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C:\Documents and Settings\l27bheath\My Documents\Facility\Fireworks_Special Events Application Carmel Permit APptoc
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CITY OF CARMEL, INDIANA. DEPARTMENT OF COMM~lVIT;Y 5,ER"ICES I
TEMPORARY USE APPLICAl1ION ~.'~ !
FIREWORKS SALES OR SPECIAL EV~NT QCr' ~ __ ,,_.1
DIVISON OF BUILDING AND CODE SERVICES I V I LVUU I .....
lillI' _
INCOMPLETE APPLICATIONS WILL DELAY PERMIT RE~~EJ.------ L__'
1________.
APPLICANTI OWNER INFORMATION (PLEASE PRINT OR TYPE)
COMPANY NAME: B jJ",., L -r- g Ii.
IN.114. lR""V.w~ l<uLE ~ PHONE#: (3i7 )3'1(,,-<.,,(,,(;,,(.,
APPLICANT NAME: PUJSR CIft:.-.f-cL<:--'! FAX#: (30 ) gf7-0L-'f-o
ADDRESS OF APPLICANT: . Q rJ./ c: .- '-,I'AY:I~ 'I :-7'., ..//32-U'''''
32.10 t:. {.fe, - 0.1, ~'lJir"'-'Y 0'-' ~ "7"'" ,,-,
ADDHESS CITY STATE ZIP CODE
PROPt/,RTY OWJ.'IER NAl\IE: /7 ^
I VI\J~ kA-t-ry (o,.VyO,{J1.l:! / L r
ADDRESS OF OWNER: .L _~ .d.
739'7 S~jj J,Vc. <p- /0("
ADDRESS
PHONE#: (..3/7) g/tf'-S,S7/
c:z:,vDiA.-7V1fCfLfJ..IN 7'(,~.5.-0
crTY
STATE
ZIP COllE
TEMPORARY USE INFORMATION
NAME OF BUSINESS/ORGANIZATION:'
o FIREWORKS SALES
Pi::-W:;\I..I:... tFft-v/UY-0(
q Ie, 1)./ Sr
j8f SPECIAL EVENT
ADDRESS OF TEMPORARY USE:
3 Lie E.
DATE(S) OF PROPOSED USE:. .' . / . /.,.
/2.'.1 12.-B:..-
HOURS OF OPERATION: 7'30,4""'1 -- 9:!1ZJ4"")
DESCRIPTION OF TEMPORAHY USE:
WILL THE TEMPORARY USE BE OUTDOOHS,? ~r NO
WILL THE TEMPORARY USE REQUIRE A STRUCTURE,? (tent, stand, or mobile Illlit)@Or NO
IF SO. WHATTYP OF STRUCTURE AND INDICATE SIZE:
,;;. - sro,'<.AU ,'II....bl"'ruW / - f? I L i - g-;<:,
('NOTE MOBILE UNIT REQUIREMENTS ON BACK') MOBI~CEHTIFICATION #:
WILL THE TEMPORARY USE UTILIZE A TEMPORARY SIGN'~ NO
(' NOTE TEMPORARY SICN REQUIREMENTS ON BACK')
IF APPLICATION IS FOB FIREWORK SALES:
(PLEASE REFER TO ADDITIONAL APPLICATION REQUIREMENTS FOR FIREWORKS SALES ON BACK)
WILL THE STRUCTURE BE USED FOH THE SALE OF MORE THAN 500 ILBS OF FIREWOHKS,? YES or NO
DOES THE STRUCTURE ALHEADYHAVE A SPRINKLER SYSTEM INSTALLED'? YES or NO
HAS THIS STRUCTURE PREVlOUSLYBEEN USED FOR THE SALE OF FIREWOHKS,? YES or NO
.d
CERTIFICATION AND NOTICE OF INTE :r;ro COMPLY
I hereby certify that I have the 3/.'.t:"fity t m(ke the foregoing application, that the application and plans filed with the application arc concel
the opt;.J:.,ion and con ct 0 I. will conform to the regulations of the Carmel/Clay Zoning Ordinance.
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A'1i.,.,L-
Signature of Property Owner (REQUIRED)
OFFICE USE ONLY (DO NOT WRITE IN)
PERMIT #: ~
1)&/1 & I~
APPLIC[jION REVIEWED BY:
K(
ZONING:
PARCEL #:
ONE CIVIC SQUARE
DATE:.iL-1 ;;.11
~
DEPARTMENT OF COMMUNITY SERVICES
CITY OF CARMEL, INDIANA
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PERMIT FEES:
(317) 571.24''''
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C:\Documents and Settings\127bheath\:My Documents\Facility\Fireworks_Special Event;; Application Carmel Permit App.:doc
1~133.50 (Special Event Fee)
0$267.00 (Use Permit Fee)
0$100.00 (Site Inspection Fee) I
0$80.00 (Sign Permit Fee) ,
TOTAL FEES DUE: $ / 3 ~ . i-U
REQUIRED INSPECTIONS:
o ELECTRICAL (B&CE) 0 SITE (PLANNING) 0 FIRE DEPARTMENT
Call (317) 571-2444 to schedule Electrical & Site Inspection...
Call (317) 571-2600 to schedule Fire Department Insllcction
ONE CIVIC SQUARE
DEPARTMENT OF COMMUNITY SERVICES
CITY OF CARMEL. INDIANA
(317) 571-2444
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