HomeMy WebLinkAbout05060065-ApplicationRECORD:
~ To~hi~ ~Permit #:
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
PHONE FAX
LOCATION
& PRO3ECT
INFO:
NAME SECTION
# of units:
[] MULTI-FAMILY
# of Units:
C3 RESIDENTIAL (For
AddiUon$, Remodels, Etc.)
Release
Pemlit:
Lot Split:
Does any part of the
For Single Fanttly and Two Family dwellings, additions, remodels
within 180 clays o£th¢ date
issuance date. Class I stencrure permits are
I, thc undersigned, agree that any construction, reconstruction
structures re. quested by this application will comply with, and conform
lncliarm - 1993' (Z-289) and amendments, adopted under authority of LC. 36-7
~R~MSTRUCTURE
ADDTFION(S)
[] PORCH ADDITION(S) ~ / ~ ~
[] REMODEL --
g ACCESSORY BUILDING Which plumb ~g codes w I be applied to the construction:
DETACHED GAR~G~ - ~-Intemational Residential Code w/Indiana Amendments
[] A2TACHED GARAGE [] Uniform Plumbing Code w/Indiana Amendments
[] DEMOLITION (MulU-Family ConsrrucUon Code)
NDAT~ON TYP : (Check all that apply for the new
~N [] CRAWLSPACE [] POST & BEAM
~ASEMENT
thereto. I further cex'tffy that only kitchen, bath, and floor drains are connected , sewer. I further certify that the construction will not be
used ~r ~cenPiex~ unti~ a C~gat~ ~£~ccu1mac`~has ~7` en is~by the Department ~f C~mmuinty Services~ ~arme~ ~ndiana.
~. Print . Date
OFFICE USE ONLY: *********************************************************************
Filing Fees:
Under Slab Base Inspeddons: __ ~ ChargedReviewsRe-
Cert. of Occupancy: ~
P.R.I.F.. O0 bddjUonal Fees