HomeMy WebLinkAbout05090112-ApplicationOWNER:
LOCATION
& PRO3ECT
[NFO:
SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
' PHONE FAX
NAME
FAX
SQUARE
FOOTAGE:
; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
MULTI-FAMIL'[~
#
Permit:. _
Lot Split. ~
Does any part of the
C] NEW STRUCTURE
[] ROOM ADDITION(S)
{:::) PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
C2 .~ARAGE
DEMOLITION
_L M:ZNG O-: --CT R_:
Plumber's Tndiana State License #:
Which plumbing codes will be applied to the construction:
[] International ResldenUal Code w/Zndiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Cons'mJction Code)
~~L~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAN
[] SLAB [] BASEMENT
a: y N WALKOUT: y N
~ate o! ~'uance o! trie mmmng perrmt, ~a must ~ complet~ (C~te of Occu~cv ~ued/~ 18 mo ~
r ..... 7~~' ~ ~'~ ~ A~s~aUve Km~ Ol ~e S~te of InCa (See 675 IAC 12) r~ e~ation
INSPECTIONS REQUZRED:
Upper Footing Lower FOOting Under Slab
Rough In Meter Base
Services
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
TOTAL:
# Charged Re-
Reviews
Additional Fees