HomeMy WebLinkAbout05110102-Application NAM-- N
~/C~'_ .D'c~BUILDER
PROPERTY
OWNER:
LOCAT'~'ON
& PRO3ECT
IN FO:
PReY]DER:
J STREET ADDRESS ~ CITY STATE
LOT #-- SECT[ON
S~UARE
Plumber's Indiana State License #:
(~ BUILDING Which plumbing codes will be applied to the construction:
[] ~ ~Intemational Residential Code w/Indiana Amendments
A~rACHED GARAGE C~ Uniform Plumbing Codew/Indiana Amendments
[~ DEHOLt-~ON
(Multi-Fami[f Construction Code)
nufactured -~ FOUNDATI_ON TYPE: (Check all that apply for the new
~ Trusses: ~,y ~ construction area)
[]] CRAWLSPACE [] ~POST & BEAM
Lot Split: N Sump Pump: ~ SLAB / (~ BASEMENT
Does any part of the property lie within a special Flood designation area: v ~/N WALKOUT: Y~N
For Single Family a~nd Two Family dwellings, additions, remodals, and/or accessory structures, this permit is valid onl if const ru'c tion commence---~
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 structure permits are See 675 lAC 12) regarding expiration
i, the undersigned, agree that any construction or any change in the use of land or
and the "Zoning Ordinance of Catmd
L and all Acts amendatory
that the construction will not be
indiana.
Date
Under S ab Base Inspections: __~ = Charg~O Re-
~---~ Ced:, of Occupancy: __.~_ Reviews
iEL~I ~ Sitter> P.R.I,F.: ~ Additional Fees
RevieweO/Ap~roved: Dept. o~ Communit ~ Se[vices (Date~