HomeMy WebLinkAbout05100098-ApplicationSTREET ADDRESS (2
BUILDER'S EHA[L ADDRESS
IMPROVEMENT LOCATION PERMIT APPLICATION
, Nulti-FamJly, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY ~'~;
OWNER:
SUBDM$ION NAME
& PRO3ECT
ZNFO:
NUMBERS; TAC DATE(S); AND/OR C
PHONE
WATER UTiLiTY
TOWN HOME
TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
TYP; :V', -1 :
..EW STRUCTURE
OOM ADDITION(S)
[] PORCH ADDITiON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
C] AFl'ACHED GARAGE
[] DEMOLITION
Permit:
Manufactured
Y ~'N Trusses: z~Y N
STATE
S~CTION ZONING:
/ FOOTAGE:
ESTIi, IA'f~D COST OF CONSTRUCtiON: -- 0' ~
(EXCLUDING LAND VALUE) ' / ~ ~ 8' d d ~
PLUMBZNG CONTRACTOR: ~
Plum~
Which plumbing codes will ae applied to the con~rucUon:
C~ntereaUonal ResidenUal Code w/Zndlana Amendments
[] Uniform Plumbing Code w/Zndlana Amendments
(Multi-Family Consb-uction Code)
F: _ N TYPE: (Check all that apply for the new
construction area)
[~) CRAWLSPACE [] POST & BEAM
Y___~N Sump Pump: y 2~]N ,,~SLAB [] BASEMENT
lie within a special Flood designation area: Y~ WALKOUT: N
For Single Family and Two Family dwellings, additions, remodels, end/or accessory steucenres if construction commences
within 180 days of the date of issuance of the building permit, end must 1~
issuance date. Cla~s I steucture laern~r~ are subject to the General Administrative Rules of the State
time framea for beg~ning end completing construction.
I, the underaigned, agree that any or alteration of a strucuaxe, or
stractures ~quested by this application ~ comply w~th.
Indiana - 1993~' (Z-289) and amendments, adopted undea: authority of I.C. 36.7 et seq, General Assembly
thereto. I further certify that only kitchen, bath, end floer drains a~e connected to the sanitary sewer. I further certify
used~or oecupi~e41 until a Cerr~cacpto£Occ~a~c?has been issued by th?.5.~,epar tment of Coranau~ity
Filing Fees:
iNSPECTiONS REQUtRED: Base [nspections: ~ # O~arged Re-
Additional Fees
(Date)