HomeMy WebLinkAbout06120009 Application
City of Carmel/Clay Township Permit #: {)(P / ;2.(')007
COM:MERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory 'Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
III PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
F
CQrffir\ POlier
SUITE # (If Applicable)
- J-,l19.
Lot # and Subdivision (If Applicable)
ZONING:
.5
TAX MAP PARCEL #:
i
S OPE(S) OF ~ FDN r;i/.. STR QI. ARCH 11 MECH
REUEASE: ~ ELK )( SPKLR OTHER(S):
SEWER umLITY ("I Q'f TW 5h p.
PROVIDER:' , .
WATER umLITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERM{T #'S (If Ap'
BLDG. CONSTRumON TYPE: B
# of Floors: ,: '
Elevator or Uft: 0 YES
TYPE OF CONSTRUCTION: TYPE OF IMf.llR.YEMENT:
o COMMERCIAL "0"" r.ONS1!J1.l~s\rlA)rURE
(PI1ValjoJ.y,.&l"~j;it&15 , n...... l!lr rlAoot1\lElfJ
and m~"'omteSlcenters~1"lI;~m~>3 v:~\h c,M ~~D Room(s)
~. 'I.;ttOr-~",II'f"'op. ,iO~I'>i'
IN are co 11.. ~l'a\~ ar,d LoCUt .,./ \'::rPq~~?t@
B ,N L 01 'J'" r. ~1 !"rr{ f;.:::, 0 , 'Ae:~eorDeck
fij:( ~P~IIP>1bijC!!,,d91'\^\V"'''''' O' REMpPJii)nlr
o 1"'1 u' \ 1(" t ,:.~'"
0'" CARMc - .,L..'CJ I'm TENANT FINISH
o ,l'I!P!di r " : 0 'Nf:\O ACCESSORY BUILDING
FOUNDATION T\if>'E': "(Check all whiilli 1M 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~ SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMEIIT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
OCCUPANCY CLASSIFICATION:
Early Release X
Permit: _Y _N
Lot Split: _Y XN
Plumber's Indiana State License #:
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 structu~s
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 uncler authority of I.c. 36,7 et seq. General Assembly of the State of Incliana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, 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
Occupancy or Subs tiaJ mpJetion has been issued by the Department of Community Services, Cannel, Indiana.
,/ff/1/(/( SVMMER. I/<J,j--t?b
Print Date
OFFICE USE ONLY: ***********************************************************
ONS REQUIRED:
Upper Footing Lower Footing
Rough In ~ ~ Final
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TOTAL:
# Charged Re-
f; ReViews
. '
" Q I
D\.Additional Fees
- (
OO(q
Reviewec/ Appro Dept of Community
S:Pennlts/FormstILP C MMERaAl
O(p