HomeMy WebLinkAbout05100068-ApplicationO
BUILDER of
RECORD:
OWNER:
oS/o oO ?
Permit #:__
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER'S EHA~L ADDRESS
PHONE
CTrY
BEST METHOD OF CONTACT:
FAX
ZONING:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
[] MULTi-FAMILY
# of Units:
[] RESIDENTLa, L (For
Additions, Remodels, Etc.)
----. PE I-- '~' VE- :
~ NEW STRUCTURE
[~ ROOM ADDTi'ZON(S)
[] PORCH ADDT]'[ON(S)
[] REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
[] AT~ACHED GARAGE
[] DEMOLITION
Which plumbing
Y_ N
.ay~._Y __N
ropercY lie within a special Flood designation area:
~1
(Multi-Family Construction Code)
E~~[~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
[] SLAB ~ BASEMENT
WALKOUT: Y_~N
OFF[CE USE ONLY:
# Charged Re-
Reviews
Cert. of Occupancy:
,.I.F,. Additional Fees
I
(Date)