HomeMy WebLinkAbout05050067-Application ' PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME PHONE FAX
PHONE
SUBDMSION NANE
ADDRESS OF CONSTRUCTION
PROPERTY
OWNER:
& PRO3ECT
INFO:
PRO OE.: C- V--V 3
ESTIblATED CO~-I' OF CONSTRUCTION:
PROVIDER: (EXCLUDING LAND VALUE)
NUMBE~.~; TAC DA2E(S); AND/OR COUNTY WELL AND/OR SEPTIC PERN1T #~ (IF APPLICABLE):
ZONING: ~__..~
~j~ SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
P : IN ', --TI ':
Early Release
Permit: Y ~:KN
i, E = -PR- - :
NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] Aq-I'ACHED GARAGE
[] DEMOLITION
Manufactured
Trusses: ~ Y ~N
· I, -BZNG C ,NTRA- ,R:
Plumber's Indiana State
Which plumbing
~ ZntemaUonal
[] Uniform Plumbing Code
(Multi-Family Construdion
construction area)
[] CRAWLSPACE
Lot~plit: Y~N SumpPump: ~ Y __N ~i~ SLAB ~ BASEMEN~ij~,
Does any ~ of the pm~ lie within a s~al FI~ d~ignation a~: Y ~N WALKO~Y N
For S~e F~y ~d Two F~y dw~, ~o~, ~od~, an~or a~o~ s~ct~, ~ pe~t ~ v~ only ff c~n~c~on com~c~
~t~ 180 days of ~e ~te of ~ce of thc buffing ~t, ~d m~t ~ completed (C~cate of ~cy ~ed) ~ 18 months oz ~e
~ date, C~ I s~c~ ~ m subj~t ~ ~e ~ner~ ~ve R~ of the S~te of Indi~a (S~ 675 IAC 12) r~ng ~i~on
~e ~m~ for ~mg ~d completing com~c~on,
I, the ~dc~ ~c ~t ~y com~cdon, mcons~c~o~ ~cm~t, ralston, or ~t~afion of a s~cmre, or ~y ~e ~ ~c u~ af ~d or
~c~ r~t~ by ~s ~cauon ~ comply ~, ~d co.om to, ~ app~ble hws of ~e State of ~ ~d ~e Zo~ ~ce of C~
n~ - 1993' (Z-289) ~d ~, adopt~ undg au~ofi~ of I.C. 3&7 et ~, G~ ~s~bly of ~e S~te.of ~ ~d ~ ~ ~to~
hgeto. I ~ c~ ~t offiy ~t~, ba~, ~d fl~r &~s m co.<ted to ~e s~t~ s~. I.~h~ c~ ~t ~e~ons~c~on ~ not ~
Base Ins~ions:
! CO_.Ng 8 OTlOh, i Revie
!MUNtTY SERVICES
Ol~E OF OARMEL
Services