HomeMy WebLinkAbout06060058 Application
City of Carmell Clay Township uJ. ro. I \JJ! Permit #: (J(p O~ 0 0 Sg
COMMERCIAL or INSTITUTIONAL IMPROVE~ ~OCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lit Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
STATE COMMERCIAL
DESIGN RElEASE #:
WATER l1Tl
PROVIDER:
# of Floors: /
Elevator or Lift: 0 YES Jl NO - BLDG. CONSTRUcnON TYPE:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
REMODEL
NEW TENANT FINISH
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
CELL TOWER (New)
CELL TOWER CO-lOCATE
DEMOLmON
TYPE OF CONSTRUCTION:
1:ili COMMEROAl
(Privately owned hospitals
and medical offices/centers
are commercial)
o INsrmmONAl
o Munidpal/Public Bldg 0
o School 13.
o Church 0
FOUNDATION TYPE: (Check all which 0
apply for the new construction area) 0
~ SLAB 0 CRAWL SPACE 0
o POST & BEAM 0 BASEMENT A
(or POST & PIER) WALKOUT:_Y~ 0
CITY
f3L
BEST MEnlOD OF CONTAcr: b &
PHONE FAX
STATE
ZIP
TAX MAP PARCEL #:
~ MECH r'/. PLUM
()(J
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
OCCUPANCY CLASSIFICATION:
m
PROJECT INFORMATION:
Ear1y Release Manufactured V
Permit: _Y _N Trusses: _Y -LLN
Lot Split: _Y LN Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y ~N
PLUMBING CONTRACTOR: Ro tJ A Ml1~cJN
E,,!--CJ!.L ro8'{.I-lA~l{..t:!L; J..AJc
Plumber's Indiana State Ucense #:
gJO(7 ~ 1(;,&
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 amendments, adopted under authority of I.e. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat ,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
Occu c Substantial Completion has been issued by the Department of Community Services, Cannel, Indiana.
, O' .1IlILi.lAf=L D, droE:A S-30,Ob
Sign ture of Owner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: f.J\IIA Filing Fees: K7JS, 1"'t
r. ,0( '\ A # Charged Re-
Upper Footing \U \ Base Inspections: "'20 0 , 0 U ReVIews
~~~M~e Base Cert.ofOccupancy: J 0 71 00
TOTAL:
Reviewed/Appro ed: Dept. of COmmunity Services (Date)
S:PermltslFormS/ILP COMMEROAL