HomeMy WebLinkAbout05110051-ApplicationPROPERTY
OWNER:
PERMIT APPLICATION
New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
BEST~ETHOD OJ: CONTACT: ~% ~ / ~ ~
PHONE FAX
LOCATION ; LOT # ~ SUBDMSION NA/41~ ~ ~ SECTION ZONING:
- E._ - = :
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY j~
# of Units: ~Jfl
[~ RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release y X
Permit: N
TYP .F -~;: VE- :
N
EW STRUCTURE
ROOM ADDITION(S)
[]] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
~-l ATFACHED GARAGE
[] DEMOLITION
Lot Split:
Manufactured
Trusses: __._~Y N
Sump Pump: ~'t &N
[] International Residential Code w/Indiana Amendments
l~Unifornl Plumbing Code w/Indiana Amendments
(Multi-Family Construddon Code)
~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
[~ SLAB []
Does any part of the property lie within a special Flood deaignafion area:
For Single Family an~ Two Family dwellings, additions,
within 180 days of the date of issuance of the building permit,
bas been issued b
O~CE USE **--************************ **************************
Filing ~s:
J~SPE~O~ EEqUJEED= · ~a~ R~
R~i~s
· ~ ~ Additional Fees
~-ewed/Approve~. I~ept of Community Services (Date)