HomeMy WebLinkAbout05030174-ApplicationRECORD:
OWNER:
LOCAT/ON
& PRO3ECT
Permit #:
PERMIT APPLICATION
~ Family, Haiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX
b-FREEr ADDRESS ·
BEST METHOD OF CONTACT:
BU~L~.'S ~i~ ~D~SS L% V ~-~L~
PHONE FAX
STATE ZIP
~ SINGLE FAMILY
[~] TOWN HOME
E] TWO FAMILY
#ofu its.
C] MULTI-FAMILY
# of Units:
E] RESIDENTI/~ (For
Additions, Remodels, Etc,)
-' F - ': - N -:
j~ NEW STRUCTURE
[] ROOM ADDITION(S)
~] PORCH ADDITiON(S}
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
Which plumblug codes will be u
'~temational Residential Code w/~ndiana Amendments
[~ Uniform Plumbing Codew/Indiana Amendments
(Multi-Family Construction Code)
Hanufactured
Trusses: O POST & BEAM
~ N
Lot Split: y Sump Pump: BASEMENT
Does any lie within a special WALKOUT:Y_
~pply for the new
vi/
~uance dat~ : Rul~ of the Stat~ of Indiana (See 6751AC
time frames for beginning a~__d com. pleting construction-
structures l~.quested by this application will comply wth, aaa comorm to, au appncame laws. ? me ~.~c~
. .~_.k __~£..t_.~_~_~.;~.~ bath andfloordndnsarecomaectedtothesamtarysewex, i further certifythat theconstructlonwillnot t~e
-- ' Tac_c_-~.aY ~- ..... r; .....r r~ocm~a~c,~h~s been issued bv the Departmeut of Commumty Services, Cannel, Indiana.
Filing Fees:
Base Inspections:
Under Slab - 0 Reviews
Cert. of Occupancy:
~ ' J (Date)
Reviewed/Approved: Dept, of Community Serv ces