HomeMy WebLinkAbout05100132-ApplicationPermit #
RESIDENTIAL
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of ~ME PHONE FAX 2
RECORD: --
STATE
PROPERTY
OWNER:
BUILDER'S EMA[L ADDRESS
NA~E
LOCATION
& PRO3ECT
]'NFO:
ADDRESS OF CONSTRUCT[ON
SEWER U~L~TY
PROVIDER:
PLAN COMMISSION I
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR S~PT~C PERMIT #'S (IF APPLICABLE}:
UMBZNG C:NTRA O1~
(s)
ADDITION(S)
E
[] DEMOLITION
~lumbing cedes will be applied to the construction:
:ntemational Residential Code w/Zndlana Amendments
[] Uniform Plumbing Code w/Zndlana Amendments
(Mural-Family Construction Code)
FOUNDATiON_TYPE: (Check all that apply for the new
/ construction area)
Manufactured
Y ~ Tresses:
. ~ C] CRAWLSPACE [~ POST & BEAM
LotSplit: y V._~_N f__N C] SLAB ;. //~ ~/BASEMENT ,/
Does any part of the property lie within a special Flood deSignation area: ~ ~_N WALKOUT: ~/Y__N
For Single Famil3
within 180 days of the date of J~ within 18 months of thc
issuance date. Class I structure permits are subject to the General : of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning a
I. theundersigned, agree that any construction, e in the use of hnd or
structures r~u. ested by this application will comply with,
Indiena - 1993 (Z-289)andamendments, adopted under ~
thereto. I further ce~ that only kitchen, bath, and ttoor drains are connected to tl wi[l not be
~sed or oceupleds~fl)~fl~a C_ett~/Ecgfe ot'~O~cupau~},has been issued by the Department of ¢
Print -- ~ '- I~ate .
Rling Fees: ~ ::3, /7/0
INSPECTIONS REQUIRED: -- -
Inspections:
Reviews
Cert. of Occupancy: .~-/.5~G
P.R,LF,: /~ ~//. Df9 Additional Fees