HomeMy WebLinkAbout07080092 Application
City of Carmel/Clay Township Permit#: D7~;{
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
,
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
~ F~rt-SN-S-tjf?Z
PROPERTY
OWNER:
FAX:
ZIP:
LOCATION
& PROJECT
INFO:
SUITE #: (If Applicable)
liD
Lot # and SubdjviSion: (If Applicable)
STATE COMMERCIAL
DESIGN RELEASE #: '32. '3lXJ'1
WATER UTILITY ^ 10. .A
PROVIDER: \J,UI.'(nQ.t
PLAN COMMISSION / alA I BPW DOCKET NUMBERS; AND/OR
COUNTY WEU AND/OR SEmC PERMIT #'S (If Applicable):
SCOPE(S) OF 0 FDN 0 STR
RELEASE: ~ ELEC 0 SPKLR
SEWER LfTllITY
PROVIDER:
CtuLrMt
# of Floors: Elevator or Uft: rtA YES Q NO BLDG. CONSTRUcnON TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT N RMATION:
~ COMMEROAL 0 NEW STRUCTURE Early Release ,,'
(Privately owned hospitals and medical .D,...AIKli'mON Permit: Y" N
offices/centers are com"ll'r.9a~,\STP,UC I ,U'CJ Room(s) l/
o I~FOR ~_u: all re9uladO~ Porch Lot Split: Y -;;::-N
R\::.t;):.I,MdniOR?tVpwi!l:GlBldgJ ,th . . 0 Mezzanine or Deck
Sul6i'lGsffiojil:.:,.', nd LOCal CocJ~S~ ~t-4QDEL
o Cborch"'~ a . 'NITI' SE:tE] \ N_~:IJ;NANT FINISH
o !:1VLH-F'1"1\LYG")I\fIMU '. 'l-,rR1Jt-AaG::ESS"ORY BUILDING
NUmbef ofuQits:~"c' I CLt, ( "'0 OETACHED GARAGE
TY OF 1.;"'''''''- . .
FOUNoli1lroN TYPE. (Ch "~iiii ',Mi-l:i} 0 ATTACHED GARAGE
- . , e",' ,I 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOllTlON
o POST & BEAM PIER 0 BASEMENT (WALKOUT:
i3
Manufactured
Trusses:
Sump Pump:
y l( N
- Y ><-N
FLOOO ZON E
Y
N)
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expira me ,r ~~in?i_ng , ~
completing construction. fI ),Iiri~"
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the u land or structures re~ftt/id by
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the MZOning Ordinance of Cannel Indian M Z-289) and amendments,
adopted under authority of J.e 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funhercertify that only kit and floor drain
connected to he sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupa.ncy or SubstJUltial -. .I:!.as been
issu th Department of Community Services, Carmel, Indiana. . <;::;:::;
Signa
Pri
,Yt:t-
~JO=J-
OFFICE USE ONLY: ************************************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TOTAL:
.,.
.,
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
. Meter Base ~ Site
~RevieWed/APp oved: Dept. of Community Services
S:Permits/Form~I COMMEROAL
\
o
7
Fee Received by:
Date