HomeMy WebLinkAbout05070219-Application Tow hi perm'rc
LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structu~s
PROPERTY
OWNER:
~NPRO3ECT
FO
PHON~~~' FAX
SEWER UTiLiTY WATER UT~UTY
PHONE FAX
DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
~ SINGLE FAMILY
C] TOWN HOME
[] TWO FAMILY
# of units:.
[] MULTI-FAMILY
[] RESIDENTIAL (For
NEW STRUCTURE
[] ROOM ADDT~ON(S)
PORCH ADD~E~ON(S)
R
EMODEL
ACCESSORY BUILDING
[] DETACHED GARAGE
ATTACHED GARAGE
[] DEMOLITION
P-: -i - - - i -- _:
Release ~ lanufacturod
Y V/N Trusses: Y
fr.. to4oo I $o
Which plumbing codes will be applied to Ule construction:
[] ZntemaUonal Residential Code w/Zndiana
~ Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE [] POST 8~ BEAM
--Y V~N ~ SLAB [] BASEMENT
Sump
Pump:
,. ~!r?ru ~r-~r . Y V/ N
r~e~vAtliiffas~Flooddeaignatlonarea: __Y ~/N WALKOUT:__
~ccessoty seruc~u~s, t}tis pc~mtt is valid only tf conse~uction comme~ce~
) wit]~ [8 ~o~.ths o£ thc
~ o£t~c State of [adta~a (Sec 675 [AC [2) tcgat~g cxptcado~
.... 'r: ,AF!~,.,I~ZL (]L/:~[Y ~fF~beginningandc°mpletingc°ns~uc~inn.
I, ~be ~igned, agree tha~ ~y go~c~don, reconstruction, erda~gement, relocation, or alteration of a s~ructu~e, or any change in the use of land ~
s~uctures ~es~ed by r~bis ai~h~ffot~ ~ comply with, ~md conform to, all applicable hws of the S~a~e of indiana, and the 'Zoning Ordinance of C~rme~
Indian~- ~993' (Z-28~) and amendments, adopted under anthori~y of I.C. ~Z e~ seq, General Assembly of the S~ase o£ Indian~ and ~ Acts amendamry
thereto. ~her c~ ~at o_nlykitch~, bath, and fl~or drains are connected to the sanir~'y sewer. I further certify tha~ the construction will not be
OFI~CE USE ONLY:
ZNSPECT/ONS REQUIRED:
Uppe
Reviewed/Approved: Dept. of Community Services (Dat~)
Base Inspections:
% . . .... ~ Reviews
Cert. of Occupancy:
~ AddiUo~*al Fees