HomeMy WebLinkAbout05090203-Applicaton y TO~ Permit #: ~"0 ~_~70-.~
I1V RO I iV LO A IO b PLI A IOY
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
OWNER:
LOCATION
~ PROJECT
TNFO: ~ss OF CONSll~UCTION
SEWER Lq'ILITY
PHONE
STRE~r ADDRESS
NAME
STREET ADDRESS
LOT # SUBDIVISION NAME
FAX
SQUARE
NAME OF UTIIJIY EXCAVATION CONTRACTOR; PLAN COHMISSION / BZA / B~ DOCKET ~ = . ) . __
- ' - ' J- ; - = -: TYPE ,F ! --:? _ - - : PLUMBT T
0 SINGLE FAMILY [] NEW STRUCTURE ~
[] ROOM ADDITION(S) Plumbe icense #:
0 TOWN HOME
0 TWO FAMILY
# of units:
C] MULTI-FAMTLY
-~ [] # of Unlts:~
[~ gESIDENTIAT. (For
/~v Additions, Remodels, Etc.)
Early Release
Permit: Y N
[] PORCH ADDITION(S)
[] REMODEL
0 ACCESSORY BUILDING
[] DETACHED GARAGE
[] Al~ACHED GARAGE
~ DfiMOLITION
Manufactured
Trusses: __Y N
Y N
[] International Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
F: - - TYPE: (Check all thai
construction area)
[] CRAWl. SPACE [] PC)ST & BEAM
For Single Family and Two Family dwelling y i
within 180 days of the date of ~ nonth$ of the
time frames for beginning and
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or use of land or
structures requested by this application will comply with, and conform to, all ~
Indiana - 1993' (Z-289) and amendments, adopted under authority of I.C, 36-7
[ the~.~t.l;lrl~ur ther certify ~.,tj.,'nat onl~v kitchen, batll, and floor drains are counected to the sanita~)
Date
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final
~~'~m~pt. of Coi'nmunRy Services (Da~e)
Filing Fees: ~ ..,~
. I~Cc, 5¢r
~ase inspections:
Cert. of Occupancy:
P.R.I.F.:
Reviews
Additional'--~-
,DO