HomeMy WebLinkAbout06050084 Application
City of Carmel/Clay Township Permit #: 8(00.500111
CO:MMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, I!r. Accessory Buildings
BUILDER of NAME
RECORD: De..,Q.
STREET ADDRESS STATE ZIP
I
BUILDER'S EMAlL ADDRESS BEST MEmOD OF CONTACT:
PROPERTY FAX
OWNER:
STREET ADDRESS cm STATE ZIP
, 1';
I
LOCATION ADDRESS OF CONSTRUCTION
& PROJECT
INFO:
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 J.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
. , 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
cy or Subs - Com leoon has been issued by the Department of Conununity Services, Cannel, Indiana.
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OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 5/1 , 00
. . ., 0 AI J'C) # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ",,0. (J/ V Reviews
~ Site Cert. of Occupancy: P 7 , () 0
DO
o--~ 3- ()
WATER UTILITY
PROVIDER:
~
SEWER LmLm
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: \
8evator or Uft: 0 YES r'J NO
BLDG. CONSTRUCT10N TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMME~EASi=n FOR CONISD..lN.EW.~UCJURE
. (Prival<lY.Qwne<l ~osPi\:lIfs I ttji AbiJti1aW
and nli?t\t\'SI\lIil!~pljance with all ,eglUJticl\qgn(s)
o IN are commerdal) of State and Local Codes. 0 Porch
~.rr.t.,fil&;IiOOfj!iM UN ITY &:fRE~k~Snine or Deck
CC6E\6dJF CARMEL / CLAY$8tJWIJ~l!IiANISH
o Chu,ch I 0 ACCE~lt\' BUILDING
FOUNDATION TYPE: (Check all ,l/'~{djANA 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
M. SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
/" c:Y POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(0' POST & PIER) WALKOlfT:_Y_N 0 DEMOLfTlON
---Me1 t'$" S" fA
Print
Fee Rec jved by:
TAX MAP PARCEL #:
o AROi 0 MECH 0 PLUM
OTHER(S):
SQUARE \
FOOTAGE: 7-00
ESllMATED COST OF CONSTRUCT10N:
(EXCLUDING LAND VALUE) g (JO (). 0 0
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ~ Manufactured . V
Permit: Y Trusses: ~ ~N
Lot Split: Y N Sump Pump: _ Y LLN
Ooes any part of the propeJ:ty lie within a special Flood
designation area: _Y XN
PLUMBING CONTRACTOR: ,;;:>J I t^v
/Jill (()w-fLIJL I~ _
Plumber's Indiana State License #: ~ f3 (
f~ J.of})t )
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Additional Fees