HomeMy WebLinkAbout06030061 Application
City of Carmel/Clay Township Permit #: 00.,03DO(P I
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8r. Accessory Buildings
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
oCLe..\
STATE COMMERCIAL
DESIGN RELEASE #: 2, \ 0<;3 C9Cj
WATER UTILITY
PROVIDER:
SEWER UTILITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: Q YES
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
rsI COMMEROAL iB'" NEW STRUCTURE
~~~~:~~~~e1i~~ASED FORCCcJr.,~~~)fION
are commerdal) '~ueb)~ct to COmpllanre witli:8." ~ I t'
o INsrrnmONAL of State and 'I ~C-I'r::186" ~~i~ 'c?r~k
o Munidpal/""bIic.alcl~ . p" ~ E"o
o School 1Jt:1-' I uF COM MEit-J NEVi ~AW,,1NiSfl
o Church CITY OF CARMEl ca'IACifiESWJm.~lJItpIN'P>
FOUNDATION TYPE: (Check aU which I N-:-D- i;;:n~E'rACHED'GAAAtiE"
applyjor the new construction area) oNi.'rrACHED GARAGE
(lZ[ SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLITION
STATE
ZIP
i.{~o
BEST METHOD OF CONTACT:
Cell
~' -';)..,/'62-
I - Lfo'llq
M-
FAX
S
if'-
Lot # and Subdivision (If Applicable)
ZONING:
OCo
000,
. 65"'0 ~OOOIO tt...
OCCUPANCY CLASSIFICATION: S- . 13
(!to
PROJECT INFORMATION:
Early Release V Manufactured f
Permit: Y ~N Trusses: ~Y _N
Lot Split: Y 4N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: LV_N
PLUMBING CONTRACTOR: I
c1ohn5 :P u..-wtloiog
Plumber's Indiana State License #: ~
---.:pC- 10100053
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 Cannel Indiana - 1993" (Z'
289) and am~Wnents, adopted under authontyof I C 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto I further certify that only
kitCh~aili, and oor drams n eered to the sanitary sewer I further certify that the constructlon will not be used or occupied until a Certilicate of
Dce ""ey or Su c on has heen issued hy the Department oJ Community Services, Carmel, Indiana. . ~
. . lJAl//aL r Ii #-b~ :sty. <'t.
Signature of Print Q/te
CTIONS REQUIRED:
OFFICEUSEONLY:************************************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TOTAL:
'l'~~ \3~OIt
Reviewed/A proved: pt of Community Services (Date)
S:PermIt5/Form ILP COMMERCIAl