HomeMy WebLinkAbout07060138 Application
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City of Cannel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MUlti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME .~. 1'1 I( le.I 0
STllEET ADDRES~ - OJ I J .A I , n _CITY
;:;L 70 (j i=t'tl11/\!C ~/A
BUILDER'S EMAIl ADDRES5l:7 IV l \ e M ~ U / e, 0 It,f BEST MErnOD O~ONTACT:
1'...' F- I.JMD>\ 12-
fLD 1eJ1I~1AJ ~D
STREWi5-' IJ), II &121 c;f C ItJN& OJ I k
lOT. # A SUB~IVJSION NAME " tit
:AGee.. 'Sr!e. autl1 SIO-f 110-
ADDRESS OF CONSTRUCT10N f11 r:
L/-4-/S LV I (P - ';)' _
SEWER UTILfl7Ir: v (
PROVIDER: . I1\ > il At
NAME OF UTILITY EXCAVATI N CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE),
PROJECT INFORMATION:
Early Release \/ Manufactured ......
Permit: ^ Y N Trusses: _Y ~N
Lot Split: Y ~N Sump Pump: _Y ~N ~ ~~WLSPACE
Does any part of the property lie within a special Flood designation area: _Y XN
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
LOCATION
& PROJECT
INFO:
TYPE OF CONSTRUCTlON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
)i!f RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
~NE\'rSTRucriJRE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
,---0 ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
. PHONE 84/0-1 tQ&&
STAThJ
r-:-. PHONE
JR
FAX
STA(}.j
SECT10N
I
ZONING:
I ,\-rco'-;?<, ,~,. i-~9~5(l0:11
E~~~6ij~ttriJA~~~riRUCT1S0N;:! ~ Ii 'I "11
.. .' J .1 It
iil 'Iii JUN 1 8 2007 iiUJI
I~I
j
,
PLUMBING CONTRA~.$~:
L Ie, I su~~__ -'SD_u
Plumber's Indiana State License #:
,J//~$ ?'?
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
o 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
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 at any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested b t application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z,28 an amendments, adopted under authority of I.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto I furth c tha only; tchen, bath, and floor drams are connected to the sanItary seWer I funher certify that the constructlon will not be
usedorocc ie t' aG "a ofoCCUpancY!wJbeen,.suedby;r;eJ;meJ;!le~;;tyservIces,carmel'Indrnii~ 111
Signature of Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: -;Z? ( /0
INSPECTIONS REQUIRED' 'J
Base Inspections: ~, 3 (J r 00 # Charged Re-
Upper Footing Lower Footing ReViews
Cert, of Occupancy: 55. ;)0
P,R,J,F,: /
~~~o
Fee Received by:
Reviewed! Approved: Dept of Community SelV/ces
S:Permlts/FormS/ILP RESIDENTIAL
(Date)
Additional Fees