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HomeMy WebLinkAbout05050098-Application\ Permit # For Single Family, Multi-Family, & Two Family: New Structures, RddiUons, Remodels, & Accessory Structures BUZLDER of RECORD: BUILDER'S EMA~L ADDRESS PHONE FAX O CITY SIAT~ PROPERTY OWNER: TNFO: Lot Split: Does any NAME STREET ADDRESS [] ATTACHED GARAGE [] DEMOLITION Manufactured Trusses: Y N lie within Plumbers Zndiana State LicenSe #: ~,~lch plumbing codes will be applied to Ute ~nstruction: .~. International Residential Code w/Indiana Amendments [] Uniform Plumbing Codew/IndianaAmendments (MulU-Family Constmc~on Code) FOU · - i N TYPE: (Check all that apply for the new construction area) ~ CRAWLSPACE [] POST & BEAM ~' SLAB ~ BASEMENT Y 9( N WALKOUT: Y__.~J__N issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 615 IAC 12) regarding expiration time frames for beginniug and completing construction, I, the undersigned, ._agree that any construction, reconstruction, enlatgemer{t~ rel~ation, or alteration of a srmc,.mre, or any _c .i~ ~e. in the ,u, se of la~d or . structures r~e~u~ sstect by dais application will comply w~ttL and conform to, all applicable laws of the State of Indiana, and the Zorang OntL~ance o£ Camm h~ana- 1993 (Z-289) and amendments, adopted under authority of I,C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amem.,.,daturY thetetu. ~ h~ es~ dut ouly k~tche~, b~t~ and ~o~ dr~ ~ ~onn~t~ tu th~ ~t~ ~w~. ~. f~V,l~:e~ ~S~S¢o~ wm not b~ used oqpccupie4, until a Ceff~/cace o£Occupancy'has been zssued by the Department of Commum ~ ~} Filing Fees: ~O Under Slab _ Base Inspections: - :'~ ' *<~ ~ - Reviews Cert. of Occupancy: _o - ~-~(j_._. P.R.I.F.: '~-~ ~ ~© Additional Fees OTAL~ ~'/~ ~ ~/C)