HomeMy WebLinkAbout07020098 Application
City of Carmell Clay Township Permit #: 07 tJ A ()~
COlMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
I
FAX
BUILDER of
RECORD:
I PHONE
ALl clt-rS 3i 1-<;'00 -/-fiRS?)
rn 1d~rJ;
TYPE OE.CONSTRUCTION: TYPE OF IMPROVEMENT:
~OMMEROAL 0 NEW STRUCTURE
(Privately owned ho~~I\4_~_n 0 ADOmON
and medical office~ 1 € ~OC7 0 Room(s)
are commercial) 0 Porch
o INSlTTUTION~ R J a ?007 0 Mezzanine or Deck
o Municipa1/l'ubl c Bldg'- 0' REMODEL
o School i'5(' NEW TENANT FINISH
o Church' t:i ACCESSORY BUILDING
o 0 TI N E: (Check all which ..g,',PETACHED GARAGE
apply the new construction ar~}~.,.p,\:,C '0" ATTACHED GARAGE
n ,..r,,';\'-" \ :)"\5:..
SLAB !',~~('CRAWtSPACE\\ (8,',ll '0- ' LtLL TOWER (New)
o ~~M~"'G:HBASEMEr:rr 'r~~-I"'S, 0 CELL TOWER CO-LOCATE
(or ~~~\E~~,~;;xifhKOUT\',:OI,('::,'~c\ G!J~;:OO,M0LIT10N
Class I ~c~pf~tsf#\'~iibj~~~ ~ f1ie, G.en~~~~tive Rules of th.lState ofInd.iana (See 675 lAC 12) regarding expiration time frames for
nEt"' \ 'kl~ ,:\.' i.- r \.~,L; beginning and completmgconstructlOn.
I, the ~~ ~e.tlUt ';ny consrnI~on, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requ~ ~y'thlS application ..tb>>.QMPTy 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 lC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
, bath, and fl or drains at cted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
u c . ompletionhas bee:nissuedbYthe~~armel,Indiana. I
~~f.'~ ,Vf-Pf'#/ / ;;'::..:!t:J-~7
OFFICEUSEONLY:********************************************** *************************
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BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
'va-
Address of Shell Building (If different than Address of Construction)
IV
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: /
Elevator or Uft: c;I YES
INSPECTIONS REQUIRED:
Upper Footing
~~)
Lower Footing Under Slab
Meter Base A~ Site
J;b,o.O.8lP
(Date)
Fee Received by:
/Approved, Dept. of Community Services
msjILP COMMEROAl
;.JA
ZIP
5lR,
'",
ZIP
4
SUITE # (If Applicable)
ZONING:,"1> '5
ARCH ~
OTHER(S):
SQUARE
FOOTAGE: '?-DaD
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) (,0 [) 00
OCCUPANCY ClASSIFICATION: '
PROJECT I
Early Release /' Manufactured V
Permit: Y ~ Trusses: _Y _N
Lot Split: Y =N Sump Pump: _Y Vf('
Does any part of the property, within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
~u PUJ. rr\K , II ) Go
Plumber's Indiana State License #:
""'PC! IOlotf3(o ,
# Charged Re-
Reviews
Additional Fees