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HomeMy WebLinkAbout05030013-ApplicationPROPERTY OWNER: Permit #: APPLICATION For Single Family, Multi-Family, & Two Family: New Structure_s, Additions, R~models, & Accessory Structures ~, PHONE , FAX , ST TE ZIP BU[LOEPJS EMA[L AD6RES$ 'JRT BES'T M ETHgD O ~F CONTACT~ /~.'~ PHONE FAX STAT6 ZIP LOCAT/ON & PROIECT INFO: FOOTAGE: SINGLE FAMILY TOWN HOME TVVO FAMILY # of unitS: [] MULTi-FAMILY #of Units:__ RESIDENTIAL(For Additions, Remodels, Etc.) ~ Release y Permit: Lot Split: ----Y --PE: - __'- -;-T: [] NEW STRUCTURE ~ ROOM ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING DETACHED GARAGE [] ATI'ACHED GARAGE [] DEMOLr~ON Manufactured ~N Trusses: Y Sump Pump: Y __~ Plumber's Which plumbing codes will be applied to Ute construction: [] InternaUonal ResidenUal Code w/~ndiana Amendments [] Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) ~[~.~J~LT~[~: (Check all thatapplyfor the new construction ama) ~/~RAWLSPACE [] POST & BEAM [] SLAB / [] BASEMENT Does any part of the property lie within a spedal Flood designation area: Y ~ WALKOUT:Y ~NN dwellings, add~ons, remodels~ structures, t~-'~rmit is valid ~ witl~180 day~ of the date o£is~uance of the buikltog permit, and must be co~m~ pJ~e ~ ~18 m..ontbe o.f ch~ issuance date. Class I structure permits are subject to chc General Administeat/V//R/fle~l~'t/~Ilt/d//ut/t'~S~ t ff~I~ld ll[~t~ammg exp~rauon time frames £or beginning and e~t~. ~r~c/~> wiIh I, the undersigned, ~gree that any construction, ~econstmction, enlargement, structures requested by tkis application will comply w/th, and co?otto to, all appl/ca~b~ ~s, ce o.t carme~ Indiana - 1993~ ( Z~ 289) and amendments, adopted under authont7 of thereto. I further cerUfy that o~ly kitchen, bath, and ttoor drains are anrmected used of~ccupied until a CertLrJcatc of Occupancyhas been issued by r4)e Department oX Commumty~ ~rmel, lnctmlm. /XTUW.~a/~- ~./v~ / ~L-- t~r ~ - /. . Signatom of er or Authorized Agent- Print / - ' Date Lower Footing Under Slab ~f Community Servtces Cert. of Occupancy: P.R.I,F.: Renews