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: '~