HomeMy WebLinkAbout05050076-ApplicationBUZLDER of
RECORD:
City of Cannel~ Clay Township permit #: ~'0-~ O 7 ~
RESIDENTIAL IMI~RO~~ LOCATION PERMIT ~PLICATION
~r Single Family, Hu~-Family, & ~o Family: New ~ru~, Addi~ons, Re~els, & l~ ~
BUILDER'S EM.ML ADDRESS
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
PHONE FAX
T
SECTIOI~ ] ZONING:
INFO.'I ^DD~ESS O~ CONSTnUCnON. // --
NUMBS; TAC DA~5}; ~D/OR ~U~ WE~ ~D/OR SE~C PE~ e'S (IF~):
[] SINGLE FAMILY
[] TOWN HOME
I::} TWO FAMILY
# of units:
C3 MUL"n-FAMZL--~
# of Units:__
RESIDENTIAL (For
Additions, Remodels, Etc.)
P:'~ :~- -R .- - :
Early Release
Permit: y
Lot Split: Y.
~IM:-; 'EM - :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
~C~3/ATTACHED GARAGE
C~ DEMO~ON
Which plumbing code~ will be
[] Unifom
(Mul~-Family Construction Code)
~[J~L~: (Check all that apply for the new
construction ama)
[] CRAWl.SPACE [] POST & BEAM
[] SLAB [] BASEMENT
Cert. of Occupancy:
P.R,I.F.:
Additional Fees
Manufactured ~ ~
russes: _Y
Sump Pump:
Does any part of the property lie within a special Flood designation area: Y N WALKOLrr:YN
t is v*li~t only ff~onstruction co~
~mpl~t?d ( _Certificate g£ Occupancy issued) witl~n 18 months o£ the
lssuance datm Class I stme~e pe~ts ~e subj~~ve~ .R~es o~ the State of Indiana (See 6751AC 12) regarding expiration
~cable Nws of the State o[ Indiana, mtd the 'Zo}~.ng Oi~ce of Carmel
slsnature of ~ ~aent ~ ~ ~
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Filing Fees: . W "~,.
Slab Base Inspections: ~" # Charged Re
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