HomeMy WebLinkAbout05100063-ApplicationRECORD:
OWNER:
LOCATION
& PRO3ECT
t'NFO:
RESIDENTIAL ]2V[PRO MENT LOCATION PERMIT APPLICATION
For Single Family, HuiU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
brA'rE
[~ST HEI~OD OF ¢Oh~TACT:
PHONE
ZONING:
FOOTAGE:
ADDmON($)
BUILDING
DEMOLITION
Plumber's Indiana State License St:
~umbing codes will be applied to the constructio.:
~IntemaUonal ResidenUal Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Famiiy ConsixucSon Code)
Early Release / Hanufacturud F~~: (Check all that apply for the new
Permit: Y._.~N/ Trusses: construction area)
Lot Split: Y~ Sump [] CRAWLSPACE ~__/~ST & BEAM
[]SLAB __L~N L~ BASEMENT
Does any Imrt of the property lie within a sl~lal Flood deaignation area: y WAD(OUT: y
· u g penmt, a~aa must be completea (Cert~cate ofOccu anc issu ' *
:ss ance date. Class I structtlre permit~ are subject t the General ARmi ........
~ ~O ~ ~---.---rmnls[zatlve Kules Olthe State of Indiana (See 675 IAC 12) rvaardin~ e-~iraOon
u ed o~ ' * ' d to the sanitary sewer. I further ocr ' that the const '
~e~ occupied u~ tjl a Certdr~cate o[OccuLm~cvhas been issued 1.,, :4. ............ t~ rucuon will not ~e
Dato-- ~
OFF~CE USE ONLY: **** ****************************
INSPECTIONS REQUIRED:
Under Slab
sR..~l~edF~m/Ap~o~v~ Dm~eptt. of Com m unity Services (Date)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
# Charged Re-
Reviews
AddiUonaI Fees