HomeMy WebLinkAbout04120083 Application
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'.' City ofCarmellGay Township Permit #: ()LfJ )Or;g3
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
.DER of NAME
';ORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
STATE COMMEROAL
DESIGN RELEASE #: 30
WATER lITILITY
PROVIDER: --:::I=0
\0,
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
~Q
uc-l-iO() L.
# of Floors: 5
Elevator or Un:: Q YES ~o
BLDG, CONSTRUCTION TYPE
TYPE OF CONSTRUCTION:
XCOMMEROAL
(Prtvately owned hospitals
and medical offices/centers
are commercial)
o INSTITUTIONAL
o Municipal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
apply for the new construction area)
MSLAB 0 CRAWL SPACE
-a PoST & BEAM 0 BASEMENT
(or POST & PIER) WALKOLrr:_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTIJRE
o ADDmON
o Room(s)
o Porch
~ 0 Mezzanine or Deck
EMODEL
NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOLmON
-r17
STATE ZIP
::G-J
BEST METHOD OF CONTACT:
,c.a0l 12.-- (Y\Q. \
~5
ZONING:
L,
)i( MECH .i{ PLUM
I';) 5<60
ON:
~EiY1
PROJECT INFORMATION:
Early Release /"
Permit: Y V N
Lot Split: y;::;;(
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 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 I.c. 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. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy or Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
G--'-C)(
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 'J.,5'J-q. 'i 0
, / ~ 7 00 # Charged Re'
Upper,f ting Lower FOOti~9 er Slab Base Inspections: . ?eviews
Meter Base Final Site Cert, of Occupancy: ~O ~' t? 0 11"'---,-
~ II o. (p t/ 0 Additional Fees
TOTAL: Zl .
'~ -?:' ~-7?4P;<./V#
Fee:"ec'elvedliy: ~c;'~
~,IQA/
Print /
Reviewed/ App ved: Dept of Community Services
S:Permits/fonns/ILP COMMEROAl.
. 004-
) ;) . J {) - O~
Date