HomeMy WebLinkAbout06110143 Application
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City of Carmel/Clay Township Permit #: ~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLI~A TION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, ll< Accessory~ Buildings
BUILDING, PROJECT, OR TENANT NAME:
C f
STATE COMMERCIAL '?
DESIGN RELEASE #: "} Z/ (p 5
WATER l1T1UlY C SEWER l1T1UlY
PROVIDER: PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If APplicable):
# of Floors: / Elevator or Uft: 0 YES NO BLDG. CONSTRUcnON TYPE:
TYPE OF CONSTRUCTION: ..,.~\\jCrv~E OF IMPROVEMENT:
~ ,","C, \ , . 'l),W,......-
.. OMMERCIAL;' '" ('"',c,,", "II (B'l 0 NEW STRUCTURE
. (Privately ~"iJ\~~~SPjtai~r:- ,:l\;~\ ~' {"j8.S. D("-:~PbmoN
.nd t.'oflic...es/cel1te IS" ...."'.\ CO'I_,;:":,.d.\\..,_ ._t:U9Room(s)
h1erclaJ..}:'0V". ;. \...()\.P~""I ~~\:~" \ _ ,..\.::-"0" P rch
o ._'.~ s.;;\l) .\"\, ....,.~'.,'.'t~ 0
:-'~~fr~;~ .' ~ ~,\ }\'~\L. ,~-.,.! "\ '....;.;". 0 Mezzanine or Deck
MU'lJci".dr(:,<e'IC Bldg, r\J" 0 REMODEL
o ~,~ W' .~,\-! ".... c.. 0 NEW TENANT FINISH
F NDATI ~~r (~~a~W~;i~:-' ~~~~~~~VG~~g~NG
apply for , construction area) 0 ATTACHED GARAGE
~SLAB' 0 CRAWL SPACE 0 CELL TOWER (New)
POST B 0 BASEMENT 0 CELL TOWER CO-LOCATE
( ST &. P UT: Y N 0 DEMOunON
;;}i ~o. - ~3~~ 7306-AX
OTY--r-.A 1 STATE
"~/U ?f7
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ST~r
sum # (If Applicable)
ZIP
7""'6'-1 -6 r
lot # and Subdivision (If Applicable)
TAX MAP PARCEL #:
J J aO
D 000
V'- OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ~ Manufactured \ /1
Permit: _V Trusses:.l{Jf_N
Lot Split: _V Sump Pump: _Y XN
Does any part of the propertyUe within a specil:;~~d_/~ AI
designation area: _V-XN X'-~~
PLUM NG CONTRA OR:
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 - 199r (Z'
289) and amendments, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funher certify that only
kitchen, bath and floor drains are connected to the sanitary sewer. I further certify that the construction will not be ed or occupied until a Certificate of
yo bs_rial CampIe' has bee ssued by the Departmen 01 Z=:;::rviPel, [ .3cJ~ II f~ b
sture of Owner or Authorized Agent
Print
Date
Base Inspections:
UrJ..... Cert. o~occupanCY:
F"estr.. \
"'"TOTAL :
Ip f%1
Fee Received by:
Additional Fees