HomeMy WebLinkAbout05040096-ApplicationFor Commercial or InstitUtional: New Structures, Additions, Remodels, Tenant Finishes, & AcceSSOry Buildings
BUZLDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
& PRO3ECT
TNFO:
ADDRESS OF CONSTRUCTION
BUILDING, PROJECT, OR TENANT
STATE COMMERCIAL SCOPE(S) OF
PHONE FAX
CRY STATE ZIP
BEST METHOD OF CONTACT:
PHONE FAX
SU1T~ # (if Appl)cable)
ZONING: ~ TAX MAP PARCEL #:
C~ FDN E3 STR (~ ARCH :;~ MECH ~ PLUM SQUARE
PLAN COMMISSION / BZA ! ~ DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERNIT #~J Ill Applicable):
# of Roots: / El'~ator or Lift: 0 YES ,~ NO~CONST~_ UCT]ON TYPE:
: TYP ZMP V :
............. ~ ri~ Nm~ucru~
apply for the new construction area) [] ATTACHED GARAGE
[~SLAB [] CRAWL SPACE [] CELLTOWER (New)
(or POST &. PIER) WALKOUT:_ Y N ~ DEMOLITION
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PR- - Z, - -TI :
Early Release~-~ ~ Manufactured y~NT~_~
Permit':, Y b~ N Trusses:
Lot Split: Y ~ Sump Pump: Y
Does any part of the property I~ within a special Flood
designation area: Y ~ N
Plumber's Zndiana State Ucense #:
Class I st~uctttm petmit~ a.m subject to the General ~trative Rules of the State of Indiana (See 6~5 IAC 12) regaxdi~g expiration time frames for
beginning and completing construction.
l, the tmdersigned, agree that any construc~on, reconstruction, enlargement, relocation, or alteration o[ a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws o£ the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana - 1993~ (Z-
289) alld amendments, adopted under authority o£ I.C. 36-7 et seq, General Assembly of the State o£ Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, lmth, and floor drains are connected to the sanitar~ sewer. I further certify that the construction will not be used or occupied until a Cert~'cate o£
~y the Department of Community Services, Carmel, lndianm
~Jent Print Date
USE ONLY: ************************************************************************
INspEcTIONS REQUIRED: F ~ - Filing Fees: ~
Upper Footing Lower FOOUn, ~ ,Y g~l/~ Base Tnspections: ~ # R%avirgewedsRe-
MeterBase ~- Site /Fl~¢J~C~ert. of Occupancy: /g.~, ~0 /
S:pe~Forr~iLp COMM~~ -- ~.