HomeMy WebLinkAbout05110021-ApplicationRESIDENTIAL IMPRO MENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NA PHONE FAX
BUILDER'S EMAIL ADDRESS
FAX
PROPERTY
OWNER:
LOCATION
SUBDIVISION NAME
~.F-~..~ C~TV~,~. ~/~ zm
SECTION
SQUARE
mOOTAGE:
SINGLE F
TOWN HOME
TWO FAMILY
~ of units: __
~ MULTI-FAMiLY
~ #Of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
P~TECT NF RMA :ON:
Early Release
Permit: Y _Z~
COMMISSION / BZA BPW DOCKET
ESTIMATED COS~ OF CONSTRUCTION:
(EXCLUDING ~ND VALUE) ~
Manufactured
Trusses:
_PLUMBING CONTRACTOR: t
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
~' Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDAT~_ON TYPE: (Check all thatapplvf~~ :~~
Y ~-N construction area)
j~ BASEMENT
WALKOUT: Y__~___N
Lot Split: __Y _~N Sump Pump: __ ~Y N
SLAB
Does any part of the property lie within a special Flood designation area: __Y
and Two Family dwellings, additions, remodels, and
OFF~CE USE
[NSPECT~O~
Reviewed/Approveo: Dept, of Community Services
(Date)
Cert. of Occupancy:
P,R,I,F.:
*****************************************
Fees: ~J~ # Charged Re-
~ - ,~'"'0 Reviews
Additional Fees
OTAL