HomeMy WebLinkAbout07040139 Application
City of Cannell Clay Township Permit # :07 {7 4 0/3'7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
FAX??L/ ft;l(:;d (j
~
PROPERTY
OWNER:
PHONE
FAX
STREET ADDRESS
STATE
ZIP
LOCATION LOT # SUBDIVISIOW''t'E
8< PROJECT 0/
INFO: ADDRESS OF corr"4mON SoJ Ov rYl 0 re
~~~I~~Lm ~ IW 0 ~~r;I~~~LITY CJ]YVYeJ
NAME OF LmLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET 41= 01oL!o/..o f\ I
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): "'-0 I,
ZONING:
SQUARE J I f\ .
FOOTAGE: '1'11
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
/1i!J1
RUCTlON dl DIceD
5u-pee1 oe
0.
-q.. .~.6
C'''o~~
~
Which plumbing codes will be applied to the construction: tlr. ~
~nternational Residential Code wjlndiana Amendm~r.if;A.:
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PLUMBING CONTRACTOR:
E0-R-I b( Q
TYPE OF CONSTRUCTION:
X SINGLE FAMILY
. 0 TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
.k
o
o
o
o
o
o
o
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y . /N ,/ Y N construction area)
\..0""'" I Trusses:
../;. 7::y -_N 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
o POST & BEAM
~BASEMENT
WALKOUT:_Y~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory struC(ures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be complcred (Certificate of Occupancy issued) within 18 months of the
issuance clate. Class I structure permits are subject [Q 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, reCOh~st' tion, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply \\ " nform to, all applicable laws of the State of Indiana, and the "'Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted un ~t ~LC. 36-7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor 6f1m1rA;t-26flI?f':ted to the sanitary sewer. I further certify that the construction will not be
used 0 occupied until a tificace of occupan~een6;.sut(bP1' th~rartment of Corpmunity Services, Carmel, Indiana.
. ell} 7' Q:"~~"'O . ,.' ',~COt$~ 0;rCCe L/ -/~-(J 7
, ('..... '~,t >"/11 '/71, Date
,/ ,..... ,/IA 0.,.., / v.
OFFICE USE ONLY: ******************** '**~** ,!.~f;fl1;.t; .~******l'JC-)'Y*******************
,~ ~a'fYe~es. <lltOI), C[~ 30
ECTI IRED: Z)~~~tn~~~~ OS --2 J r7 sO
Under Slab ~I\'" 8 ----5 '-0
Cert. of Occup~,:, J. . -'
P.R.I.F.: ? ({ (
~&~;/SM 30
Fee Re ived v:
# Charged Re-
ReViews
Additional Fees
Reviewed/Approved: Dept. of Community Services
S:Permits/FormslILP RESIDENTIAL
(Date)