HomeMy WebLinkAbout05040222-ApplicationOWNER:
For(
MAIL ADDRESS
STREEt ADDRESS
ADDRESS OF CONSq~UCTION
Tow/~h J~ Permit #:
PERMIT APPLICATION
New Sbalctures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
.,~ PHONE FAX
(Privately owned hospitals
and medical offices/oentets
are commercial)
POST & BERM
(or POST & PIER)
[] NEW STRUCTURE Early Release Nanufactured
CD ADDITION Permit: Y
CD Room(s)
[] Porch Lot:Split: Y)CN SumpPump:
[] Mezcanine or Deck Does any part of the property lie within a special Flood
[] REMODEL designation area: Y ~7 N
~ NE3N TENANT FINISH
[] ACCESSORY BUIEDING P ~-IN - :_~: -R:
[] DETACHED GARAGE
) [] ATTACHED GARAGE ~ ~
[] CELL TOWER (New) Plumber's Indiana State Ucense #:
[] CELL TOWER CO-LOCATE
WALKOLrr: Y N [] DE~OLrT[ON __
subject to t~e Gener~l AdmL~st~tive Rules of the State of In~ (See 675 [AC ]2) tegazd~g expiration time ~-amts for
beginning and completing construction.
econstruc~ion, enlargement, rdoca~on, or akeration of a structure, or an~ change in the use ofland or strucm~
and conform to, all applicable laws o£ the State o£ Indiana, and the 'Zoning Ordinance of Carmel Indiana - 199~ (Z~
oI I.C. 36~? ct seq, General A~embly of the Shar~ o£ Indiana, and all Acts amcndatory thereto. I further ccrtffT that onl¥
the sanitary sewer. I further cezt~ that tlzc construction will not be used or occupied until a C. ert/ficare o£
a has been issued by the Department of Commtmity Ser~ine$, Carmel, Indiana.
~gent PUnt