HomeMy WebLinkAbout05120066-ApplicationCOMMERCIAL or INSTITUTIONAL ~ROVEMENT LOCATION pERMIT ~pLICATION
:ommerclal or Tnstitutionah New Structures, AdditionS, Remodels, Tenant finishes, & Accessory Buildings
RECORD:
STREET ADDRESS
PHONE FAX
Lot # and Subdivision (If Applicable)
ZONING:
SCOPE(S) OF~ .p FDN E~ECH {~ PLUM [ SQUARE
RELEASE~ '~ ELEC [3 ~ FOOTAGE:
PROVIDER: O VALUE) ~"
~YES ~ NO: IFICATION:
E~ NEW STRUCTURE
E3 ADDITION
and medal [] Room(s)
Or.~;!~ , '-)~IS~,~NEWrKENANT FINISH
....... I~)/ACCE~,RycB~,flLDING
DETACI~Ep
ATTA~H'~E
CRAWL SPACE CELL TOWER (New)
ENT [] CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:YN E~ DEMOLITION
begizming and compl¢~g construction,
I, the tmdemigned, agr~ that an~ con*traction, reconstruction, enla~emcnr~ relocation, or akeration of a structu? or any change in the use ofland or structures
required by this applica~on wilt comply with, trod conform to~ all applicable law~ o£ ~¢ State of h~ ~d ~h¢ Zordng Ordimmce o[ Carmel Indiana - 1993~ (Z~
Z89) and amemdmcnrs, adop*ed under authority o£ I,C. 36~7 et s~xt, G~e~ ~bly o£ ~e Smt~ of India, ~d all Act~ m~ro~ ~emto, I further cer~ dlat onl
kkchem, troth, and floor dram are conn~c~xt to the *anitary sewer. I further certify that the construction will not be used or occupied until a ¢~'cat:e o£
Occnpancj~ o~r SnA*tan~ ~ompJe~'on has been issued b¥ ~e ~ of Co~ S¢~c~, ~. ~ ~
Early Release
Permit: _Y
Lot Split: ~N
Does any per~ of the pro~?~,lle~ within a special Rood
designation area: ~Y ._Z>_N
Plumber's Indiana State License #:
OFFICE USE ONLY: ************************************************************************
INSPECl'/ONS REQUIRED: Filing Fees: ~
Upper FooUng Lower FooUng Under Slab
Meter Base ~ Site
~nity Services (Date)
# Charged Re-
Base Inspections: 2, ~'_~ Reviews
Cert. of Occupancy:
AddJ~o~