HomeMy WebLinkAbout05090204-Application City of Cannel/Clay Township
APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
PROPERTY PNO,E ~ pAX
LOCATION LOT # SU~W~S;ON Nm; SE
& PRO3ECT ~ c'nON ZONinG:
~{Z '~00>- -" "- I ZONiNg:
INFO: cn, -- --
PROVIDER: J ~ ~ J ESTIMATED COST OF CONSTRUCT[ON:
Nu~E OF UT[UTY EXCRVATZOfl CONTRACTOR PLAN COMHISSIOfl / BZA / ~lrW DOCKET
>'- -' ~ - -:" ' ' P-~ROVEMI:N · PLUMB1"'- -
C3 SINGLEE H"' ~-~ - r R V - . L MB[%6C- NT-Z , -:
0 TWO FAMILY ( ) umbers Tndiana State License #. -
# of un ts [] PORCH ADDTHON(S)
[] MULTi-FAMILY
\ # of Units'
~ RESIDENTIAL (For
/ Additions, Remodels, Etc.)
-: -~ -: - A J - :
Early Release
Permit: Y N
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] All'ACHED GARAGE
DEMOLYFION
Manufactured
Trusses: ~Y N
Which plumbing codes will h~ applied to the construction:
[] International Residential Code w/Indiana Amendments
[] Unifoml Plumbing Code w/Indiana Amendments
(MulU-Famil¥ Consb'uction Code)
~: (Check all that apply for tile new
construction area)
[] CRAWLSPACE [] POST & BEAM
Lot Split: Y N Sump Pump: y N [] SLAB [] BASEMENT
Does any part of the property lie within a special Flood designaUon area: Y N WALKOUT: Y _N
~ditions, remodeb ~
within 180 days of the date of issuance of the building permit, and must ommences
issu~mce date. Class I struccttre permits are ~ of the
time frames f 12) regarding expiration
I, the undersigned, agree that any construction, reconst~uctio~
structures requested by this application will comply with, a~d conform to. all ~ a the use of land or
Ladiama- 1993~ Z 289 an '
( - ) dam~ts, adoptedunderauthorirvofiC. 2~ 7 ........ ~ceofCa~mel
ex,e tu. I further certify tha~ kit~oor drains are co r~ r~ rk~ = ; ..... ts amendat°z7
OFFZCeU E .....
ZNSPECTZONS REqUZRED: Fihng Fees. i~ft~'v~ ~"~~
uppa, FooUn 'o,,er Footing
Rough tn Meter Base Final /Site/ -~---------~v,,,,~. , ·
/ / P.R.LF.: ~
~ a ~onm ~ees/
~uni~y Services ' (Date)