HomeMy WebLinkAbout05040105-ApplicationFor Single FamilY, Multi-Family, & Two Family: New Structures,
PHONE
STREET ADDRESS
PHONE
BEST METHOD OF CONTACT:
SECTION
-~E : · ~ 1U ~ N:
~NGLE FAMILY
r~l TOWN HOME
C] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:.___
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
TY E' Firm -- ::, T:
~ ROOM ADDITION(S)
PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILD~'~''
[] DETACHED GAR
[] ATTACHED GA[
[] DEMOLITION
Release Manufactured
------Y------N-~ Trusses: __~_.__l~
LotSplit: Y___~) SumpPump: _~_.~__N
Does any part of the property lie within a ~
eteto. I ~m~ cert~ that only
Which plumbing codes will be applied to the c~nsttuction:
~lntemattonal Resident~al Code w/Zndiana Amendments
[] Uniform Plumbing Code w/Zndiane Amendments
(Multi-Family Cons~'uction Code)
FOUNDA~ON TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE
[] SLAB L~Z ~ASEMENT
Y __~ WALKOUT:_ Y
, structures, t~ts permit L~ vaIt cl o~y [f construction commences
w~r2at~ 18 mont~ o£ thc
hc State o£][ndtana (S¢c 675 IAC 12) rcg~l~ng
· o: a~y ci~a~gc
· ppltcab~c bws o£ cee State o£ I~a~a. a~d r~c'Zo~t~g O~lL~a~cc o£
et seq. Gc~cta/Assembly o£ t~¢ State o£ Lnddaz~. a~d al!. Acts amc~dato~T
cbc sa~jr, zty scwct. ! [utthcr c~t~¥ that thc construct, ton wt[1 not hc
OFF~CE USE ONLY: *********************************************** * *********************
Filing Fees:
Ba~ Inspections: ~ ~ 2. ~-6 # Charged~
~ Under Slab Reviews
Cert. of Occupancy:
P.R.LF.: ~ ~ 9 ( Addi~onal Fees
TOTAL: -/~'
Services (Date)