HomeMy WebLinkAbout06010063-Application '~ Permit #:~
SIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family. New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PHONE
OWNER:
STATE
BUILDER'S EMAIL RDDRESS OF CONTACT:
NAME PHONE
FAX
FAX
LOCATION
& PROJECT
INFO:
PROVIDER:
WATER UTILTTY
PROVIDER:
SECT[ON ZONING:
I
EST[MATED COST OF CONSTRUCT[ON:
(EXCLUDIN(
OUNTY WELL AND/OR SEPTIC pEP. NtT #'S (II
FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
C3 RESIDENT[AL (For
Additions, Remodels, Etc.)
Does any part of the p
p :~. -::::- ME :
STRUCrU
'~) ROOM ADDTF[ON(S)
[] PORCH ADDTF[ON($)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[]DEMOLtTION
Trusses: N
..,,~ntemaUonal ResidenUal Code w/Indiana Amendments
[3 Uniform Fqumbing Code w/Indiana Amendments
(MulU-Family Construction Code)
~.~[~L~-' (Check all that apply for I~e new
/construction area)
~;~ CRAWL.SPACE [] POST & BEAM
BASEMENT
WALKOUT;Y~
~ofthe
l, the undersigned, agree that ~my construction,
further cer rE7 thai: only kitchen, bat:h,
,sewer. 1~
y the Department of Community
r Slab
Base Inspections:
CerL of Occupancy:
P.R.I.F.: ~
# Charged Re-
Reviews
AdditionaJ Fees