HomeMy WebLinkAbout05040178-ApplicationRECORD:
Permit #:
City of Carmel~Clay Township
COMMEI~CIAL or INSTITUTIONAL IMPI~OVEMENT LOCATION PERMIT APPLICATI.ON
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
FAX
STATE ZIP
ZNFO:
L~#andSu~lvision(If~pli~ble)
TAX MAPPARC~#:
SCOPe{S) OF C} FDN O STR ~ ARCH ~MECH O PLUM
~ELEC O SPKLR OTHER(S):
~S~IMATE~
(EXCLUD[NG
SQUARE
NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #~ (Jif Applicable):
OCCUPANCY CLASSIFICATION: ~t
· / Manufactured
/[C~'~ Permit: Y ~_ Trusses: Y N
~!;~ .ezzabl.e or Deck Does any part of the property lie wlthln a speclal Floocl
G~ RENODEL
[] NEW TENANT FINISH
[] ACCESSORY BUILDING _ ' BZN _ ~ ' .'=:
C] DETACHED GARAGE
c C3 ATTACHED GARAGE
. SPACE [] CELL TOWER (New) Plumber's Zndiana State Ucense #:
D CELL TOWER CO-LOCATE
N [] DEMOLW[ON
pera~ts az~ subject to the G~eraJ Actmiaisttafive R~es of the State of b~dL~a (S~¢ 675 L~C t2) :egatdtag expi~tio~ time ~ames for
b~gi~a~ ~ completing cc~nst~uctioe. .
requested by this application will comply with, ~ conform ~o, all applicable laws ?~ ~¢ S~a~¢ o~ .I~fi_ ' .~.a, anti ~ns ~on:ng ~m.mans~o~ ~a~.l~m?na - ~ ~ - -
:189) and amendments, adopted under authoriqz of I.C. 36-? e~ s~q, ~_e.neral Assembly o~ the Sta~e o£ Indiana, ~d all A.c~s am.enoa~or~ m. e~to..l,m ~r~n~ .c~.er ury ~t omy
ki~hen, bar. h, and floor drains a'e connected ~o the sanitary sewer. I further cert~ tha~ the construction will no~ ? use~ or occup~e~ unoi a ~r~
~or 5~l~ff~l ¢O~.l~rio~ has been issued by the Department of Community ~S~ic~s, Cannel, Indian~
Print
Under Slab-~l Y~ : .
~ ~, ~ Base Inspect'ohs.
~0~ ~"~' ·
Site ~.~t/q Cert. of Occu0ancy.
# Charged Re-
Reviews
ii Fees
(Date)