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-: