Percent of Lot Coverage: (Footprint Square Footage divided by the area of the parcel)
Prescriptive
Total UA
The Town of Zionsville, Indiana
1100 West Oak Street, Zionsville, Indiana 46077
Application for Improvement Location Permit
Single Family, Town Homes & Two Family/New Structures
Address & Zip Code of Site Location:
Sanitary Sewer Provider/Permit Number:
Town of Zionsville:
TriCo Regional Sewer Utility:
Whitestown Municipal Sewers:
Boone County Health Department (Septic):
Subdivision:
Stormwater/Drainage Permit Number: (If Applicable)
Twp: E P U W Zoning:
Driveway Permit Number: (If Applicable)
(If Applicable) BZA Docket #:
Plan Commission Docket #:
Type of Water Supply:
Public System Private System
APPLICANT (BUILDER-CONTRACTOR) PROPERTY OWNER
Contact:
Contact:
Company: Company:
Address: Address:
City: City:
Zip Code:
Zip Code:
Phone Number: Phone Number:
E-Mail: E-Mail:
IF Different from Owner, Fill out Owner Authorization Form
INDIANA ENERGY EFFICIENCY CODE USE OF TRUSSES & I-JOISTS
Per formance
PROJECT INFORMATION
Area of Lot:
Estimated Cost of Construction:
Project Description:
Number of Bedrooms: Number of Baths: Full: Partial:
Definition of Floor Area: For Single-Family and Two Family Dwellings, the sum of all horizontal surface areas of all floors of all roofed portion of a building
enclosed by and within the surrounding exterior walls or roofs, or the centerlines(s) of party walls separating such buildings or portions thereof. The Floor Area
of a building shall exclude all areas with a vertical height clearance less than seventy-eight (78) inches, exterior open balconies, and open porches.
Total Construction Floor Area (Square Footage):
(Includes all Floors and Attached Garage)
Total Accessory Floor Area (Square Footage):
(Porches/Patios/Decks)
Total Square Footage of Building Footprint and Accessory Areas:
LOT COVERAGE
SITE SET BACKS AND HEIGHT OF PROJECT
Front: Side: Side: Rear: Height:
FLOODPLAIN CATEGORY
An elevation certificate signed by a land surveyor, engineer or architect is required if the site is located in a flood plain
The undersigned hereby certifies that the above information is true and correct as (s)he is informed and believes and agrees, that as a condition of making this
application and of its issuance, to conform to the building code of the Town of Zionsville and all instructions and directions of the Building Commissioner and
Inspectors and further that the improvements authorized by this permit will not be used or occupied until a certificate of occupancy has been issued by the Town of
Zionsville, Indiana.
Signature of Applicant: Date:
A AE AH AO AR A99 V VE X D
2009 Electric 2012
Plumbing 2014
Mechanical
APPLICABLE CODE(S) - *REQUIRED:
2020 Indiana Residential Code - Includes ALL Crafts
Alternate Indiana Codes Available:
2014 Building
I-Joists - Floor / Ceiling Trusses - Ceiling
State Parcel ID#:
click to sign
signature
click to edit
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