HomeMy WebLinkAbout05040072--Application ~ Date
This permit is valid only if constraclion is started within 180.days of the date of issuance for residential construction; and for conunerc~
~suance of the State Commercial Des~.~ Release~o issued within 2 -eats of the_isananan date.
PHONE FAX
TENANT NAME
PROPERTY
OWNER
LOCATION
SQUARE
FOOTAGE:
A. TYP~E~FCONSTRUCTION Do porch?
1 ~v~ingle Family [] No
2. [] Two Family
3. El Multi-Family Typae~Foundation
4 [] Commercial / [ndustxial ~-Crawlspace 4. []
5. ~ OTHER
~Basement (Walkout: y N ) 5~ [] Demolition
Slab
(Spec~ffy)_
B. SEWER: ~';~,n~~~..~
1. El _Public (Nameofsystem
2. ~Priv~ate (Co~uaty permit
WA eR
1, [] Public (Name~fsYS{e~
2, []~"~Private(CounB permitg-
D. ZONING:
E. ESTIMATED COST OF~CQ~STRUCTION
(Excluding Land Value) ~g2ff~2~
TYPE OF IMPROVEMENT
1. [] New Structure
2. ~Addition: Porch ~Room
3. [] Remodel [] C'~--m~mmercial ~ Space
Fotmdation Only
6. _~Accessory Building
7. I~ Garage Detached__ Attached
__) G. Lot Split YES __ NO k'~
H~ Flood Zones YES
I. Sump Pump YES
$. Manufactured Trusses YES __ NO~
K. Plumbing Contracto
IRC Plumbing Code:
I, the undersized, agree tha~
Lower Footing Bonding/Groundings(#)
Under Slab
Filing Fees:
E-Mail: Base Inspections:
~ Cert. of Occupancy:
(s) ~ P.R.I.F.:
Re~,iewed/Appr6~;~ Dept. of Commuuity Services
# Charged Re-
Reviews
Additional Fees