HomeMy WebLinkAbout05110132-Application . IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
OWNER:
LOCATION
& PRO3ECT
STREET ADDRESS
8UILD~R'S EMA~L ADDRESS
~U~E
LOT # SUBDiViSION NAME
INFO: ; OF CONSTRUC~ON
PHONE ~
cl'rY STA'i~ ZIP
BEST METHOD OF CONTACT:
PHONE
FAX
NUMBERS; TAC DA~:(S); AND/OR COUNTY WELL AND/OR SEPTIC P~RMIT #'S (IF APPLICABLE):
TYPE R~:
[] NEW STRUCTURE
[] TWO FAMILY [] ROOM ADDITION(S)
# of Units: [] PORCH ADDITION(S)
-- [] REMODEL
[] MULT/-FAMILY [] ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units:__ [] DETACHED GARAGE [] ZntemaUonal Residential Code w/Indiana Amendments
~__/ ATTACHED GARAGE
(For '%c~f nEMOLTT~ON [] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
~OUNDA~: (Check all that apply for the new
Y N construction area)
y -- '~CRAWLSPACE [] POST & BEAM
Lot __ N ~ ~B [] B~SEME~
~ N WALKOUT:_ Y N
Fo~. $~. g~e Fam~y a~d T ~ , ~cmodels, a~/or a¢ce~taT
· w~t~t~ 180 days o£ t~e date o£ ~ssu~mce of the bufld~g pctm~t, a~d must be comp]et~ (~cate o£ Oc~cy ~ued) ~ 18 mon~ o£ the
~s~ua~e¢ data. CL~s~ ! sttuccttt~ pe.~ts at~ subject to the General AdmL~sctat/¥e Rtdc~ o£ the State o[ Inc~ana (Sec 675 ][AC 12) tcga~g exp~tadoa
~me ~mcs £ot b~at~g a~d compIet~.g construction.
OF~CE USE ONLY: * ****************************************************
Filing ~s:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final
~-ewed/App~ Services (Date)
Ba. se In.spe~ ions:
P.R.LF.:
__~ -# Charged Re-
~. ~.~ Reviews
TOTAL:
Additional ~/,/