HomeMy WebLinkAbout05110028-ApplicationRECORD:
PROPERTY
OWNER:
& PRO3ECT
INFO:
NA~E OF UTILITY
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
7' PHONE
~ STATE
~ONE
ADDRESS OF CONSTRUCTION
PROVIDER:
; PLAN COMMISSION / BZA / BPW
SECTION ZONING:
SQUARE
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
SINGLE FAMILY
TOWN HOME
.REMODEL
ACCESSORY
Does any
AddiSon: ~ATTACHEDGARAGE
DEMOLITION
~--~-.Y N
~Y 7~N
[] Uniform Plumbing Code w/Zndlana Amendments
(MulU-Family Construction Code)
~-~~L~: (Check all that apply for tahe new
construction area)
~ CRAWl_SPACE [] POST & BEAN
~3 SLAB [] BASEMENT
area: Y..~_.N WALKOUT: y N
f; .......e _v .~.L ta~._d_-! ~.°ns' remodels, ~Wor ~o~ s~c~r~,
-- ~ · s~ct~ ~ ~ ~bj~t to the ~ A~v~V~ ~ ~d~~ o~y~up~ ~ed) ~ 18 monks of ~e
~e f~ . . - --~ ..... e amte ot India (~e 675 IAC 12 · -
the und~l~ ~e ~ar any rn~ · for ~g ~d compleung cons~cfion ) ~g e~wanon
~-1993 (Z*289)~d~ ......... adop~d~d~au~o~aflc ao-t'~
Under Slab
Final Site
Rling Fees:
Base InspecUons:
Cert. of Occupancy:
P.R.I.F.:
$:PermErdForms/lLp RESIDENTIAL (Date)