HomeMy WebLinkAbout05040151-Application PHONE
RESS C~TY --STATE
BUILDER'S ~M~L ADDRESS 8EST METHOD OF CONTACT:
;rTwo Family: New Structures, Additions, Remodels, &Accessory Structures
FAX
LOCAT/ON
~ PRO3ECT
pm F--~- i':l :
SINGLE FAMILY
TOWN HOME
C] TWO FAMILY
# of units:~
MULTI-FAM!LY
# of Units:
RE~IDENT'J~L (For
Additions, Remodels, Etc,)
-- : V E :
~ NEW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITiON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] Ag-rACHED GARAGE
[] DEMOLITION
Does any
Y __Y._N
Manufactured
Trusses: Y ..,~__N
Sump Pump: _.~Z~_Y N
~ within a special f
~£~suance
issuance date. Class I structure permits arc subject to t
I, the undersigned, agree that ~y construction, .
structures ~.q~.estedby this application will comply
Indiana - 1993 (Z.289) and amendments, adopter~ unaer a .
used or ocsupied until a Cetr/d~cate~, ofOccupa~cyhas meen msueo. Dy t~e uepartmen
~or Authorized Agent Print
P U BI-iG :O-TRA =: R~
Plumber's Indiana Sta~e License #:
Which plumbing codes will be applied t~ the cop~gructfon:
[~ Intsmattonal Residential Code w/Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construddon C. ode)
F~~L~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST 8~ BEAM
[] SLAB ~ BASEMEN.T. k ~
N WALKOUT:_~_.Y~N
nonths of thc
oO :he usc o£ lancl o~
se
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