HomeMy WebLinkAbout06070021 Application
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City of Carmel! Clay Township Permit #: V(Q() rv CO 0\ {
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8r. Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
WAlER UTILITY/,?
PROVIDER: 04"'P?~
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; ANO/OR
COUNlY WELL AND/OR 5EffiC PERMIT #'5 (If Applicable):
# of Roars:
Elevator or Uft: c;I YES 4J NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
" COMMERCIAL . NEW STRUCTLRE
(Privately owned hospitals 0 ADOmON
and medical officeS/centers 0 Room(s)
are commerdal) 0 Porch
o INSTITIJTIONAL CnNc;lCPLJ~t.!~QNrDeck
o MunicllJlli~~~D FOR D 'f\~~RD~Llot n-
O Schooi Subject to compliance I"!)tflNEW 1;ENANToFlNISH
o Church nf S;t te 31,d I (lOll <A€&'SSORY ~\ill-OING
FOUNDATION TYPE: (Check altllvlflai M M LJ ~T1i'ETAE~01GiJW!E
apply for the new con~ncare~O ~~iP
. SLAB ~I@NLCSIA&AEL / 'C L~itJw'~R(NeW)
o POST & BEAM LJ' 'BASEMENT INDIP!l'lACELL TOWER CO.LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTlON
FAX
,;~. .,,~~c;- "."
STAlE
ZIP
FAX
STAlE
IN
ZIP
OCCUPANCY UAS5IFlCATlON: 6
PROJECT INFORMATION:
Manufactured X
Trusses: _Y _N
Plumber's Indiana State License #:
~~Sc> I &c>c..
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 of J.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. J fur er certify that struction will not be used or occupied until a C cate
C en lSS the Dep ent of Co 'ty S rvices, Cannel, Indiana,
Print
TOTAL:
Reviewed/ proved: Dept. of Community Services
S:Permits/FormsfI1P CQMMEROAL
Fee Received .
Additionai Fees