.,e
LOCATION
&. PROJECT
INFO:
LOT#:
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
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SEWER UTILITY
PROVIDER: S eJ'T\ C-,
WATER lJTllfTY
PROVIDER;
'C\.. I-
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
'r1tt SINGLE FAMILY 0 NEW STRUCTURE
/CJ'.TOWN HOME 0 ROOM AOOITION(S)
o TWO FAMILY 0 PORCH AOOmON(S)
# of units being 0 DECK ADDmON(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For . ''p ~q:~!lQ~Y,~LlI),~ING
Additions. ReJi\~Ii~D FO~cbCDETACHEDGARAGE
Subject to compil~,~1'TACHED'GARAG~"
PROJECT INFORMATION: State ~~!,~(')~QN
Early Release DEPT OF C()I~~iilJ~du~dc)':::F!'j!CE::
Permit: CITVY"C iN,. R\tlTrilss'eS:t AY Tc;\/-n-YSHl N
rTT ~/, 1........_, - --
Lot Split: _Y _N I~P):i1Ii~IN!iIP: _Y _N
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STATE:
T_~l
FAX:
10 '81o '-l' I:::i
ZIP:
\..{l.? ~L 7-..
PHONE:
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CITY:
~\.S;I4-CcU.
loL"l-'28
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STATE:
:D-\
ZIP:
~O?;
SECTION:
ZONING:
SQUARE ,? D
_"DOTAGE: :::'DOCl
, _ _~_ J
\ lMATE~CoSf:oFlco'NSTRUoio -:'\\9lo1 cD
ClUDING-LANO'VALUE)-- I L
'!ll -
MAY 3 1 2007
PL
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00
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB BASEMENT (WALKOUT:_Y v-N)^
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wi~in 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. <;:Iass I
structure pennits 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 cons rucrion, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested b this application will com y with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - I993~ (z-
289) a e m ts, adopted under thority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto_ I further certify that only
kite n, bath, nd oor drains are co cted to the sanitary sewer_ I further certify that the construction will not be used or occupied until a Certificate of
Q cupancy ,b en '"ued by tbe p"'tment of Community Servie'tfarmet. Indiana.
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Print Date'
OFFICEUSEONlY:*********************************************************************************
F'J' F / 3 B a 0
INSPECTIONS REQUIRED: ling ees: I .
_ . Base Inspections: 6' 7 , 6'1)
Upper Footmg Lower Footmg Under S
Cert. of Occupancy:
Meter Base
# Charged Re-
Reviews
Additional Fees
P.R.I.F.:
Y~AatlP.
,
1
ept. of Community Services
S:Permits/FormS/ILP ESIDENTIAL
Fee Received by:
Icr~. DO
Date