HomeMy WebLinkAbout05090232-ApplicationRESmENTIAL IMP LOCATION PERMIT APPLICATION
For Single Family, Hulti-Famil~lJ~J~J~ Structures, Additions, Remod,ls, & Acceasor~ ~tructum$
BUZLDER of NAME l:lllison olnte 131vd. 0
RJ~CORD-m
PROPERTY
OWNER:
' SUB SION NAME / ~ q . -- SECTION
TNFO: ~/~/~
~ ~ ~ ~*~ ~:]~ ~: TYPE~:
[]] SINGLE FAMILY ~ NEW STRUCTURE
g~. TOWN HOME ~ ROOM ADDI-FION(S)
[] TWO FAMILY [] PORCH ADDITION(S)
# of units:. []
[] MULTI-FAMILY []
# of Units: []
[] RESIDENTIAL (For []
Additions, Remodels, Etc.) []
E RMAT[ : :
Hanufactured
Early Release y X N Trusses: __
Permit: X y
Lot Split: ____Y _~N Sump Pump: Y ~
FOOTAGE:
(EXCLUDING LAND VALUE)
PLUMBZNG ~
SLAB
Does any part of the property lie within a special Flood deaignafion area: Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of C
issuance date. Class I structure pernuts are subject to the General Administrative Rules of the State of h
time frames for beginning and completing construction.
l, the undersigned, agree that any construction, reconstruction, enlargement, relocation,
structures requested by this application wili comply with, and cordorm to, ali applicable laws of the State of I:
Indiana- 1993' (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq,
thereto. I further cenSfy that only kitchen, bath, and floor drains are connected to the sanitary sewer.
used~or occupied until a.-Cer~cate o£Occuprmcy'has been issued by the Department of Community
Sign~ture Of Owne~or Authorized Agent Print
(Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WALKOUT: Y N
OFFZCE USE ONLY: * * * * * * * * * * * * * * * * * * * * * * * * *Filing* * * * *Fees:* * * * * * * * * * * *~* *~ * * * * ~*: *~ ~ * * * * * * * * * * * * * * *
Base Inspections: ~ I ~t~) # Cha~ged R~
Ce~. Of Occupant: ~Z ' ~ Re*ews
R~i~/~ov~: Dept, of ~mmuni~ Se~i~s (Date) ~~ ~ ~*