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HomeMy WebLinkAbout05080180-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PER_MIT APPLICATION For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of ~ RECORD: ~ ~F CONTACT: PROPERTY OWNER: & PRO3ECT INFO: SEWER UT~L/TY PROVIDER: NAME Sll~ET ADDRESS ~DDRESS OF CONSTRUCTION PROVIDER: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION NUMBERS; TAC DATE(S) .'-C -' N = I_ -_: ~ SINGLE FAMILY 'C]~ TOWN HOME C] TWO FAMILY # of units: MULTI-FAMILY # of Units: [] RESIDENTIAL (For Additions, Remodels, E~c,) p;-- . TN.~ - _ : Early Release ZONING: SQUAP~ FOOTAGE: [] [] ACCESSORY BUILDING Whic~ plumbing [] DETACHED GARAGE ~] [] ATrACHED GARAGE ~) Uniform [] DEMOI,,1-~ON (Multi-Family ~:~ J ~ ~:~. FOUNDATION TYPE: ~1N Manufactured ~N Permit:, _Y N Trusses: _~Y ~c~_~trucJion area) ~j~ CRAWLSPACE Lot Split: _Y Sump Pump: ____Y 'U_] SLAB ~/ BASEMENT Does any part of the property lie within a special Flood designation area: Y __y~N WALKOLrr: Y N For Single Far~ly a~cJ Two J~am~ly clwdliags, additions, t~mo~c~ a~cl/or accessory structures, Lt~ pcz~mtt is va/id only ffconstmct~on comm~-'~'-~'--~ w~r.h~ ]80 days of tl~c date o£ ~s~ua~cc of thc bufld~g perm. to, a~d must bc comp]cocci (Ccrti~carc o£ Occupancy Lssucd) wirb~ 18 months of cbc i~sua~cc date. Cla~s ! str~ctutc permits arc subject to thc Gc~c~al Ad~L, ttsrtat~vc Rules o£ cbc State of !nclJ~na (Scc 675 I^C !2) ~cga.-~.g expiation time f~am~cs for bcg~n~g a~ct completing co~t~uccioa. I. thc uadctstg~cd, ag:cc cha~ a~¥ constructor, scco~lzucCion, c~¢mc~c, :c]oc~cto~, or akcza~o~ o£ a sc~uccutc, sc:uccu:cs :~u. cscccJ by r~is appLtca~o~ w~ co~p1¥ w~, a~d co~o~m to, ~ applicable hws o£ cbc $:acc o£ L~a~, u~d o~pi~ un~ a ~o[~cc~p~ ~ent of, Community S~c~, ~el, InCa OF~CE USE ONLY: ************************************************************************ Upper FooUng Reviewed/Approved: Dept, of Community Services (Date) Filing Fees: __~ Base Inspections: ~O # Charged Re- - Reviews Ce~. of Occupancy: ~/. ~'* 0 P.R.LF.: ~ .~- Addi~on'al Fees TOTAl-: