HomeMy WebLinkAbout06030191 Application
City of Carmel! Clay Township Permit #: O{~O 3 (J LI {
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): N A
Elevator or Uft: 0 YES NO BUDG. CONSTRUcrrON TYPE: &Xsr: Sf OCCUPANCY ClASSIFICATION:
F ONSTRUCTION: TYPE OF IMPROVEMENT: P 0 INFORMATION: /
COMMERCIAL 0 NEW STRUCTURE Early Release Manufactured
(Privately owned hospttals 0 AODmON Permit: _y ',.h Trusses: _Y_N
and medical offices/centers 0 Room(s) ~
arecommeroal) 0 Porch Lot Split: _Y N Sump Pump: _Y--1L.N
o INSTTIUTIONAL 0 Mezzanine or Deck Does any part of the prop:frtv within a special Flood
o Municipal/Public Bldg 0 REMODEL
o Schooi -Slf' NEW TENANT FINISH designation area: _ Y N
o Church /[] ACCESSORY BUILDING PLUMBING CONTRA~CTO' Auu i0eA
FOUNDATION TYPE: (Ch~~hiC.h 0 DETACHED GARAGE ~
a~ for the new con~~"'tD 0 ATTACHED GARAGE
~ SLAB 0 CRAWL<SPASE FOt,! 0 CELL TOWER (New) Plumber's Indiana State Lice~ JlV
o POST & BEAM rtJ '~EMerif.,. :'1)/.."'6'00 Q)~!l TOWER CO-LOCATE -;7, 0 0 l 00 V..:.J
(or POST & PIERlC' !.1<61{!)'~ t",y," ...N'ccq;.. . ON ~ ..
I ~_"()I II ~ I
Class I structure permits ~je:!-161i~;Ge~~~iil K~~R of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
''11012/ /V!Y//'y r~g1{{(f.pletingconstruetion.
I, the undersigned, agree that any constr~J\tjorr, re~ry>I:}pCtiOi1,~&ement, relocation, or alteration of a structure, or:my change in the use of land or structures
requested by this application will comply W/i1i>.A44 cotrfoQn 1;O,-'l}1 c aws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authoritYOP't~ 36-7 el seq~R~ embly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, at and floor dra" nected to the sanitary sewe~" r~.ertify that the construction will not be used or occupied until a Certificate of
Occuf"'11 u ti C PJetiUnhasbeeniSSUedbYtheDep"'onen~ofC0i(tyservi 5' ,Indiana '/:1'1 loin
Signature of Owner or Authorized Agent Print 4.. I ~
BUILDER of
RECORD:
PROPERTY
OWNER:
$tJ
FAA 513--fltJO
ZP
:1&0
tJ3
LOCATION
&. PROJECT
INFO:
IO/::laJo
1/51
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: /SloSs. ;;2 /
.' J a 2 ~I"l # Charged Re'
Upper Footing Lower Footing. Under Slab Base Inspections: I ,V V Reviews
Meter Base 8 Site Cert. of Occupancy: ;;0.3, 0 0
:sO, 'l Additional Fees
~~
M
)0,;200(,
(Date)
Reviewed pproved: Dept. of Community Services
S:Permits/For S/ILP COMMEROAL