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HomeMy WebLinkAboutCOUNTY APPLICATION 2 - 18-00479 - Basic American New Building AdditionPre -Construction Check List and Required Fees PLAN AHEAD — The following items must be completed, as outlined below, before you submit your building permit application. BE AWARE that it may take 3-5 working days to review and approve your plans, even if you have all the required information. Incomplete applications will delay the issuance of a permit. Building Permit Fee Deposit is due upon application submittal BUILDING PERMIT APPLICATION Building Permit No: Issue Date: By: 3. Parcel Number: 4. Subdivision Name: Block: Lot: 5. Owner Phone Information: r>'Z 6. Owner Mailing Address: 4 6A_0� --7-* IZX,.5� 7. Contractor : 8. Contractor Mailing Address:M& 62/10 5 9. Contractor Contractor Phone Number: /3 - - 10. Contractor License No: �(' .���(p.3Expiration Date: $ 9 ZD/ 11. Owner/Contractor Email Address: i:�mr7-?AZ>r?q 12. Proposed Use of permit: (Single family home, garage, basement, shed, shop, commercial, pole building, lean-to, religious, government, schools, agriculture building, fence, deck, carports, patio, greenhouse, sun room, other.) 13. Surfaces: (shall include the exterior wall measurements of the building) Residential: Finished Basement: Bonus Room Closed Shop: Commercial: Other (specify): 14. Flood Plain: Are you in a floodplain? Garage: Unfinished Basement: Addition: Open Shop/Shed: AG Building: Yes No If yes, which zone are you . ? A AE X O 15. Flood Plain Permit #:yN�yLUt� If you desire to build in a flood zone you must get a Flood Elevation Certificate from the Flood Plain Administrator, have your land surveyed to determine the flood elevation, submit the completed certificate, signed by the surveyor. A hearing will then be scheduled with the Madison County Board of Commissioners to get their approval and signatures on the certificate. Once that process it completed and you have the Board's approval, you will be given a building permit. Applicant's signature, certification and authorization: I hereby certify that I have read this application and state that the information herein is correct. I agree to comply with all County regulations and State laws relating to the subject matter of this application and hereby authorize representative of Madison County to enter upon the above-mentioned property for inspection purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2009 International Codes in case of any false statements or misrepresentation of fact in the application on which the permit or approval was based. Signature of owner/contractor Building Department Date Date 2 i• I n '� CT7 C!) f -n p O Cn y _ z n O z p © O � C7 -ten x > m Z m O m --1 z D -� m (� r- O � p � --I -TI O O Cl) cn m p rn m z r- m_ Imz X O ,--. m= y O O OO � � � D m C/)r- C � --q > w ,-- m Co r- cn N > '�� o— �. w C m 0 c U) C � C: �� i p j rn m r- � ^ns n 90 o O w �- w V m n w zO cn D C:) ! o —ri z CA3 00 00 00 z -n -� 00 -n �� -< -r,00 „ r Z � U) z—;;�x U)Z DC/) TI N o z IV a IV z I r- ---I �m0 z �' o % z --f m U, �n T 4 — m0 n z m 0 >0 o Z CZ O 0 ocn m p m cn cn y� ---I-n -n I C)