HomeMy WebLinkAbout05120021-ApplicationRECORD:
City of Carrnel/ Clay Township permit #:__~_~ 00~]
COM~RCIAL or INSTI.,.T~,TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional. New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
NAHE
PHONE
zip
BEEF N
OWNER
LOCA'FJON
& PRO3ECT
ZNFO:
STATE COHMERCLAL
[] Conscruc~on)
PHONE FAX
SCOPE(S) OF ~FDN ~5TR
RELEASE: ~ ELEC ~ SPKLR OTHER(S):
SEWER L/TIL.rTY
PROVIDER:
:OMMISSION / BZA / BPW DOa(Er NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERNIT #'S (If Applicable):
#ofRoors: / EievaterorLl~: E] YES
~ COMMEROAL
(Privately c~n~
and mndical 6ffi~/cefiters
are commeraa0
[3 INSTrllJTIONAL
0 Church
~:
mppl~ for the new ~onmt~on area)
~ SLAB O CRAWL SPACE
C] POST & BEAM [] BASEMENT
surl~ # (If Applicable)
,~ PLU~ S(~JARE
BLDG. CONSTRUCTION TYPE: ~"~/~ OCCUPANCY CLASSIFICATION:
NEW STRUCTURE Early Release Manufactured
ADDITION . Permit: (~_Y ~- N Trusses: Y ~._N
[] ~ch LotSplit: Y~__N SumpPump: Y_~.N
[] Mezzanine ~r Deck Does any part of the property lie within a special Rood
designation area.' Y
umbers Zndmna'~Stat~ I.i~n~ #
(or POST & PIER) WALKOLrr: _Y N [] DEMOLtT[ON __
General Administrative Rules of the State o[ Indiana (See 675 IAC 12) regarding expiration time ~rames for
beginning and completing constructiom
with~ and confunn to, a~ apphcabl¢ laws of the State of Indiana, and the "Zoning Ordinance o£ Carmel Indiana - 1993~ (Z*
' of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
, sewer. I further certify that the construction will not be used or occupied un~il a Celt~icat¢ o£
~ Services, Carmel. Indiana.
OFF~CE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: ~*
Upper FooUng Lower FooUng Under Slab ;~) /
~ "~ .- ;..~
Meter Base f I ~.~ Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TOTAL
# Charged Re-
Reviews