HomeMy WebLinkAbout06080147 Application
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City of Carmel/Clay Township Permit't!:
,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lit AccessorJ Buildings
BUILDER of
RECORD:
PHONE
/liS 'Nt.
STllEET ADDRESS
860
CITY
BUILDER'S EMAlL ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
- 5173
LOCATION
& PROJECT
INFO:
I
3:
c
BUILDING, PROJECT, OR
STATE COMMERCIAL
DESIGN RELEASE #:
SCOPE(S) OF 0 FDN
RELEASE: 0 ELEC
WATER UTILITY SEWER UTILITY
PROVIDER: PROVIDER: C
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoors:
Elevator or Uft: Q YES
BLDG. CONSTRumON TYPE:
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT: PROJECT INFORMATION: ~ .
M COMMEROAL ~o NEW SlRUCTURE Early Release Manufactured.V ~
T' (Privately owned hospitals ~ ' DDmON Permit: _Y ~N Trusses: _Y ~N
and mecllcal offices/centers 0 Room(s) y \r
o IN=";;:~ u' G'" 00 Porch Lot Split: _Y --F-N Sump Pump: _Y -.a.-N 4J
,') Mezzanine or Deck Does any part of the property lie within a special Flood tJ?_
o Munidpal/Public Bldg j{ 0 REM~j:l, V' . r~
o School VNEW~it.~ FOR~~'rlf~",~t ~N
o Church . 0 ACC6OOij\'(dllllW.mG /_, P~l.J~IN'" ~RA R: cfj ^-
FOUNDATION TYPE: (Check all which 0 DETACHED G"SiIGE 'p.le.n" " d' I "',U,e" U I , I'
iPP' for the new construction area) 0 ATT~~.~G~ate ana LDcal Codes.
,. SLAB 0 CRAWL SPACE 0 CELL'1OWER tpJlfw}:O M M ~[;j,I,~';::iiiiil;i{l.r5fa'te License #:
P05T&BEAM 0 BASEMENT 0 cEIOlf~<aQR\~fEL / CLAY TOWNSHIP
(or P05T & PIER) WALKOUT: Y N 0 DEMOUTION INDI
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 applic . on will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993ft (2;
289) and amen en ad red 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, bath, d fl r d ar..c.onn red to the sarutary sewer I further certify that the construction vvill not be used or occupied until a fiertiliOlte of
Occupancy u ti Camp/ed 'l] as been Issued by the Department of ConunUJUty Services, Cannel,lndiana. ~,$
Chu.......v-UI \"'Li::P--. ~~h
Signatu uthorlz ~ Date
Upper Footing
c9
OFFICEUSEONLY:************************************************************************
Filing Fees: 3? 1.7.'1 .:..fS" ~ j ~~.,,/
Base Inspections: ;:z 0 0 . 00
Cert. of Occupancy: ~ c --;(. tJ '0
TOTAL4'~'Og. ~
INSPECTIONS REQUIRED:
Lower Footing Under Slab
Meter Base ~ Site
# Charged Re-
RevieWs
Fee Received by:
Additional Fees
Revlewed/Appr ved: Dept. of Community Services
S:PermIts/Forms/1LP COMMEROAL
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