HomeMy WebLinkAbout05090027-Application or INSTITUTIONAL IMPROVE1V[ENT LOCATION PERMIT APPLICATION
II or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
8,. PRO.1ECT
INFO:
NAME - · · ~_. PHONE
FAX
~ of Constru~on) Lot # and Subdivision (If Applicable)
NAME:
ZONING:
WATER UTILITY
PROVIDER: PROVIDER:
PLAN COMMISSION / 8ZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #~ (If Applicable):
(EXCLUDING LAND VALUE)
Elevat~r or Uft: 0 yES [~ NO BU)G. CONSTRUCTION TYPE:
- F -- ' CTI N: ~- E I:IMPR:V -~:- :
C] COMMERCIAL [] r'lE1N STRUCTURE
(P~va~ety ow n~u~_~0~lt~a ~ ~C3 ADDITION
and medlca o~-~ i
[] Municipal/Public Bl(Ia }8
a~y~r~en~n~ona~) ~,~ A~ACHED~GE
~S~B 0 C~WL SPACE 0 ~ ~WER (N~)
~ ~&~ ~ ~EM~ / ~ CE~TOWERC~L~
(or ~ & PIER) ~A~: Y~N ~ D~O~ON
: I I t. O; |
Early Release / Manufactured
Permit: Y ._~N Trusses: Y ¥/~N
Lot Split: Y.~N Sump Pump: ~.t~_N
Does any pert of the property lie within a special Flood
Plumber's Indiana State Ucense #:
the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time ftaraes for
beginning a~d cmapleting constructio~
reconstruction, enlargement, relocation, or alteration of a s~rucmr~, or any change in the use of land or strucm.re~.'
and conform to, all appl/cable laws o[ the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana ~ 1993 (Z-
, of I.C. 36~7 et seq, General Assembly of the State of Indiana. and all Acts amendatory thereto. I further certify that only
~ sewer. I further certify that the construction will not be used or occupied tm~l a ~ert/Bcate o£
I~n i~.~ by the ~mmnmt of Co~u~Lv/Services, Carmd, Indi~.
OFFICE USE ONLY: ************************************************************************
I'NSPECl~ONS REQUI'RED: Filing Fees:
# Charged P,~'-
Upper Footing Lower Footing Under Slab Base [nsped:ions: /c Reviews
Cert. of Occupancy:
Additional Fees