HomeMy WebLinkAbout05080045-Application& PRO.1ECT
INFO:
For Single Family, Hulti-Famiiy, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
SINGLE FAMILY
TOWN HOME
E3 TWO FAMILY
# of units:__
E] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE zFZM:-_ ' - - ':
N
EW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITION(S)
Permit: Y V/N
Y--~'N
[] REMODEL
E] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured v/ N
Tresses: Y
PHONE
SECTION
FAX
STA'~
COST OF CONSTRUCTTO~:
(EXCLUDING IJ~ND VALUe)
-- ~ 040 -OO- V -
PL - -- _ -NTRACT--R:
mber's Indiana State License #:
[] Zntematlonal Residential Code w/Indiana Amendments
~' Uniform Plumbing Code w/Indiena Amendments
(MultbFami~y Constmc~on Code)
FOUN~: (Check all that apply for the new
construction area)
Sump Pump: v/Y N [] CRAWLSPACE [] POST & BEAM
[] SLAB/ ,J~ BASEMENT
r lie within a special Flood designation area: Y V_N
/' structures, this permit is valid
completed (Cexdficate of Occupancy
lssua~c subject to thc General Administrative Rules of thc State of Indiana (See : 12) regardin
rSme frames for begJmling and completing construction.
I, the undersigned, agree that any construction, reconstruction, ezl]argeme.qt, relocatio~ or alteration
stamctures ~e~.q~ested by this application will comply w~Lh, a~d conform to, all applicable laws of the State of indiana
IndLfma - 1993 (Z~289)andamer~dments~ad~p~edu~derau~h~rit~fLC~36~7e~seq~Gene~alAssemb~y~f~eS~te~
thexeto. I fuj~het c_ .ertEy that only ~tchen, b~h:.a~d floor drains are corm<ted to the sanita~ sewer. 1 further cert~y that
SignatumofOwaeror Authorized Agent ~d~//9~ 6~m~?z/ D~te
SPECTION$ REQUIRED.
CiTY OF UARMEL / C
TOTAL:
Date)