HomeMy WebLinkAbout05020019-Application For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUTLDER of "~E~3~ P,OHE,~ i-l'
RECORD:
PROPERTY
OWNER:
LOCATZON ~ ~
& PRO3ECT
FAX -
PHONE FAX
NA~E OF UT[LTrY EXCAVATION CON~CTOE; PLAN COMM[SSION/ BZA / ~P~ DO~
NUMBEP~; TAC DA'rE(S); AND/OR COUNTY WELL AND/OR SEPTIC PEP, HTr # S (IF APPLICABLE):
E . -: · -~:
1~ SINGLE FAMILY
C~ TOWN HOME
TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
[] RESIDENT~L (For
Additions, Remodels, Etc.)
:.~, ~:- - - - _: PLU- : - G CONTRACTOR:
~ NEW STRUCTURE
C3 ROOM ADDI-rJON(S) Plumber's Indiana State Ucense
[] PORCH ADDITION(S) ~00 1L~
[]] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'I-rACHED GAP, AGE [~ Uniform Plumbing Code
[] DEMOI.T~ON
(Multi*Famil'
Manufactured FOUNDAT/ N -P : ,rthenew
Tresses: Y ~N co.etlon area)
Sump Pump: V/Y N ~/~S~BWLSPACE
BASEMENT
Does any pert of the property lie within a special Rood designation a~L~.r~ ~ COb N
USE ONLY: *************************
Filing Fees:
INSPECT/ONS REQUIRED:
Base Inspections:
D Under Slab
Cert. of Occupancy:
P.R.LF.:
Reviews