HomeMy WebLinkAbout05060130-ApplicationCity ofCarmet C~ ay ow~ ~ .~
CO~RC~ or ~STI~TION~ ~RO~ LOCATION PE~T ~PLICATION
~r ~mme~ial or In~tional. New ~u~ums, Additions, Remodels, Tenant Finishs, & A~W Buildings
PHONE
BUILDER'S EMA[L RDDRESS
BE~T METHOD OF CONTACT:
FAX
ZIP
PROPERTY
OWNER:
LOCATZON
& PRO3ECT
INFO:
PHONE
FAX
CYIY STAll~ ZIP
ADDRESS OF CONSTRUCT[ON SUITE # (If Applicable)
g (I # and Subdivl~on [ffAppllcable)
BUILDING, PRO3ECT, OR TENAhrF NAME:
L_c,n
STATE COMMERCIAL SCOPE(S} OF o FDN
DESIGN RELEASE #: ~ j ~) L.~ ~ RELEASE: ~eLEC
WATER ~
PROVIDER: PROVIDER:
PLAN COMMLSSION ; AND/OR
EST~NATED COST OF CONSTRUCTION:
COUNTY WELL AND/OR S~PT[C PERM~ #'S (If Applicable):
~ U NO
[] Schoc~
0 Church
~: (Check all which
appt~r the new construction area)
~KSLAB [] CRAWL SPACE
~XPOST & BEAM 0 BASEMENT
(or POST &. PIER) WALKOUT:YN
N~ ~NA~ ~NISH
AC~RY BUI~ING
D~A~ED ~GE
A~ACHED ~GE
CE~ TO~ER (N~)
CELL TO~ER
DEMO~ON
BLDG. CONSTRUCTION I'YPE~CY' CLASSIFICATION:
Early Release Manofac~urod
Permit:: y L~N Trusses: Y .N
Lot Split: Y_~ Sump Pump: Y~'N
Does any part of the property li~e within a special Flood
designation area: Y
P M::! RA 'OR:
Plumber's Zndiana State License #:
~,', ~3~_ ~_o~ _
--C~ass I structure permits are subject to the General Administtative Rules of the State of Indiana [See 675 IAC 12) r egamling expiration time frames for
begimxing and completing construction.
I, the m~letsigned, agree that a~y constraction, reconstruction, en]arg~e~t, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application wL[1 comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993' (Z-
289) and araendmen~s, adopted under authority of I.C. 367 et sect, General Assembly of the State of Indiana~ and all Acts amendatory thereto. I further certify that only
kitcheal, bath, and floor drains are connected to the sardtaW sewer. 1 h~r ther certify that the construction will not be used or occupied until a Ceri~Ec~te o£
~c~cy ~r Subst~atia~ ~n has ~Z issued by the Departmen~ ~f C~mmuulty ~ervi~es~ ~armd~ India~
Sigt~ Owner ~Au~hotized Agent ~ Print ~ Date
OFF~CE USE ONLY,
XNSPECT~ONs REQUZRED:
nde ~1 · ~arg~ Re-
U.~r~.ng ~werF..n" ~ rSlab ~¢ Bsse~ns~io.s: ~ / Renews
Addi~onal
TOTAL