HomeMy WebLinkAbout05120035-Application C',~ of Carmel~Clay Townshtp
· ,,=w o..~ures, Aaaitions, Kemoae{s, Tenant Finishes, &Accessory Buildings
FAX
CT[Y
BUILDER'S FJ, IA~L ADDRESS
PROPERTY ,ANE ~ P,O~E
OWNER: FAX
LOCATION ~DeESS o~ co,s-muc, o~
SUITE, (ff Appflcable)
& PROJECT ~
]'NFO'- Address of Shell Building (If different than Address of Cons[tut°don) Lot # and Subdivision (If Applicable)
~/~ 45 rxj ~ ZONINg: ~C'eL #:
STATECOM~RC~ SCO,e(S)OF .O~FDN ~SrR ~r~*,C~ ~eC~ ~UM ~
WATER UTILITY SEWER UTILFfY
PROVIDER: ,/']~'-~ a ~ ~ E~'~D CC~T OF CONSTRUCTIOFI:
COUNTY WELL AND/DR SEPTIC PERHiT #~5 (If Applicable):
Ltd COMHERCIAL
(Prlvate~ owned h~spltels
and ~lcal ~ffl~centhes
C3 are
INSTITUTION~
[] Hunicipal/Pubfic Bldg
al~ for the new construction area)
~ SL*~ [] C~WL s~AC~
~[~ POST & BEAM [] BASEMENT
(or POST & PIER)
[] NEW STRUCTdRE
[] ADDITION
[] Room(s)
Porch
__J~ ~P, EMODEL
I:]~'~ NEVV TENANT FINISH
[] A~SORY BUILDING
[] DErA~
[] ATtACHeD C~p.A~E
~CELL TOWER (New)
WALKOLJT:~Y____N
Early Release / Manufactured _~__y N~
Permit: __Y ~'~ N Trusses:
Lot Split: __Y ~ Sump Pump:
Does any part of the property Ii. within a special Flood
designation area: __y ~
Indiana
CJ~ss I ~
I, the undersigned, agree that any construction, n
requested by this;
kitchen, bath, and floor deaths are
Signature of Owner o
ajAdministrativeRulesofthe ; ~~
e 0f Indiana (See 675 lAC 12) regarding expiration time frames for
to, all applicable Laws of th~ ~:c e in the use of land or structures
~ and the "Zoning, Ord;~-~ ~ ~
· ~ .,~e o~ ~armet Indiana - 1993' (Z-
of indiana, and allActs amendatory thereto. I further certify that only
~sewer. I further certify that the co~truetion will not be used or occupied until a Cert~.cate o£
Indiana.
OFFZCE USE ONLY: ************************************************************************
ZNSPECI'ION$ REQUIRED: FJJing Fees: ~'~'"/, ~;, ~
Up~r FooUng Lower F Under Slab Base Ins~ions: ~ · ~arg~ Re-
Me~r ~ Final Si~ ~K. of Occupant: ~. ~ ~
~ /~ AddJ~ona, F~s
(Date)