HomeMy WebLinkAbout05060073-ApplicationBUZLDE~ of
RECORD:
OWNER:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structurea
~ - :HONE
STREET ADDRESS ClTY STA ~ ZIp
BUILDER'S EMML ADDRESS , BEST METHOD OF CONTACT:
PHONE FAX
STI~ET ADDRESS CITY STATE ZIP
L,OCATION
~ PRO3ECT
NFO:
SECTION ZONING:
/_,;z
SQUARE
C] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (Fol'
Additions, Remode s, Etc.)
,,)[=J---NEW STRUCTURE [] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGF
[] A~rACHED GAR!
[] DEMOLITION
[] Uniform Plumbing
(Multi-Family Consb'uction
Early Release Manufactured rea)
Permit.' ~ Trusses:
L°t Split:
Does any part of the property lie within a special Flood deaJgnaUon area: Y.
t apply for the new
POST & BEAM
lENT
WALKOUT: Y
thc Department of Commun~.,~t~. Ser~, Indiana~
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
Base Inspections: 5~O # Charged Re-
Reviews
Cert. of Occupancy: _~-/- 5- O
P.R.I.F.: _>'"~,.7, {9 0 Additional Fees