HomeMy WebLinkAbout19080032 Applicationj9�Gq`
CITY OF CARMEL
TEMPORARY USE APPLICATION
PERMIT # I g o D 00,3a
APPLICANT
NAME PHONE FAX
A Classic Party Rental 317-251-7368 317-253-0586
STREET ADDRESS CITY STATE ZIP
8020 Zionsville Road Indpls IN 46268
E-MAIL ADDRESS
BEST METHOD OF CONTACT
kevin@aclassicpartyrental.com
317-339-0926 cell
PROPERTY
NAME PHONE FAX
OWNER
Ascension Health (St. Vincent Carmel) 317-409-3159 317-253-0586
STREET ADDRESS CITY STATE ZIP
13500 N. Meridian St Carmel IN 46032
LOCATION
LOT NUMBER SUBDIVISION BUILDER OF RECORD
OF PROJECT
STREET ADDRESS CITY STATE ZIP
13500 N. Meridian Street Carmel IN 46032
HAMILTON COUNTY PARCEL NUMBER ZONING NAME OF BUSINESS
TYPE OF
M SPECIAL EVENT ❑ OUTDOOR SALES ❑ SEASONAL SALES ❑ MODEL HOME/SALES (BUILDING PERMIT k 1
USE
❑ CONSTRUCTION FACILITY ❑ FIREWORKS SALES ❑ TEMPORARY CLASSROOM ❑ FOOD STAND
DETAILS OF
DATES OF PROPOSED USE
HOURS OF OPERATION
USE
FROM: 8/9/19 TO: 8/12/19
8/10/19 1 lam - 2pm
WILL A TEMPORARY STRUCTURE BE REQUIRED? ❑ YES ❑ NO
IF YES, SIZE OF STRUCTURE: (1)20x40 - (2) 10X10 MOBILE UNIT CERTIFICATE #:
WILLA SIGN BE REQUIRED? ❑ YES L3 NO SIGN REVIEWED/RELEASED
*** THE FOLLOWING SECTION IS ONLY APPLICABLE TO FIREWORKS SALES ***
FIREWORKS WILL THE STRUCTURE BE USED FOR MORE THAN 500 LBS OF FIREWORKS? ❑ YES ❑ NO
SALES DOES THE STRUCTURE ALREADY HAVE A SPRINKLER SYSTEM INSTALLED? ❑ YES ❑ NO
HAS THE STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? ❑ YES ❑ NO
*** THE FOLLOWING SECTION IS ONLY APPLICABLE TO FOOD STANDS ***
FOOD PLEASE LIST ADDRESSES FOR UP TO 3 SALES AREAS
STANDS I.
z,
3.
CERTIFICATION AND NOTICE OF INTENT TO COMPLY
I HEREBY CERTIFY THAT I HAVE THE AUTHORITY TO MAKE THE FOREGOING APPLICATION, THAT THE PLANS FILED WITH THE APPLICATION ARE
CORRECT, AND THAT THE OPERATION AND CONDUCT OF THE TEMPORARY USE WILL CONFORM TO THE REGULATIONS OF THE CARMEL UNIFIED
DEVELOPMENT ORDINANCE. FAILURE TO COMPLY WITH THE TERMS AND CONDITIONS OF THIS PERMIT MAY RESULT.FN A CITATION AND
ADDITIONAL FEES.
Kevin Schwab Dete.2s1gnedby 211-5102-04'0Kevin Schwab 8/2/19
Date: 20signe 021 Kevin Schwab
Signature or OW Pr Aulhw ed/gent Printed Name Dale
REQUIRED BASE INSPECTIONS*
* Additional inspections may be required.
❑ Fire
❑ Final/ Site
Reviewed / Eelea ey
Deputmen�mmunny Servias I De
Valid Until:
PERMIT FEES
Temporary Use Fee
Base Inspections
Cert. of Occupancy
M
TOTAL 00
Fee Re�part�m"nity Service, r' �_ Dee