HomeMy WebLinkAbout05020052-ApplicationRECORD:
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BEST I
BUILDER'S EMA~L ADDRESS
PROPERTY
OWNER:
PHONE FAX
LOCATION
& PRO3ECT
INFO:
; OF CONSTRUCTION
SEWER UTILI"rY
PROVIDER:
NAHE OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOOCET
COUNTY WELL AND/OR SEFFIC PERMIT #'S (IF APPLICABLE):
_~..~ECTION
r OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
ZONING:
SQUARE
FOOTAGE:
LE FAMILY
TOWN HOME
TWo FAMI,,LY
# of units:
[] MULTI-FAMILY
# of Units:~
O RESIDENTIAL (For
;, Etc.)
--P- IH % - - NT:
(~NEW STRUCTURE
ROOM ADDXTION(S)
(~ PORCH ADDITION(S)
C] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE ~
[] A~FACHED GARAGE [] Unifom
~ DEMOLITION
Permit:
Lot Split:
Does
Manufactured
Trusses: Y ~
~:~.~L~: (Check all that apply for the new
construction area)
~/CRAWLSPACE [] POST ~k BEAM
~u~ce ~t~ ~ I s~cm~ ~ ~e subject to ~e ~nerfl A~auve R~ of t~~ ~ mort
~e ~ for ~g ~ comple~ng const~c~o~f ~ ~ ~ ~ ~.~,( or
~, a~e ~t ~y coercion, r~ons~cfion, ~em~, rd~o~ or ~t~a~
~ted by ~s app~cafion ~ comply ~, ~d co~o~ ~, ~ app~ble bls
(Z-289) ~d ~, adopted und~ au~o~ of LC. 36-7 et s~. G~ ~(~.~~'
Base P,R.I,F.: Additional Fees
Services (Date)