HomeMy WebLinkAbout05120010-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
INFO**
NAME
ADDRESS
CITY gl-ATE ZIP
SUBDIVISION NAME SE~ON ~
PLAN COMMISSION 3ZA / BPW DOCKET
NUMBERS; TAC DATE(SI; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S (IF APPLICABLE):
g of units:
MULTI-FAMILY
TYPE OF IMPR VE i'.ENT;
~"N EW STRUCTURE
ROOM ADDITION(S]
[]] PORCH ADDITION(S)
C] REMODEL
Plumber's Indiana
[] # of Units:
RESIDENTIAL (For
Additions. Remodels, Etc.)
:. E INFORMA ON:
Early Release
Permit:
Lot Split:
Does any part of the property lie
ACCESSORY BUILDING
DETACHED GARAGE
Ali-ACHED GARAGE
DEMOLITION
Trusses:
Which plumbin
[~nternational Residential Code w/Indiana Rmendments
C Uniform Plumbing Code w/Indiana Amendments
(Multi-Famil~ Construction Code)
FOUNDATION TYP~E: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
~ BASEMENT
WALKOUT: ¥ V N
additions ~ t ~ ~' --
th n ' on y llCOnStrllCt/on commences
building permit, pancy issued) within 18 months of the
~et tf~a~s~oe[~ ~r{ e Standoff. Indiana (See 675 IAC 12)regarding expiration
cconstrucEion, mil: ~'~of a st~cture, or any ch~ge fl~ the use of land or
ly w/th, and confor n to, ~ annucable hws oi ~e of ln~ ~ '
India - 1993' - . ~- - ~a, and the Zo~g Ore.ce of C~mc
thereto i f~rt' ~ 28?) ~d amsn~epts, ~do~red under aufllonty of IC. 36-7 et seq, Gener~ Assembly of the State o~ ~n~ana. and ~ ACES amendaro.
. ne cert~tv that omy mrcnen. ~arn and floor drains ~e connected to the s~irar) sewer. I further certify that the construc~on ~i1 not '~
used or occ~ied unt~ ~err#]~r~[Occupanc ~has been issued by the Department of Community Settees, C~mel indiana.
Print %.~ ' ~ ~
OFFIC~ ~[ O~Y: ***********************************************************************
[D: F ling Fees: ~
Under Slab Base Inspe~lons: ~ ~ Charg~ Re-
Ce~, of Occupancy: ~/. ~0 Reviews
P,R.I.F.: .. Additional Fees
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