HomeMy WebLinkAbout05050118-Application Permit #;
SWENTIAL LOCATION PERMIT APPLICATION
For single Family, .ulti-Family, & Two FamilY: New Structures, Additions, Remodels, & Accessory Structures
PHONE ~ (~/~r ,~
OWNER:
PHONE
STATE ZIP
TN~: ~ OF ~N~U~ON ) ~U~
~O~DER' ~ [~ (~CLUD~NG ~D VALUE)
~- SINGLE FAMILY ~ NEW STRUCTURE
[] TOWN HONE [] ROOM ADDmON(S)
[] TWO FAMILY [] PORCH ADDiTiON(S)
# of units: [] REMODEL
[] MULTi-FAMILY [] ACCESSORY BUILDING
# of Units:_____ [] DETACHED GARAGE
[] RESIDENTIAL (For [] AqTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLTT~ON
Early Release
Permit: Y ~' N
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiena Amendments
(Multi-Family Construction Code)
~N TYPE: (Check all that apply for the new
construction ama)
Manufactured
Trusses: Y N
Lots lit: Y N Sum Pump. Y × N '. ~ ' i n
Does any part of the property lie within a special Flood designation area: of Steadied Local ~[XoLrr:. Y__~__N
~d Two Fam~y dwcl~L~gs, additions.
w~citJ~ 180 days o£ the date of Lssue~c¢ of r~c btfi~dL~g pctnttt, ca,ct must ~ ~d)~ ~J~J~L~s o£ thc
Lssua_nc¢ ~lat~ Class]st~accu~c~c~ts~zcsubjcct~th¢G~¢r~Adm~z~t~at1v¢~u]~£~S~t¢~f[~75l~C~2)~§¢~d~
r~mc ~tamcs for bc~ag ~m~ completing co~stracdoa.
L thc tmdcts~g~cd., a&zcc r~c a~y co~sC~ucCto~ tccm~s~ucdo~.
:PICE USE ONLY: ***********************************************************************
C,~'~ Filing Fees:
INSPECT/ONS REqUXRED: Pi
Lower Footin~~ Base Inspections: ~ ~ ® # Charged~evlewsRe-
Cert. of Occupancy: __.~/.
~gh I !
..... .
Fee Received by: