HomeMy WebLinkAbout05090189-ApplicationBUZLDE~ of
RECORD:
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAHE PHONE - ~ FAX
=-"~EETADDRESS ~· CT~ , ~ · STATE
BES~ METHOD OF CONTACt:
CD SINGLE FAMILY
CD TOWN HOME
CD TWO FAMI,L.Y
# ofunts
~ MULTi-FAMILY
# of Units:~
CD RESIDENTIAL (For
Additions, Remodels, Etc.) (=] DEMOLITION
~-- N _ . , -J:
· Hanufactured
Trusses: -z~--Y __N
Uniform Plumbing Code w/Indiana Amendments
· (MuFti-Family Construction Code)
FOUND- -: TYPE_: (Check all that apply for the new
consb*uctlon area)
[] CRAWLSPACE [] POST & BEAM
[] BASEMENT*
WALKOUT: Y /
OFF~CE USE ONLY: *********************************************
Filing Fees:
REQUZRED:
Base Inspections:
Cert. of Occupancy:
P,R.I.F.:
TOTAL:
Reviews
AddiUonai Fees
: Dept. of Community Services (Date)
FeeR