HomeMy WebLinkAbout05110182-ApplicationCity of Carmel~Clay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or InstituUonal: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUZLDER of NA.E
RECORD:
PROPERTY
OWNER:
BUILDER'S EMA~L ADDRESS
NAME
FAX
BEST HETHOD OF CONTACT:
PHONE FAX
CT~Y STATE ZIP
LOCAl/ON ADDRESS OF CONStrUCTION SUITE# ([f Applicable)
ZNFO: Address of Shell Bui~dln Lot # and SubdMsion (If Applicable)
ETATECONNERC~AL SCOPE(S)OF D FDI~ O STR C3 ARCH ~D MECH ~D PLUM SQUARE
SEWER UT[MTY J SST[iV~TED COST OF CONSTR, U~I/ON:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SBrFIC PERMIT #'S (If Rpplk:able): ~ ~" ~, ~ (~(~ ~
#off Elevator or Uft: ~;~YES ~ NO CCUPANCY CLASSIFICATION:
[] INST~ONAL
[] {~,~ ~HODEL designation area: Y _.,~q
C3 ·NEW TENANT FINISH
[] ACCESSORY BUILDING PL 41 -: : ;-~: OR_:
~1 (Cllech all which ~ DETACHED GARAGE ~) ~.~
apply f°r the new ~onstmcfl°n area) ~3 ATTACHED GARAGE ~
{~ SLAB ~ []~ CRAWL SPACE [] CELL TOWER (New) Plumber's Zndiana State Ucense #:
(~ POST & BEAM ~ BASEMENT ~ [] CELL TOWER CO-LOCATE
(or POST & P~ER) WALKOUT: Y'~N [] DEMOI.tT~OI~
CZass I ~ttuctu~ pczmtts ate sub~ecr ro thc Genera] Ad~fistzattv¢ ~ules of th~ State o~ L~di~ (Sec 675 L~C 1:2) ~egat(Uag ~pJtatio~ time fz~mcs
b~ a~d compktl~g comrructto~
r~quesred by this application will comply w~C% and conform to, all applicable laws of the State of ~dia~, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z.
289)andamendme~s~ad~tedunderauth~rity~f~.C~36`7er;seq~Genera~Assemb~y~ftheSt:a~e~fIndiana~anda~Acrs~en&r~e~. I fuvaher c~rrify that onty
kitchen, hath, and flcor dra~s are connected to the sanitary s~wer. I further certify tha~ the construction will not be used or occupied tmttl a ¢~cate o£
Occup~c.~ o~'b~ab~matidCompletJoa h~. be~n issued by the Department of Comanu~.'.ty Services, Carmel, Indian~
Signature of Owner or Authorized A~lent Print
OFI~CE USE ONLY: *************************************************
Filing Fees: ~ &
Under Slab Base Inspections:
Cert. of Occupant: __/_~
# Charged Re-
Reviews
, Additional Fees