HomeMy WebLinkAbout05040099-ApplicationBUZLDER of
RECORD:
OWNER:
Permit#'.
~lulti-Famiiy, &Two Family: New Structures, Additions, Remodels, & Accessory Structures
E J PHONE
ZIP
BUILDER'S EMA[L~DRESS ~ . ~--~ _ BEST METHOD OF CONTA~CT:
AX
BECT~ON
SINGLE FAMILY
E] TOWN HOME
E3 TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units.*__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Permit:
.~ STRUCTURE
[] ROOM
[] REMODEL
[] ACCESSORY BUILDI~
[] DETACHED GARAr
[] ATTACHED GAPJ
[] DEMOLITION
Manufactured
~--~Trusses:
~N
Which plumbing codes will be applied to the consb~ction:
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Constnml~on Code)
," NDAT]O- ~ 'PE: (Check all that apply for the new
construction[] ama) POST B, BEA
WALKOUT: Y_~
y ~ construction commences
of Occupancy issued) within 18
ay cha~gc ~ &e use of land or
e o£ [ndiarm, ~d d~e 'Zon~g ~ce of C~d
r of ~e S~re of ~ ~d ~ Ac~ am~ro~
~ ~e s~r~ sew~. ] ~ ce~ ~r ~e cons~c~on ~ nor ~
, Sedco, ~d. ln~. / /
OF~CE USE ONLY: ************************************************************************
Filing ~: ~
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
# Cha~eo Re-
Reviews
Additional Fees
.~TOTAL: