HomeMy WebLinkAboutTemp Use Permit Application�`�1��"c�� �� CITY OF CARMEL PERMIT #
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� TEMPORA�Y US� APPLICATION
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*** THE FOLLOWING SECfION 15 ONLY APPLICAB�E TQ FIREWpRKS SALES ***
�IR�WORKS WILL THE STRUCTURE BE USE� FOR �IOR� 7HAN 500 LB5 OF FIREWORKST YE5 ❑ NO �
SAL�S DOES TFfE 5TRl1CTUiiE ALREADY HAVE A SPRINKLER 5YS7�M INSTALLEb? YE5 ❑ NO �
liAS THE STRUCTl1RE PREVI9USLY BEEN USE� FOR THE SALE OF FIREWbRK5? YES � NO 0
**� TNE FOLLpWING SECTION IS QNLY APPLICABLE TD FQOD STANdS ***
FOQp STANDS PLEA&E LiST AUORESSES FOR UP 70 3 SALES AREAS
1.
2.
3.
CERTIFICATION AND NOT�CE OF INTENT TQ COMPLY
I HEREBY CERTIFY THAT I HAUE THE AUTiiORITY TO MAKE Ti1E FOREGOING APPLiCATION, 7HAT TFEE PLANS FILE� WITH THE APPLIGATION ARE CORRECT, AN� THAT THE
OPERATION AN� CONDUCT OF THE TEMPOHARY USE WILL CONFDRM 1'0 7HE REGULA71DhiS OF THE CARMEL UNfFIEp pE1l�LOPMENT ORDINANCE. FAILURE TO COMPLY
WITH THE TERM5 AN� GON�ITI�NS OF THIS PERMIT MAY RESULT 1{� A CITATI�N RN� ADO{TIONAL FEES.
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t- _ �`� � �, , '. �,, �� ;�-_-� Lauren Lewis 03/18/20
Signa[uie ot D�ner ar Aulho�¢ed AgeM � PriMeA Name Date
APPLICANT �ME PHONE
Qav�d Weekley Homes 317-669$604
STAEETAD�RESS CIiY S7ATE Z[P
9310 N Meridian 5treet STE 1D0 Indianapolis If� 46260
E-MAIL AODRESS BEST METHOD OF CONTACT
Ilewis@dwhomes.carn Email
PROP�RIY ''�"'E PHONE
OWNER W��kley Homes LLC 317-6698604
STREETAD➢RESS GIlY S�ATE ZIP
1111 N Post Oak Rd Houston TX 77055
LOCAiiDN ��E OF BU51NE5S HAMILiON CDUNTY PARCEL NUMSER
OF PROJECT G�ntral Living by David Week�ey Hames 16-10-31-00-05-002.000
STREETADORE55 CIN STATE ZIP
994 Kinzer Ave Carmel IN 46032
ZONING �OT SUBDIVlSfOH
PUD 2 Grarr�ercy
IYPE OF USE ❑ SPECIAL kVENT � OUi�00R 5ALE5 ❑ 5EAS4NAI.5ALE5 � MODEL HOMFJSALES (BUILUING PERMIT #2ao2oosa y
0 CONSTRUCiION FAGELIN � FIREWORKS SALES CI TEMP�RARY CLASSRODM ❑ FpOD STAN�
DE7AILS OF DA7�S OF PROPOSE� USE HOURS OF OPERATIOH
�S� FROM: �4101120 T0; fl4��2�2� FRaM: 10:00 am Tp: 6:00 pm
WILL A TEMPORARY STRUCTl1RE BE REQUl3iE�? YES ❑ N6 0 IF 1'ES, SIZE OF STRUCTURE: S�UARE �EEf
hRQBILE UNR CERTIFICATE #: WILL A SIGN BE REQIJIREU7 YES � NO 0
..............w,.........,»,.,.....,.....,..........:..��._,.,:..::..,....,......,.....pFFlCE U5E ONLY *...................w,,....,....,......*..�.......*...�Y.Y.....::..:...,..,..,�w.x»,.,,......
RE�UIRED BASE INSPECTIONS *
* Addi�onal fnspections may 6e required. SIGN REVIEWED �
RELEASE�
❑ Fire Ini6als
❑ Flnaf /5ite
Reviewed / Releasetl — Department ai Communiry 5ervlces Date
PERMIT FEES
Temporary Use Fee
Base Inspectians
Certificate of Occupancy
TOTAL
Valitl Until Fee Received -- Department of Community 5ervices �ate