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HomeMy WebLinkAbout05110057-ApplicationRECORr LOCATION PERMIT APPLICATION Hulti-Family~ & Two Family: New Structures, Additions, Remodels, & Accessory Structures Shannon Hlnsha PHONE STA'IE FAX Z~P PROPERTY OWNER: FAX TOWN HOME TWO FAMILY # of units:__ MULT[-FAMILYj/~JJ/J # of Units: v~m-' _ C] RESIDENln. AL (For Additions, Remodels, Etc.) Permit: Y ~_N ~ NEW STRUCTURE [~ ROOM ADDITION(S) C] M2RCH ADDITION(S) ~ REMODEL C] ACCESSORY BUILDING [] DETACHED GARAGE [] ATrACHED GARAGE ~ DEMOLITION Manufactured /~ Trusses: y N PLUMBZNG CONTRACTOR: PlUm cs ~ndta~t S~:ate License #. Whk .,.mbi.. wm b. to th...=.,:.o.: [] International Residential Code w/~ndiana Amendme~,~ ~JJniform Plumbing Code w/Indiana Amendments (Multi~Family Construction Code) .FOUNDATION TYPE: (Checkalltfia~applyforthenew construction ama) [] CRAWLSPACE [] POST & BEAM [] BASEMENT Base Inspections: # Charged Re- Reviews (D~t~) For Single Family and Two Family dwellings, additions, remodels, and/or accessoq within 180 days of the date of issuance of the building permit, and must be compk isenance date Class I structure permits are subject to the General Administrative R~ time frames for beginning and completing construction. I, the undersigned, agree thax any construction, reconstruction, enlaggement, relocation, or alteration of a su stracmms ~ested by this application will comply with, and conform to, all applicable laws of the State of Indiana - 1993 (Z-289) end amendments, adopted trader authotity of I.C. 36~7 et seq, General Assembly o£ t thereto, I further certify that only kitchen, bath, and floor drains ate connected to the saintar~ Sign~m o~ O/emer dr Author~ed A~nt Print Date OFFICE USE ONLY: *********************************************~'************************** Filing Fees: ~ ~ ~ I'NSPECTZONS REQUIRED: '~