HomeMy WebLinkAbout05100161-ApplicationCity of Cannel/Clay To~nsAil~ ~2 Permit ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of ~ . __ ~ _ ~ ~
~ER:
LOCATION
& PROJECT
INFO:
PROVIDER:
ZONING:
NAHE OF Lr~Lrt'Y EXCAVAqTON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFI/C PERMIT #'S (~F APPUCA~LE):
~SINGLE FAMILY
~] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:__
RESIDENTIAL (For
AddiUons, Remodels, Etc.)
P-- IN-- ~- -.:
h FI=- 'R' V ~_:
~ NEW STRUCTURE [] ROOM ADDITION(S)
[]] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Lot Split:
Does
Which plumbing codes will be applied to the construction:
~IntemaUonal Residential Code w/Indiana Amendments
[] Unifonm Plumbing Code w/Indiana Amendments
(Multi-Family Consl~uction Cede)
Manufactured . ~P~~: (Check all that apply for t~e new
Trusses: ~_Y N L"*~"~bnstructi°n area)
. _. [] CRAWLSPACE [] POST&BEAM
Sump
Pump:
within a spedal Flood designation ,~rea~u~Y~ar~!~ ¥-~k~AL~9~:~(?? N
within 180 clays of the date ofisstmnce of the building permit, and must be completed ~ ~ of the
Lssuancc date, Class I structure permits are subject to thc General Administrative Rul~e~r~te~oi~I~ ~Sc~ ~5 MC ~;t~ag~l~Lration
t~ne frames for beginning and completing construc~, tion--~- - ~- ~ ....~.,~..~'~ ~ ~'~i,~r.~-
I, thc undersigned, a~ee that any construcuon, reconstracuon, enlargement~ :elocauon. or alteration of a struct~ ~ge m the use o£ land or
smactures r,~eq~estecl by this application will comply with, and coo~orm to, all applicable laws of the State o£ Indiana, and the ~Zomg Ordinance o£ Cannel
Indiana- 1993 (Z-289) and amendmeaats, adopted under authority o£ I.C. 36-~ et seq, General Assembly o£ the Statr of Indiana, and all Acts amendatory
thereto. I further certify that p.~y kitchen, bath, ~ud floor drains are connected ~o the sanit m-y sewer. 1 further certify that the construction win not be
used Ol~kOccupied until a C~¢~£e o£~O~¢~1m~07 bas been issued by the Dep ~ent of Community Services, Carmel, Indiana.
· Filing Fees: ~
INSPECTIONS R~:QUIRI:D, ~
Base Inspections: ~ # Charged Re-
- Reviews
Cert. of Occupancy: __~
P.R.I.F.: __~ AddiUo~al Fees