HomeMy WebLinkAbout05110066-Application Towt~ship Permit #
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
& PRO3ECT
ZNFO:
PHONE
ADDRESS OF CONSTRUCTION
NAME OF UTILIl~' EXCAVATiOh
RS; TAC DATE(S)~ AND/OR
BZA / BPW DOCKET
F APPLICABLE):
SmGLE a-URE
# of units
CD MULTI-FAY Y BUILDING
# of Units:
CD CD ATTACHED GARAGE
Additions, Remodels, Etc.) CD DEMOLITION
STATE ZIP
SQUARE
FOOTAGE:
PLUMBING CONTRACTOR:
~ndiana State License #: --
[i] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
the new
Manufactured
Y /% N Trusses: __Y _;~_N {~ CRAW[SPACE 0
Lots Jif' Y ~ N SumPPUmp· Y ~'~N RAq
P ........ CD ~ CD ___EMENT
within 180 days of t he date of issuance of the bailding perrait, and mast be complete~'~l~.?te ~'}~,"~n ~3~n 18 m°nths °f the
ssnance date C ~ss structt re perm ts are subject tO the 6eneral Administrative IL~s~Ct~ 5;ate ~d~n~li~S~ 6qd~ ~'~{~:~ expiration
nme frames for be~ nmn~ and compl~h~ go~ud~;; .~ / C. ~ ....
structures requested by this app~kadon w~ comply with, and conform to, ~ applicable hws of the State of tn~{~ ~Zonmg Or&nance of Carmd
Indiana - 1993" (Z~289) and amendments, adopted under authority of IC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendato~'
~~~orizea Agent Print Da~ '
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: ~
Base Inspections: ~ # Charged Re-
Lower Footing Under Slab . ~ ~-A Reviews
Cert. of Occupancy: __ .~,~/:_.Tz~
[4eter Base ~ P,Ri,F.: / Additional Fees
DeDt ofCommuni¢/Services ~ (~te)