HomeMy WebLinkAbout05050190-Application LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHON~: , ~.~ '~ q ]
RECORD: 8 ~- ~r/~- ~a~
I STREET ADDRESS CITY STATE 71'p I
ADDRESS BEST METHOD OF
PROPERTY
OWNER:
& PRO3ECT
PHONE
LOT # ~ ~ SUBOMSION NAME · SECTIOfi.
FAMILY
I HOME
[] T~VO FAMILY
# of units:
MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
AddiUons, Remodels, Etc,)
~ NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Permit:, Y MN Trusses: ._~_Y N
· t ~ · ~ -- [] CRAWL.SPACE {l]}~ POST & BEAN
Lot Split. Y ~N Sump Pump. .~Y N ~' gl AB ~/J
BASEMENT~
Does F lie within alL-'Flood T~ '.-'
any part of the pruperty a spec designation area. Yq~_N
For S'mglc Family a~d Two Family clwcL[L~gs, addtdom, ~cmodcls. a-nd/or accessory structures, r~ts pctrait is valtcl o~y E co~st~ucttoa
wir~ 180 days o£ r_.Sc d~rc o£ Jssuamcc o[ thc buflcltag l~rmtt, a~ must be corap]crc~ (Ccttffica~.o~
tsa~ua~cc ~ar-c. CLass [ structure pc~Cs ate ~bjcc~ to t~¢ Genera] Aclmb~sctadve R~ o£ ~e $~ ~ ~ ~ ~.;~
time ~ for ~ning ~d completing co~tm~
1 comply ~, ~d co.om ~, ~ app~cable und~
OFF~CE USE ONLY:
INSPECT/ONS REQUIRED:
Reviewed/App~ved'/l~ept. of Community '
(Date)
Filing Fees: __~ / 0
Base Inspections: ~ # Charged Re-
Reviews
Cert. of Occupancy: ~-/. _~- 0
P.R.I,F.: ~ AddiUonal Fees
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