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PHONE
Permit #:
Remodels, Tenant Finishes, & Accessory Buildings
FAX
IER:
& PRO3ECT
ZNFO:
S EMAIL ADDRESS
NAME ~
Shell Building (If d
SUITE # (If Applicable)
m
BUILDING, PROJECT, OR 'i~NANT NAME:
STATE COMMERCIAL
DESIGN RB.EA.e~ #:
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEFTIC EERMIT #'S (if Applicable):
~ NO
[~ CRAWL SPACE
[] POST & BEAM C~ BASEMENT
TAX MAP PARCEL #:
t& 'h~02-oO- oo
(EXCLUDING LAND VALUE)
BLDG. CONSTRUCTION TYPE: ~-~ l~/~J~f~t; ,c~.g. OCCUPANCY CLASSIFICATION: ~ ~tr/.
PR 1 IN--- m ,N:
Early Release ./ Manufactured ~//N
Trusses:
Permit~ Y ~ Y
LotSpllt: Y v~N SumpPump:
Y_~N
Does any part otthe property/lie within a special Flood
designation area, _Y ~ N
P M N. :~zNT _ .-'
Plumber's Indiana State Ucense #:
[] NEW STRUCTURE
[] ATTACHED GARAGE
[] CELL TOWER (New)
CELL TOWER CO-LOCATE
(or POST & PIER) WALKOLFF:YN [] DEMOLITIO~
Class I sr~-ucture permits are subject to the General Adminis (See 675 IAC 12) regar~g expkation time frames for
beginning and complel~ag construction. .
~ been issued b'y the Department of Community Services. Carmel. tndian,~
OFFZCE USE ONLY: ************************************************************************
Filing Fees
INSPECTIONS REQUIRED: :
Charged
Re*
Upper Footing Lower Footing Under Slab Base Inspections: /
Meter Base ~ Site
Cert.
of
Occupancy:
Additional Fees
~ (Date)