HomeMy WebLinkAbout05070199-Application City of Cannel~Clay Township Permit #
RESIDENTIAL IMPRO uOCATION PERMIT APPLICATION
For Single Family, Iqulti-Fa~ctures, Additions, Remodels, & Accessory Sb'uctures
BUTLDER of .AME 8440 Rllison Pointe 81q ." 200 "Ax
RECORD:
s'r~EErADoP. ESS ~ IQCtOpO IS, ' "~ ." i - s-rATE ZZP
OWNER:
PHONE FAX
CITY STATE ZIP
LOCATION
& PRO3ECT
[~ SINGLE FAMILY
[~ TOWN HOME
([~] TWO FAMILY
. . # of units:
~ MULTI-FAMILY, ~
' # of Units: L~)_
[~ RESIDENTIAL [For
Additions, Remodels, Etc.)
~;-- . - ,~_ - - :
Early Release
Permit: ){_Y N
- I, '~-, - ENT:
,~, NEW STRUCTURE
ROOM
Hanufactured
Trusses: ~Y
g codes will be applied to the construction:
:ode w/Indiana Amendments
g Code w/Indiana Amendments
(MulU-Family Construc~on Code)
FO ND- -'.; (Check all that apply for the new
construction area)
Lot Split: _Y ~N Sump Pump: Y ~N [] CRAWl. SPACE E) POST & BEAM
-- ~_,$LAB [] BASEMENT
Does any part of the property lie within a special Flood designation area: __Y ~N WAlkOUT:. Y N
For Single Family and Two F~ily dwellings, additions, remodels, and/or a~cessory structures, r~s permit is valid only ffconstruction commences
wir~xin 180 days of the date of issuance of the building permit, ~md must be completed (Certificate of Occup~mcy issued) within 18 months of the
isanance dat~ Class I surac~oxe permi~ aru subject to the Gensral ~rative Rules of the Sr~te of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree thar any construction, reconstxucdon, enlargement, rdocado~ or alteration of a s~rucrure, or any change In ~he use of la~d or
sl~ctures r~e~, ested by rl~s application wi]l comply with, and conform to, ali applicable laws of the Sra~e of Indiana, and the 'Zoning ~ce of Carmel
India2oa - 1993 (Z-289) and amendments, adopted under authority of I.C. 36-7 er seq General Assembly of the S~are of Indiana, and all Ac~s amendatory
thereto. I further cerdfy thar onty kirche~ bath, and floor drains are cormecred co the sanirm-y sewer. I further cerdfy that the construction will not be
Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
INSPECTIONS REQUIRED:
g I
# Cha~ed Re-
Reviews
AddiUonal Fees
(Date)