HomeMy WebLinkAbout05030072-ApplicationRECORD:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family:'--m" New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTL~L (For
Additions, Remodels, Etc.)
P'---:: - - ~ATZ:,:
Early Release
Lot Split:
~ ~]~m~V STRUCTURE
ROOM ADDITiON(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GAP, Ar'
[] ATTACHED GAR
C:3 DEMOLtT[ON
Manufactured (~ N
Pump: ___~N
Does any part of the property lie within a special Flood
~ Indiana State Ucense #:
; /
Which plumbing codes will be applied to the construction:
'~maUonal Residential Code w/Indiana Amendments
] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction ama)
[~ CRAWLSPACE
C3 BLAB
ONLY: **********************--********************************
OFI~CE USE Filing Fees: c ~__~0 __
Site
Base Inspections: __~
Cert. of Occupancy: ~
P.R.I.F.:
· TOTAL:
P.~e~~munity Services
S:PermRs/Forms/ZLP RE~DENTr. AL
# Charged Re-
Reviews
Additional Fees
(Date)