HomeMy WebLinkAbout05060098-ApplicationPermit #: d~ ~ ~¢~o¢¢¢
? APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
BUILDER'S
BEST METHOD OF ~_NTACT:
PROPERTY
OWNER:
STREET ADDRESS
SECTZON
FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
· =_-= IN- I~- =:
~ STRUCTURE
~ ROOM ADDZT~ON(S~
F-] PORCH ADDITION(S)
[] REMODEL
[]] ACCESSORY BUILt~
[] DETACHED GAP
[] Al-rACHED GAl
[] DEMOLITION
Manufactured
Which plumbing codes will be applied to the construction:
L.J Unifi~rm ~lumD~l~l ~;ouewi,ln~l~sn&~teh'dment~
(Multi- Family C~h~m~F~°'~d~PZ ~,~°°~u'
DEPT OF CC V~MUN{~' SERVICES
[] CRAWLSPACE
[] SLAB
Lot Split: Y Sump Pump:
Does any pert of the property lie within a special Flood designation area:
BE, AP
'~!~-'BASEMENT
Y Y
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (sec 6751AC 12) regarding expiration
time frames for beginning and completing :onstruetion.
I, the undersigned, agree that any construction, recons~cucdon, enlargement, relocation, or alteration of a structure, or any _c~.ange in the use of land or
sWactures m,?.ested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the Zoning Ordinance of Cannel
Indiana - 1993 (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
/use~r occupied until a Cetti[ic~te o£Occupai~¢~'has been issued by the Department of Community Services, Cannel, Indiana.
. mate
Cert. of Occupancy:
P.R.I.F.:
Site
Charged Re-
Reviews
FeeR