HomeMy WebLinkAbout05110142-ApplicationRESIDENTIAL IMPROVEMENT LocATION PER_MIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDE~ of
RECORD.
PROPERTY
OWNER:
; EHA[L ADDRESS
PHONE
CRY
FAX
STATE ZIP
SECT[ON ZONING:
LOCATION
& PROJECT
INFO:
N NAME
'~GLE FAMILY
c~ TOWN HOME
C~ TWO FAMILY
# of units:
C~ MULl'J-FAMILY
# of Units:
C~ RESIDENT[AL (For
Additions, Remodels, Etc.)
P_ !:-- IN z.-=-~ ·
~EV~R~MSTRUCTURE
ADDITION(S}
~ REMODEL
[] ACCESSORY
[]] DETACHED
[]] ATTACHED C~R~
[] DEMOU-r~ON DC
Eady Release /~ Manufactured
Permit: Y (-N/ Trusses: ~ N
Lot Split: ~
Does any part of Ute property lie within a special flood designation area:
PLUMBIN
construction ama)
[] CRAWLSPACE
C~ SLAB
Y
~ w/Indiana Amendments
(Check all that apply~fo/~ w/~ ~j
WALKOUT: Y_~_j~ ~
issuance dat~ Glass I structure permits are subject to thc General
Under Slab
~Dept. of Community Services (Date)
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
# Charged Re-
Reviews
AddiUon~l Fees