HomeMy WebLinkAbout05020026-Application IMPROVEMENT !
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY NAME//~ ~- ~ PHONE
OWNER: /~ / miff",..-c~--,- ~/-~C,
LOCATION LOT # O,V~
&PRO: ECT I/=
INFO: oF CONS'mUC~OH
~ZONING~
FOOTAGE:
NAME OF UTiLTFY EXCAVATION CONTRACTOR; PLAN COMH~SION / BZA/BP~
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
NEW STRUCTURE
ROOM ADDT~ON(S)
[] PORCH ADDTF[ON(S)
[] REMODEL
E3 ACCESSORY
[] DETACHED GARAGE
[] ATTACHED GARAGE C
[] DEMOLITION
Plumbe~
EST[MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
SINGLE FAMILY
C.2 TOWN HOME
[] TWO FAMILY
# of units:__ _
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
P -=: ~'= '%-A ':
(MulM-Family Construction Code)
ffrly Release Manufactured
erin:t: y I,/NTresses: [] ~ ~ r~
Lot Split: ----Y ~/N Sump Pump: __
Does any par~ of the property lie within a special Floo~
Fo~ $~gie F~y ~t Two Family dw¢]U~gs additions, mmod~Js. ~d/ot ~cc~sso~/s~cmt~s, d~s _~i~[k~ o~ly [f co~st~cdo~ comm~c~s
~r_h~ :80 ~L~ys o£ d~e ~tc o£ issuance of ~e bu~d~g ~, ~ must bc comply:cd (C~ca~c o[ Occup~cy ~cd)
~u~cc ~cc. C~ i st~c~tc ~ ~ s.bj~t to thc ~c;~ Ad~s~advc ~ o[ ~hc S~[c o[ [a~ (S~ 675 [AC
cons~cdon, mcons~c~on, ~t, ~a~on, or ~t~adon of a s~c~re, or ~y ~e ~ ~e use oiled or
~. ~d co~o~ ~, ~ app~ble ~ws of the S~te o~ ~a, ~d the Zo~g 0~ o~ C~
o[ LC, 36-7 et ~q, G~ ~sembly o~ ~e S~te of ~ ~d
~d ~r ~s ~e co~d to ~e s~ s~. I ~rther e~ t~t the cons~cdon
INSPECTIONS :
of Community Services
Reviews
Cert. of Occupancy:
P.R.I.F.: ~