HomeMy WebLinkAbout05120005-Application IMPROVEMENT LOCATION PERMIT APPLICATION
MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
--~'OPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
SEWER U~LITY
PROVIDER:
BUILDER'S EMAIL ADORESS ~ , / . BEST ME'ITt~C OF CO~ACT,~..~ ~
LOT # SUBDMSION NA~E i [ ~ /
ADDRESS OF CONSTRUCTION
PROVIDER: (~ ~ /~ ~,'~ ~_.~..__
~ BZA / BPW DOQ(E'r
iF APPLICABLE):
SECT[ON
ZONING:
SQUARE
FOOTaGe:
(EXCLUDING LAND VALUE) 'O ~ ~- 0 6~
E3 TOWN
0 ~'\0 I
#of
[] f BUILDING
#of
O RESIDENTIAL (I ATTACHED GARAGE
[] DEMOLITION
Early Release / Trusses: Manufactured
Sump Pump: Y d.d_N
Does any part of the property lie within a special Flood designation area:
: of issuance of the
issuance date. Class I structure permits are subject to the
Plu~s ~ndiana State License #:
Which plumbing cod~s will be applied t~ the construction:
~mational Residential Code w/*rndiana Amendments
[] Uniform Plumbing Code w/indiana Amendments
(Multi-Family Construddon Code)
~[~L~: (Check all that apply for the new
construction area)
[] BASEMENT
:xpiration
:i~ rheuseof landor
oroved: ~nib/Servia, (Date)
RESIDENTIAL
I, thc undersigned, agree char any construction [ Indiana, and thc 'Zoning Ordinance of Camel
structures z~tuested by this application will comply wid~ ~1.11 A re nme~rlaror~
'n~ana - 1993- (Z.289) and amen .~. ~. ts, adopted uncler a ........
~lereto. I further cextify that only kitchen, bath, and floor drains are connected to the samtary sewer. I mrrllcr, ccrrlly that, mc,c. onsrrucuon wm nu~
'ed or occupied unti~ a· Cert:ffica f Occupanc?has been issued by the Department of Community Serrates, Carmet, Inmana.
xCF USE ONLY: **************************************
Rlin9 Fees:
Base InspecUons: # Char§ed Re
R~tiew$
Cert. of Occupancy:
P.R.I.F.: // ~ Additional Fees