HomeMy WebLinkAbout05040069-ApplicationPermit
, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY NAME
OWNER:
STREET ADDRESS
PHONE
LOCATION
& PRO3ECT
INFO:
NAME
PROVIDER: ~
NUMBERS; TAC DATE(S)', AND/OR COUNTY WELL AND/OR SEPTIC PERNIT # ( PFu )
STATE ZIP
E FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
F:. R- .ME -:
NEW STRUCTURE
[] ROOM ADDITION(S)
PORCH ADDITION(S)
[] REMODEL
Plumber's Indiana
[~) ACCESSORY BUILDING Which plumbing codes will be applied to t~e construction:
C:] DETACHED GARAGE ~ Zntemational ResidenUal Code w/Zndiana Amendments
[] ATFACHED GARAGE ) Uniform Plumbing Code w/Indiana Amendments
~ DEMOLITION (MuiU-Family Construcl:ion Code)
(Check all that apply for the new
Lot Split:
Does any
[] POST & BEAM
~ BASEMENT
WALKOUT: Y ~ N
r~e~:to. ]
OFFICE USE ONLY: ***** :******a
of Communilh' Services (Date)
Base Inspections:
~l Of Occupancy:
P.R.I.F.:
Charged Re-
Reviews
AddiUonal Fees