HomeMy WebLinkAbout05080086-Application Towt/~ ~o Permit #:
· IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Stmcteras
OWNER:
STREET ADDRESS
LOCATION
& PRO3ECT
NAME
INFO: o~ CONSreucnoa
~O~O~: ~ PRO~DER:
:O~R; ~ C~HIS~ON / B~ / ~ ~
; ~D/OR ~U~ WELL ~D/OR SE~C ~ ~'S (IF ~B~);
~ SINGLE FAMILY
~ TOWN ~ N~ ~RU~URE
# of
MULl'J-FAMILY []
# of Units:__ []
RESIDEITilAL (For
Additions, Remodels, Etc.)
__Y N
EST[HATED COST OF CONSTRUCTION:
(EXCLUDING LAND ~
ZIP
FOOTAGE:
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
Plumber's Indiana
5
Which plumbing codes will b~
DETACHED GARAGE ~ International Residential Code w/Indiana Amendments
[] ATTACHED GARAGE . ,:~
~ DEMOLiTiON ~) F[~JJniform Plumbing Code w/Indiana Amendments
~ b~ ] ~L~ (Multi-Family Consbuction Code)
Manufactured · (Check all that apply for the new
Trusses: Y N construction area)
[] CRAWLSPACE [] POST & BEAM
Y N Sump Pump: __Y N C] SLAB [] BASEMENT
lie within a special Flood designation area: ~ N WALKOUT:y N
OFFZCE USE ONLY: ************************************************************************
INSPECTJ:ONS REQUIRED: Filing Fees:
Base Inspections: :barged R~
Upper Footing Lower Footing Under Slab
Cert. of Occupancy:
Rough In J Meter Base final Site
/ P.R.I.F.:
TOTAL,
Services (Date)
Fee Received by: