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HomeMy WebLinkAbout05090134-Application SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory SLTuctures BUZLDER ot ~A/~ ~ ~ RECORO: STREff~ ADD~S , ~ ~ ~ ~A~ OWNER: NUM~; TAC DA~S); ~DIOR COU~ we~ ~DIOR SE~C PE~ ~ (IF A~): -- ~ /~ l ES'ffMATED CO$T OF CONSTRUCTION: (EXCLUDING LAND VALUE) SINGLE FAMILY [] TWO FAMILY # of units:__ [] MULTI-FAMILY ~ # of UnM: ~ RESIDENTIAL (~or Addi~ons, Remodels, Etc.) PRO3 ~ _TI i: ZNSPE~ONS REQUZREI Lower Footing [] NEW STRUCTURE [] _ROOM ADDT[ZON(S) E~"PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE PLU~BTNG Which plumbing codes will [] Intematiom Amendments [] Uniform Plumbing Code w/Indiana Amendments ~ ~'~] - "Ai TY : (Check all lflat apply for the new ~'y ~ ~n~on a~} Y / N ~ C~W~PACE ~ & B~M ~ S~B ~ B~EHENT any pa~ of ~e pm~ lie wi~in a s~al FIo~ d~ignafion a~: Y ~_N WA~O~:YN s, rem~e~, ~~ s~c~,~t is v~d o~y ff co~~ ~ 180 days of ~e ~te of ~ce of ~e b~g ~t, ~d must ~ completed (C~cate of O~up~cy ~ed) ~ 18 mon~ of ~e ~ce ~t~ C~ s~c~ ~ ~ ~bj~t ~ the ~ Admlni~ve R~ of ~e S~te of InCa (S~ 615 IAC 12) ~g ~on ~e fr~ for ~g ~d compl~g correction. un~, ~ee ~t ~y cons~caon, ~ons~cnon, ~e~L td~a~o~ or ~t~aflon o[ a s~c~re, or ~y ~e ~ ~e u~ of l~d or s~c~ ~t~ by ~s app~cafion ~ comply ~, ~d co~o~ to, ~ app~cable hws of ~e State off--a, ~d ~- 1993 (Z~289) ~d ~, adopted und~ au~ofiw of I.C. 364 et seq, G~fl ~bly of ~e State of ~a, ~d ~ Ac~ ~to~ · ~to. I ~h~ c~ ~at ~y ~t~, ba~ ~d fl~r ~s ~ ~t~ ~ ~e s~t~ sew~. I ~ c~ ~t the cons~c~on ~~ ~ ~te ~&~y ~ ~n i~ued by~e Dep~t of Co~u~ty Se~c~ ~el, In&a. Rllng ~s: R~iews AddiUonal Fees (Date) :; of Community Services