The Town of Zionsville, Indiana
1100 West Oak Street, Zionsville, Indiana 46077
Application for Residential Improvement Location Permit
Addition·Remodel·Accessory Building·Deck·Patio·Pool
Address & Zip Code of Site Location:
Permit Number:
Town of Zionsville (Stormwater):
Boone County Health Dept. (Well & Septic):
Boone County Surveyor (Drainage):
State Parcel ID#:
Subdivision:
Section: Lot #:
(If Applicable)
BZA Docket #:
Plan Commission Docket #:
Twp:
PROJECT INFORMATION
TOTAL GROUND FLOOR AREA
LOT OVERAGE
(Footprint Square Footage divided by the area of the parcel)
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 floodplain
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: ________________________________
Percent of Lot Coverage of Existing Structures:
Percent of Lot Coverage of Existing Structures + New Project:
Total Square Footage of Existing Building FOOTPRINT:(Include All Accessory Structures, Decks/Porches/Pool)
Total Square Footage of Existing Structures FOOTPRINT + New Project:
Area of Lot:
Estimated Cost of Construction:
Total Construction Floor Area (Square Footage):
(Includes all Floors and Attached Garage)
Total Square Footage of Building Footprint and Accessory Areas:
Addition
Add a Bedroom? YES NO
Accessory Structure:
Over 200 sf Under 200sf
Deck (above grade):
Remodel
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 Accessory Floor Area (Square Footage):
(Porches/Patios/Decks)
A AE AH AO AR A99 V VE X D
E P U W
Zoning:
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
Prescriptive
Total UA
INDIANA ENERGY EFFICIENCY CODE
Per formance
2009 Electric 2012
Plumbing 2014
Mechanical
APPLICABLE CODE
(S) - *REQUIRED:
2020 Indiana Residential Code - Includes ALL Crafts
Alternate Indiana Codes Available:
2014 Building
USE OF TRUSSES & I-JOISTS
I-Joists - Floor / CeilingI-Joists - Floor / Ceiling
Over 30 inches Under 30 inches
Trusses - Ceiling
click to sign
signature
click to edit
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