HomeMy WebLinkAbout06010162-Application
City of Carmel/Clay Township Permit #: {)hb 10 .(OJ...
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, l!r. Accessory Buildings
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BUILDER of,;
RECORD:
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PHONE
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CITY
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BEST MEniDD OF CONTACT:
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FAX
3/ 7 Bo
STATE
ZIP
PROPERTY
OWNER:
FAX
- G:oct:> 0
STATE
LOCATION
&: PROJECT
INFO:
ZONING:
;03
o
STATE COMMERCIAL
DESIGN RELEASE #:
SCOPE(S) OF lit FDN 'lit STR ~ ARCH 0 MECH 0
RElEASE: 0 ElEC 0 SPKlR DTHER(S):
SEWER UTIlITY
PROVIDER:
/
OS03 00\ e, P.OL.$
C6 I 000 I L
i'-'e^-<l
WATER UTIlITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'S (If Appll 'SOD 2. B D P
# of Floors: I Elevator or lift: 0 YES p,.. NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~~~Jli1"pQ~STRUCTIO: ~:,~~cruRE
SubJect'*nllJlel\<;lj!,Qf!j~~ all regulations 0 Room(s)
if ill mw6;1~d Local Codes, 0 Parm
D pf!Qf ~al/pJJljJUjlT<lgSERVICESl REr;OD~~nlneoroeck
CITY O~t.5:ChW!:L / CLAY TOWNSUib NEWTENANTFINISH
. Lt. Churc~, ~ I ^ '~- ACCESSORY BUILDING
FOUNDATION TYPE!t'(~ which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
"6il1 SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
'b POST & BEAM 0 BASEMENT 0 CELL TOWER CO-lOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLITION
PROJECT INFORMATION:
Early Releas~ '
Permit: ~Y _N
Lot Split: _Y ~N Sump Pump: __V ~N
Does any part of the property lie within a special Flood
designation area: _Y ~N (") ..... nv/tt...__.
PLUMBING~NTRACTOR:B 0' 1'-0"'1" -
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Plumber's Indiana State License #:
f p ~ / Cl c; c:J- yJ l
Manufactured
Trusses: _Y X N
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Decul""! ubsWltial Co /etion has been issued by the DePartrn~nununity ~ ZcI. Indiana.
Print 4.
Date
OFFICEUSEONLY:************~********************************!!~************************
TN:JCTIONS REQUIRED: Filing Fees: _-5"fo~.J.. ?3
r: . ,.' . 5' "7 .,/) # Charged Re-
\. _ Upper Footin Lower FootIng nder Slab Base Inspections: /.. _') ( Reviews
Cert. of Occupancy: / 0 3. (! (J
~ Additional Fees
' TOTAL:" // / - ) 3
OO~ .~,,~~ ~;e..1/5' ;Y 3. ,,~,
Fee eceived by:
proved: Dept. of Community ServiCes
s/ILP COMMERCIAL