HomeMy WebLinkAbout05060040-ApplicationOWNER:
LOCAT~Of
& PRO3ECT
][NFO:
Township Permit #:
For Commercial or XnstituUonal: New Structures, Additions, Remodels,
PHONE
crp/
3qbL
FAX
zip
qbo_35
(If different than Address of Cons~ru~on)
ZONING:
Lot # and SubdNL~io~ {If Applicable)
K NAP PARCEL #:
STATE COMMERCLAL
DESIGN RELEASE #:
PLAN COMMISSION [ BZA / BPW DOCKEr
RELEASE: o ELEC FOOTAGE:
[] NEW STRUCTURE
Early Release ./ Manufactured
Permit: Y.~,N~.N Trusses:
Lot Split: Y~'~ Sump[
[] ATTACHED
[23 CRAWL SPACE [] CELL TOWER (New)
CD POST& SE*~ ~ BAsE~E~ [] CELLTOWER CO-LOCATE
(orPOST~.VXER) ~v~ou-r:Y N [] DEr4OU'nom
subject to the General ~
UMBING: : RA- :
Plumber's Indiana State License #:
/qb oooo __
(see 675 lAC 12) reganiing expiration time frames for
~ and completing eonstamction.
I, the undersigned, ageee that any construction, reconstruction, evJargemenc, relocation, or alteration of a strucc~ or any cha~4~e in the use of land or sWacmres
requested by this application will comply with, and cordoma to, all applicable laws of the State o£ lndiana, and the Zoning Ordinance o£ Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I,C. 36-7 et seq, General 2kssembly of the State of In~a, ~d all Ac~ ~en~to~ ~e~to. I ~urther certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer, I further cer~ thai: the constxuction will not be used or occupied unffi a Cerff~cate of
Occ ~p ~ t~t/~Co~pIet/o~ h a s been i~ued by the Department of Goramtmi~ Services, Cannel, Indiana.
Signatum of ~.) or Authorized Agent Print [ Date
Fees:
se [nspecUons: Reviews
Cert. of Occupancy:
-Additional Fees