HomeMy WebLinkAbout05080204-Application Permit #:
~SmENTIAL IMPROVEMENT LOCATIONI APpLIcATION
For singie Family, Multi-Family, & Two Family~ New Structures, Additions, Remodels, & Accessory Structures
PHONE
OWNER:
LOC$,TION
& PRO3ECT
INFO:
ADDreSS OF CONb'TRUC'HON
TOWN HONE
TWO FAMILY
# of units:.
[] MULTI-FAMILY
# of Units:.
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
PE F :
~]~N EVV STRUCTURE
U ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'VrACHED GARAGE
[] DEMOLITION
~,% Manufactured X/y.~
Permit: ~T_Y ~ Trusses:
D~, ~n¥ p~rt o~ th. pro~/lie within ~ s~wJ~l Rood d~ig
FOOTAGE:
(EXCLUDING LAND VALUE) i
ich plumbing codes
ZntemaUonal
BASEMENT
Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures
within 180 days of the date of issuance of the building permit, and must be completed (Ce~ificate
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of
time frames for beginning and completing construction.
I, the unde~igned, agree that any consUmction, reconstzuction, enlargement, relocation,
structures requested by this application will comply with, and conform to, all applicable
indiana - 1993' (Z-289) and amendments, adopted unde~ authority of I.C, 36-1 et seq, General Assembly
thereto. I further certify that only kitchen, bath, an~ ~~ to the sanitary sewer, 1 further certif)
use~lar occupied until ~ ~'erc/ficate o[Occc/pancy~ ~b~3pepartment of Compaunlty Services, Ca
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Fllin~ Fees:
REQUI~,~.__'"~' ? .
Reviews
Lower FOOUna~ Base Inspections: ~ # Charged Re-
Cert. of Occupancy:
{,,~nal~.,~.~ P.R.I.F.: ~-' ~ff. ~~ Additional Fees
'~- £ ~// TOTAL: , ,~//~//~ ~/~ / /