HomeMy WebLinkAbout06050228 Application
ObOS" () ~').. (j
City of Carmel/Clay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
STATE COMMERCIAL SCOPE(S) OF 0 FDN 0 STR . ARCH fill MECH . PLUM
OESIGN RELEASE #:..; I a 0 RELEASE: 0 ELEC ~. SP~LR ~:n:ERfS): ',\
WATER UT1LTIY~~ SEWER:l[fI1.ITYf~-;,~',~~::;! '~;:'_~ U ",/ ~~::'. '\ EsTIMATED cosr OF CONSfRUcn
PROVIDER: "(. PROVIDER: \ \1 c~tf'.."l: .:." :.-.p.--- \ \ (EXCLUDING LAND VALUE)
Ill., ~ 11111
PLAN COMMISSION / BZA / BPW OOCKET NUMBERS; AND/Oi>.1../ !
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): \ \ C'i \ MAY 3 1. 2006
# of Floors: / Elevator or Lift: 0 YES 9 Nol U ~ 1 G. CONSTRUCTION mE: OCCUPANCY CLASSIFICATION: Nt r<E/tt\
TYPE OF CONSTRUCTION: ~tF IMPRO~~~____P OJ INFORM T10N:
. COMMERCIAL 0 NEIlV'STROCTURE Early Release \ A Manufactured ~
(Privately owned hospitals 0 ADOmON Permit: Y -LLN Trusses: _Y N
and medical offices/centers 0 Room{s) . - '.1'3.
are commercial) 0 Porch Lot Split: _y ~ Sump Pump: _Y
o INSl11UTIONAL 0 Mezzanine or Deck Does any part of the property lie within a special Flood
o Municipal/Public Bldg 0 REMODEL L.
o School . NEW TENANT FINISH designation area: - Y 7"VN
o Church 0 ACCESSORY BUILDING PLUMBING CONTRACTOR,
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE J V c--
apply for the new construction area) 0 ATTACHED GARAGE _
. 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
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
,
ZONING:
5:
Plumber's Indiana State License #:
~~~<6 0 I ~ofo
Class I structure pennits 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 ofle. 36~7 et seq, General ssembly of the State of Indiana, and all Acts amendatory thereto. I further certify t only
. n, bath, an or ins are connected to the sanitary sewer. I furth certify that the truction will not be used or occupied until a Ce . .cate a
Occu cya ubstanti on . the Departm t of Cormn . S rvices, Cannel, Indiana.
Print
*~***************
# Charged Re.
Reviews
Base Inspections:
Celt, of Occupancy:
Additional Fees
()()(,
proved: Dept. of Community Services
ILP COMMEROAL