HomeMy WebLinkAbout05060179-ApplicaitonCity of Carmel~Clay Township Permit #:~'/?
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tennnt Finishes, & Accessory Buildings
BUILDER of .~E PHONe
BUILDER'S EHML ADDEESS BEST M~'RtOD OF CONTACT:
OWNER:
~ ADDRESS ,~ CrFY ~" s-r ZiP
INFO. ~~';n'^~ T and Subdivision ~fAppllcabie)
PLANCONNISSIONIBZA/BPWDOO(ETNUHBER ;AND/OR ~-r' ~ u~- L;OMMUNF]~ SEF~VtCES
COUNTY WEU. AND/OR SEFTZC PEI~.Tr #'S (If Applicable): CJ'J"Y OF CAR~
F N UCTION:
(Privately owned hospitals
and medical offices/centers
am commercial)
(~ [NSTTrU'DONAL
[] Municipal/Public Bldg
School
[] Church
~: (Check all which
ap~ly_for the new construction area)
,~"SLAB [] CRAWL SPACE
· ~[~ POST & BEAM ~3 BASEMENT
(or POST & PIER) WALKOUT: Y
.N
TYPE OF IMP~OVEMEN_T:
[] NEW STRUCTURE
[] ADD[q'[ON
[] Room(s)
[] Porch
Mezzanine or Deck
AREMODEL
NEW TENANT FZNLSH
CCESSORY BUILDi'NG
[] DETACHED GARAGE
[~) A'I-rACHED GARAGE
[~ CELL TOWER (New)
(~ CELL TOWER CO-LOCATE
C3 DF_MOLIT~ON
PRO3ECT INFORMATION:
EaHy Release Manufactured
Permit:. Y"~N Trusses: .._._Y ~.N
LOt Split: Y_.~ Sump Pump: ~Y _~"N
Does any pert of the property lie within a special Flood
designation area: __Y ~.N
LUMBZN RACTOR:
Plumber's lndian~a Ste_.Je Ucena~#;
Cla~s I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration thne ~rames for
beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargerae~t~ relocation, o: alteration of a smicture, or any change in the use o[ land or structures
requested by this application will comply with, and conform to, ail applicable laws of the State of L13diatlal al3.d the "Zoning Ordinance of Carmel Indiana - 1993" (Z-
2~9) and amendments, ~9~6~o~.~dfl ~au th orlty of I.C. ~? et seq, General Assembly of th= State of [ndiana, and all Acts amendatory thereto. 1 further certify that only
Slgmlt~re of Owner or Authorized Agent 'P~nt Date
OFF/CE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Meter Base ~1 Site
Reviewed~mmunity Services (~Da~)(
Filing Fees: ~L~ 30. /,~
Sase Inspections: ~_~, ~3-~) # Charged Re-
Ced:. of Occupancy: ~ ~) / Reviews
TOTAL: ,q ~l,~.f ! ~g t-7,~-,. & ,_~ Additio, hal Fees