HomeMy WebLinkAbout06050229 Application
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City ofCarmel/C/ay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lk Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SUITE # (If Applicable)
12 (!j
Lot # and Subdivision (If Applicable)
(/~OO ..3
SQUARE /.'4
FOOTAGE: ?~
NA--
o PLUM
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEI'T1C PERMIT #'S (If Applicable):
# of Roars:
Elevator or Lift: c;I YES ,. NO
BLDG. CONSTRUCTION mE!:
;;1
OCCUPANCY ClASSIFICATION:~
'::=-0""'1-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
. COMMEROAL . UCTURE Early Release , / Manufactured ~
(Privatelyownedhosplta .-/ CO ~ Permit: Y ~ Trusses: _Y_N
andmedlcalofflceS/ce erslLOIO) Oua 0 R om(s) . - ----;.-..----- -
are commerdal) -:;:r IJ 0 Po ch Lot~~ _Y _'1\J Sump Pump: _Y /" ~I
o INSTlTUTIO M ONAL1/P I" Bid -i~ 0 M anine or Deck ,,~s ~~rt of the property lie within a special Flood
unlClpa Ie ~.RAv"""1 0 REMOO ""-~" c.'~\'O' . 0
o School: q..-iIIJI NEW NANTFINJStl)~-;:;> ^\<les~natlo~~a: -y ~
o Church A'Jn-I'M "0 ESSORYJIWlDIN-~i\\(\ ~ "~'C~CTOR:
FOUNDATION TYPE: (Chec II which OET=C ~GE.o ?!>CF' " ~~
apply for the new construction ~A ~"'RGE ,-oc ...-.1\ ~ 3~
WE~\':..~ .,,~\ ~, ,....."
. SLAB 0 CRAWLSPACE ~@~\~~.M')'C' PliImber's Indiana state License #:
~or~~~Bp~~) c;.A~~:ENT Y CS0~O~~~~S~ ~~~\" .8> ~~ <::) I S~
Class I structure permits are subject to the General k ~~ ules of e State of Indiana (See 675 lAC 12) regarding expiration time frames for
g and completing construction.
I. the undersigned, agree that any construction, reconstruct~, 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 e I sembly of the State of Indiana, and all Acts amendatory thereto. I further ce tily that only
. en, bath, an in red t 1 ary sewer. I r certify t th nstru' on will not be used or occupied until a Cer' te of
Decu cy ubs 'a!Com n issued by the Dep tofe ty ,1JC i~~;ana"
Print
OFFICE USE NLY:************************************************************************
INS ECTlONS REQUIRED: Filing Fees: S II . () V
. . '0 0 V # Charged Reo
Upper Footing Lower Footing Under Slab Base Inspections: ' Reviews
Meter Base 8 Site Cert. of Occupancy: 0
d I"lO Additional Fees
Q.V
pproved: Dept. of Community Services
LP COMMERQAL
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