HomeMy WebLinkAbout05100183-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Yamily, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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PROPERTY
OWNER:
LOCATZON ,or #
& PR~3ECT
TNFO.
SUBDIVISION NAME SECT~Ofl ZONING:
~OWOER: C/:V/,m~L .Rov~oE~: ~__~,v'~.l
NAME OF UTILITY EXCAVATION CONIRACTOR; PLAN COMMISSION / BZA / B~N DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR ~PTIC PERHIT #'S (IF APPLICABLE):
8
FOOTAGE~
(EXCLUDING LAND VALUE)
~ NEW STRUCTURE
[] ROOM ADDITION(S) e #:
# of units:~ ~ PORCH ADDITION(S)
MULTI-FAMILY [] REMODEL
# of Unit~: . _ []
O RESIDENT~L (For [] DETACHED GARAGE
[] ATTACHED GARAGE
Additions, Remodels, Etc.) ~ DEMOLITION
._ !_: _: - :
Early Release Manufactured
Permit: ~ Trusses: y construction ama)
Lot Split: Sump Pump: ~Y ~N k~ CRAWl-SPACE O POST & BEAM
. '~-'--' /3,<L~ SLAB [::] BASEMENT
Does any part of the property lie within a special Flood deaignatio~ area: Y
~~ .~.Y~e~ ~eo~o~
:t seq, General Assembly of the State of Indiana, and ~ Acts amg~t-o~y-'-
to the samtm-y semer. I further certify that the construction will not be
INSPECTIONS REQUIRED:
Upper Footing Lower Footing
Rough In Meter Base Final
Filing Fees:
Cert. of Occupancy:
P.R.LF,:
# Charged Re-
Reviews
AddiUonal Fees