BUILDING PERMIT APPLICATION
Office Use Only
App. #: BBBBBBBBBBBBBBBBBBBBB
BUILDING PERMIT APPLICATION Town of Plainfield Building Department
3URMHFW7\SH:BBBBBBBBBBBBBBBBB
206 W. Main St. Plainfield, IN. 46168 Phone (317) 839-2561
Permit #:BBBBBBBBBBBBBBBBBBBB
COMPLETE THE FOLLOWING:
Phone # for Permit Pick Up:
Date:
Email for Pick Up:
Location and Project Information
Project:
Zoning:
Subdivision:
Lot:
Address:
Suite#:
Township:
Electric Company:
Duke Energy
Hendricks Power
Project in Floodplain: Yes
Parcel #
IPL
No
Estimated Construction Cost:
Company:
Contact:
Builder\Contractor:
Address:
City, State
Zip:
City, State
Zip:
Phone #:
Cell #: Email:
Site Contact:
Contact:
Phone #:
Email:
Company:
Contact:
Property Owner:
Address:
Phone #:
Cell #: Email:
REV 0117
1
App. # Permit
Structure
Use
Work
Building
Principle
Single Family
New
Foundation
Accessory
Two-Family
Addition
Partial (Structural)
Racking / Conveyor
Multi-Family #Units
Remodel
Interim (Remodel)
Mezzanine
Commercial
Tenant Improvement
Construction Trailer
Modular/ Mobile Unit
Industrial
Electrical
Pool
Communication
Institutional
Demolition
Other
Other
Other
Other
Total Area Under Roof Residential
sq. ft. (Include: Garage, Basement, Covered Porch)
Addition / Remodel
Number of: Characteristics of Structure
Energy Code
Floors:
Bedrooms:
Exterior:
Garage:
Prescriptive
sq. ft.
Type of Remodel
sq. ft.
Bathrooms:
Total Living Area
HOA Aproval Needed:
Basement: yes
Performance
no
Total UA
Yes
No
Model # or Name:
N/A
Total Area of Structure
sq. ft.
State Release #
Remodel T/I Area
sq. ft.
Type of Remodel
Commercial
I the undersigned owner or agent agree that the construction, alteration, addition, demolition, or repair of the building or structure will conform to the applicable governmental ordinances, codes and laws. Any alteration or change to the application or plans submittal shall constuite sufficient grounds for revocation of the permit, unless the revisions have been approved by the Building Official. The building or structure shall not be occupied until a Certificate of Occupancy has been issued by the Building Commissioner. The issuance of the Certificate of Occupancy does not indicate, represent, or evidence the Town of Plainfield's agreement that the Owner of the construction project, the consruction company on the project, or any subcontractor to the project has complied with its contractual obligations between or among the parties.
(Applicant Signature)
(Date)
(Print Name)
DO NOT WRITE BELOW THIS LINE - STAFF USE ONLY
Project in Floodplain
yesBBBBBB
noBBBBBB
Date Approved:BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Approved by:BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
REV 0117
Building Fee $BBBBBBBBBBBBBBBBBBB
Building Review BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB ,LP Building StructureBBBBBBBBBBBBBBBBBsq. ft.
2
App. #: BBBBBBBBBBBBBBBBBBBBB
BUILDING PERMIT APPLICATION Town of Plainfield Building Department
3URMHFW7\SH:BBBBBBBBBBBBBBBBB
206 W. Main St. Plainfield, IN. 46168 Phone (317) 839-2561
Permit #:BBBBBBBBBBBBBBBBBBBB
COMPLETE THE FOLLOWING:
Phone # for Permit Pick Up:
Date:
Email for Pick Up:
Location and Project Information
Project:
Zoning:
Subdivision:
Lot:
Address:
Suite#:
Township:
Electric Company:
Duke Energy
Hendricks Power
Project in Floodplain: Yes
Parcel #
IPL
No
Estimated Construction Cost:
Company:
Contact:
Builder\Contractor:
Address:
City, State
Zip:
City, State
Zip:
Phone #:
Cell #: Email:
Site Contact:
Contact:
Phone #:
Email:
Company:
Contact:
Property Owner:
Address:
Phone #:
Cell #: Email:
REV 0117
1
App. # Permit
Structure
Use
Work
Building
Principle
Single Family
New
Foundation
Accessory
Two-Family
Addition
Partial (Structural)
Racking / Conveyor
Multi-Family #Units
Remodel
Interim (Remodel)
Mezzanine
Commercial
Tenant Improvement
Construction Trailer
Modular/ Mobile Unit
Industrial
Electrical
Pool
Communication
Institutional
Demolition
Other
Other
Other
Other
Total Area Under Roof Residential
sq. ft. (Include: Garage, Basement, Covered Porch)
Addition / Remodel
Number of: Characteristics of Structure
Energy Code
Floors:
Bedrooms:
Exterior:
Garage:
Prescriptive
sq. ft.
Type of Remodel
sq. ft.
Bathrooms:
Total Living Area
HOA Aproval Needed:
Basement: yes
Performance
no
Total UA
Yes
No
Model # or Name:
N/A
Total Area of Structure
sq. ft.
State Release #
Remodel T/I Area
sq. ft.
Type of Remodel
Commercial
I the undersigned owner or agent agree that the construction, alteration, addition, demolition, or repair of the building or structure will conform to the applicable governmental ordinances, codes and laws. Any alteration or change to the application or plans submittal shall constuite sufficient grounds for revocation of the permit, unless the revisions have been approved by the Building Official. The building or structure shall not be occupied until a Certificate of Occupancy has been issued by the Building Commissioner. The issuance of the Certificate of Occupancy does not indicate, represent, or evidence the Town of Plainfield's agreement that the Owner of the construction project, the consruction company on the project, or any subcontractor to the project has complied with its contractual obligations between or among the parties.
(Applicant Signature)
(Date)
(Print Name)
DO NOT WRITE BELOW THIS LINE - STAFF USE ONLY
Project in Floodplain
yesBBBBBB
noBBBBBB
Date Approved:BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Approved by:BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
REV 0117
Building Fee $BBBBBBBBBBBBBBBBBBB
Building Review BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB ,LP Building StructureBBBBBBBBBBBBBBBBBsq. ft.
2
