HomeMy WebLinkAbout05110158-ApplicationRECORD:
City of Cannel~Clay Township permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
New ~ Remodel., . & Accessory Buildings
PHONE
S rREEr ADDRESS
ADDRESS OF CONS'IRUCFION
LOC~.T~ON
& PRO3ECT
INFO:
BUILDING, PROJECT, OR TENANT NAME: ZONING:
FAX
ILot 8 and Subdivision (If Applicable)
FOOTAGE:
COMMERCIAL
(Privately owo~O~
an~ me~ ait~offi~centers
[] Municipal/Pub!lc Bldg
[] School
rea)
[] CRAWL SPACE
POST & BEAM [~ BASEMENT
(or POST & PIER) WALKOUT: Y N
~ MECH '~ PLUM SQUAEE
(EXCLUDING LAND VALUE)
ADDITION
[] Room(s)
R~MO~.,,, ~
N~ ~NA~ HNISH
ACCES~RY gUIdING
D~ACHED ~GE
A~ACHED ~GE
~LL TOWER (N~)
CELL TOWER CO-L~
DEMO~Oh
.~RO.1E: INFO - _-"ri, :
Early Release L/' Manufactured
Trusses:
Lot~Plit: Y Y'~N SumpPump: Y~N
Does any part of the property lie within a special Flood
designation area| .
Plumber's Indiana State License #:
Class I structure pernuts axe subject to the General Administrative Rules of the State o[ Ind~na (See 575 IAC 12) regaxdlng expiration time frames for
beg~mi~g and completing construction.
I, the undersigned, agree that any construction, reconstmc~on, enlargemenL relocation, or akeration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to. all applicable laws of the State of Indiana. and the 'Zor~g Ordina=ce of Carmel Indiana - 1993' (Z-
289) a~d amendmenr~ adopted u r~der au thorky of I.C, 36-7 et seq, General Assembly of ~e State of Indiana, and all Acts amendato~y thereto. I further certify that only
kitchen, bath, and floor drains are cormected to the sanita~ sewer. I further certify tlmt the eonstraction will not be used or occupied until a Cert~t~c~te o£
O~c~anc? or f~/~taae/a/~.~/~e~/~ has been issued by the Depax=ent of Community Se~c~, Cannel, Indiana.
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: ~.t~'. Filing Fees: ~ q/J' ~~
Up.rF~ng Lower~fing UnderSlab 'q~' ~se[ns~ions' / q2* 6~0 ' .htih%~
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