HomeMy WebLinkAbout05040082-ApplicationBUZLDER of
RECORD:
Township
LOCATION PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
Permit #;~ ~>' 0
PHONE FAX
PROPERTY r~E *o.~_ , - ~ FAX
OWNER: 2~: ;,'c /.- ~/ ~-i' . X ~ ~
L~ON ~BD~SZO~E ~ON I Z~NG:
& PROJE~
~NF~: AD~~U~ON I ~UA~
(~UDING ~D VALUE) /~
TYPE IM -- VEM-NT:
DEMOLITION
Which
[] Uniform Plumbing Code
(Multi-Family C
FOUNDATION TYPE:
for the new
-- _- -l- :- : N_:
1~ SINGLE FAMILY [] NEW STRUCTURE
[] TOWN HOME [] ROOM ADDITION(S)
[] TWO FAMILY [] PORCH ADDITION(S)
# of units:__ [] REMODEL
[] MULl-i-FAMILY [] ACCESSORY BUILDING
# of Units:__ [] DETACHED GARAGE
[] RESIDENTLAL (For [] A1TACHED GARAGE
Additions, Remodels, Etc.)
: ii - ' -:
Early Release / Manufactured f .~...~.,,~ .... ·
Permit: Y m /resses.
· --/ ~., [~¢C_J~2~II]SPACE [] POST & BEAM
Does any part of the property lie within a special Flood designaUon area: __Y N
For S~n~[e F~]¥ ~nd Two Family dwellings, add,dons, z emoc[e]s. ~'o~ ~ec~ssoz7 structures, r~Js permit is va[id only ~eonstmefion commences
w~Od~ 18o ~ys o~ thc c~tc o£ issu~ce o£ r~c huLk[iht p~£mit. ~ac[ must ~c completed (C:er r~ic~te o£ Occupancy issued) ~it~in 18 mont~s o£ thc
~su~cc ch~. (=]~s ! srme~c¢ pe~mks ~e subject to ~he ~e~ Ad~fivc [~]~ or,he S~c o~ ~n~a (See 675 ~AC E) ~n[ e~i~don
I, ~e unclosing, a~ce ~at ~y consmcfion, rcconsmcfion, ~ friction, or titration of a smcmre, or ~y ch~ge ~ ~e u~ of ~d or
smcm~ ~t~ by ~ app~cafion ~ comply ~,
h~a- 1993 (Z489) ~d ~ adopt~ un&r autho~ of I.C 364 et s~, G~ A~embly of ~e State of ~a. md ~ Ac~ am~to~
~to. I ~ c~ ~at o~y ~tch~. bath, ~d;~r ~s ~e co~ected to ~e s~t~ sewer, l.~rthe[cer~ ~t the ~onstmc~on ~ not be
~ o~pi~ u~ C~care o[&cnp~ ~n ~u~ by ~e De~ment of ~mmumty Sem~, C~el, InCa.
INSPE~ONS REQUI~D: - . ~ g rh-~ed R~
Up~r F~ting ~wer FooUng Under Slab Re~e~
Rough ~n Meter ~ Final
(Da~)