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HomeMy WebLinkAbout05030177-ApplicationRECORD: OWNER: Township Permit # ~ RES ENTIAL IMPROVEME LOCATION PERMIT APPLICATION For single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE FAX STP~ ADDRESS C~ ~-FATE PHONE LOCATION LOT# SUBDMSION NAME SECTION [] TOWN HOME [] TWO FAMILY # of units:__ MULTI-FAMILY Additions; Remode s, Etc.) POOP, ESE OF CONSTRUCI-!ON ~ ~ZONING' NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW NUMBERS; TAC DATE(S); AND/OR ~UNTY WELL AND/OR SEPTIC PERM~ #5 (IF APPLICABLE): E F VEMENT= (23 NEW STRUCTURE [] ROOM ADDITION(S) ~'~PORCH ADDITION(S) [] REMODEL C] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE [] DEMOLITION ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) ~ ~:~ 0~'"~ Plumbers Indiana S Which [] International Residential Code w/Indiana Amendments [] Uniform Plumbing Codew/Indiana Amendments (Multi-Family Consbm~on Code) FOUNDATION TYPE: (Check all that apply for the new ~' Manufa~ured ~NN~ constru~on ares) ~___~ Trusses. Y Lot SPlit: ~~ Sump Pump: Y ~' ~ C~W~PACE ~ ~ & B~M 0 S~B 0 B~EMENT pa~ °fthe P~~ Iie wi~in a s~ial FI~ designation ama: __V ~N WA~O~: Y N ~ ~80 ~ys o[ ~e ~cc of i~ncc of the bu~g ~, ~ mus~ be comp]cted (C~icate o[ Occup~cy i~ued) ~ [8 monc~ of the ~e ~re~ C~ ~ S~c~c pct~ a~ subj~C to thc ~ncr~ ~d~sttadve R~ o[ cbc S~cc of [nd~Enk~(See 675 lAC 12) ~g~ng c~imdo~ cons~cdon, ~co~s~cdoa, ~c, ~ocadon, o~ ~cmdon o[ a s~c~, o: any c~gc ~ ~c usc o~ ~ o: ~co. [ ~ c~ ~a[ o~y ~cch~, ba~ ~d ~: ~s ~c co~ccc~ m cbc s~ scw~. ~ ~r~e~ c~r~ that cbc co~c~edon ~ not be ot ~ un~ a C~3cacc o[Occup~c~ ~ ~u~ by ~c Dep~enr of Community Se~. ~mc], InCa. Sign~m ~ ~er or A~ ~e~ P~nt OF~CE USE ************************************************************************** INDIANA TOTAL: > ~'~ ~0 :, of Coramunit