HomeMy WebLinkAbout07080162 Application' City of Cannel/Clay Township Permit #: ?a
-RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
M01? ,. For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: I t? 61 C,:O? Cie..??; C PHONE: - z-
l FAX: D -
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RECORD: STREETADDRESS: CA
STRU E " r cr r: W?si e STATE:
A/ ZIP:
46 67 Zl
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Sub BEST METHOD OF CONTACT:
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I, )I I l i PHONE: Y n? . 7P7-OO7i?
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LOCATION LOT #: SUBD 510N NAME: SECTION: ZONING:
S
I
& PROJECT
INFO: ADDRESS OF CONSTRUON:
1740 Mks aw fe JAr ;W ,I ) 4607z/
'V ?7
STAGE: Q IO
SEWER UTILITY
PROVIDER: f^ R UTILr"T!
PROVIDER: !- ESTIMATED COST OF CONSTRUCTION: d- is
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA/ BPW DOCKET
IF APPLICABLE
:
T X'S /y <
D :7 as
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NUMBERS; TAC DATE(Tj AND/OR COUNTY WELL AND/OR SEPTIC PERMI
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARC HUG i .q 2007
hS
Y-1
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
At of units being
constructed at this
06 time:
RESIDENTIAL (For
Additions, Remodels. Etc.l
PROTECT INFORMATION:
Early Release
Permit: _Y _K_N
Lot Split: _Y -N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
)2< PORCH ADDrTION(S)
O DECK ADDITION(S)
0 REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: _YN
Sump Pump: _Y __X_N
PLUMBING CONT
e ./Piutgber a Indiana State License
/tj
Which plumbing codes will be applied to the cnnstructfon:
Q International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/ Indiana Amendments
FOUNDATION TYPE: (Chedt all that apply for the new
construction area)
(-j CRRAaWL.SPACE )9 POST & X BEAM -PIER
SYAB -ID BASEMENT (WAUCOUT:_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 dare. 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.
1, the undersigned, agree that any mnstrucdon, * nstr,cnon, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by dus application will comply wi and mnfonn to, all applicable laws of the State of indiaoa, and the -Zoning Ordinance of Came! It than a-1593" (--
289) and amendments,adopted under au[ riry of I.C. 36.7 et seq, General Asse(nbly of the State of Indiana, and all Aces amendatory thereto. I further certify that only
kitchen bath, aid floor d[ains are tour. ed to the sar itaty sewer. 1 further terrify that the construction will - not be used or occupied until a Certificate of
,
Occupancyhas been issued by toe Jk
cr Authorized Agent
OFFICE USE ONLY: **
AI Me nal Site
Q't
(Date)
?-11-ZIi?ZI
Date
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Filing Fees: 3J
Base Inspections: 70? SU a Charged Re-
Cert. of Occupancy: Reviews
Additional Fees