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HomeMy WebLinkAbout05020133-ApplicationCity of Carrael/ Clay Tol~sllip permit #:~ COMMERCIAL oz INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or TnstituUonal.~"'New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings PROPERTY OWNER: NAME PHONE ~ ADDRESS CITf STATE 3 23ff g a o,J Aq . 1_ 4 l Jt, 0t 5 BUILDER'S EMAI[. ADDRESS BEST M~'HOD OF CONTACT: FAX 2 Z6 _ N,~IE PHONE STREET ADDRESS 'Zml E-. hJ ADDRESS OF CONSTRUCT{ON T~ SU~ # (If Applicable) LOCATION '~u~5' ~:~T IZ-6 .Si-. ~-f~v~e.. l~l & PRO3ECT '-'' ! IN FO: fid'~of Shell Building (If different th~~ I ~# ~d Sut~io~ (If Applicable) ~OR~'-~--~E: ~ING: -- --' ) TAX MAP PARCEL #:---'-~ ~.~1~ DESZeNRa. E~E#'. ~O7~0~, P. EL~J~SE: ELEC ~}'SP~.R crmEP.($) mOT^eE: '~ ~1UU6 # of Roots: OCCUPANCY CLASSIFICATION: . = · -P -V :- I ' - I~1_ 2: : COMMERCIAL ~ NEW STRUCTURE Early Release Manufactured (Privately owned hosp~ls [] ADDITION Permit: Y ~1 Trusses: Y aanCl me~lcat omces/centers [] Room(s) .......... ~ ~, e m~ m --~ v ,~N ~ ~N_b'~q~JT~O~IAI: ~L~I~ ~©l~ ~T~i~{~l~ck Ooesanypar~ofthepropertyliewithlnasbecialFIood ~ _Hu. mci. pal/~f[g[o cor~p/i~r~ v~4~MC~DEbg~[~ion~ a~a~,~ area: ~ bcnool ~ c,~ ......... 4E3,~ NEW~llEb~ FINISH '~'"~ ........ '-~" ~ Church '~'~' t LmM. : :: 'RA :OR. apply for the new con , ~ ~' '~"'~"~ ~ ~ ~ SLAB [~] CRAWL SPACE )~'J f~ ,~,j ,~E~ LL TOWER (New) Plumber's Indiana State Ucense #: (or POST & PfER) WALKOUT: Y N L-J DEMOLITION Cl~ss I structure petTnits ate subject to the Gencr~] A t~t¢ of hadia~a (See 675 lAC 12) regatdh~g cxpir~ti beg~ ~ad completing cons~aetlon. I, the uncteraigaecl, ague that any conal~uction, r~cons~:uction, enlargement, relocation, or alteration o[ a stzuctore, or an), change i~ the use of land or structures requested by this applieatkin will comply with, and co~orm to, all applicable laws of the State o~ h~dia~, and the 'Zoning Ordnance o£ Carmel fndiana - 1,9,93~ 289) and amendraenrs, adopted uader authority o£ I.C, 3~ et aeq, Ge~l Assembly o~ thc State of Indiana, and ail Acts ame~datop/t~, er~o. ! ~her.~id~ that kitchen, bath, and ~1oo~ ~ a~e connected to the sanitary sewer. I furthe~ certify that thc construction will not be used or occupied tmlil a Cert~'c~te o£ beta Lssued b), the Department o[ Colllmunit~ Services, Ca. nnel, India!m, OFF~CE USE ONLY: ************************************************************************ Filing Fees: ~ ed Re- Base ~nspactions: ~ ~ Reviews Cert. of Occupancy: