HomeMy WebLinkAbout05090046-ApplicationCity of Carmd/ Clay Tm~ship
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
NAME PHONE FAX
~MAIL ADDRESS
PROPERTY ~E
OWNER:
STreET ADDRESS
LOCATION
& PROJECT
STAT~ COMMERCIAL
PROVIDER:
F CONSTRUCTION
Address of Shell BuiMIng (If different nan Address of Const~uctlon)
PHONE FAX
~ STATE ZIP
C~,~ __
(If Appl~able)
ZONING: TAX MAp PARCEL #:
SCOPE(S)OF C3 FDN CD STR O--~RRCH ~:r"~ECH ET~PLUH
RELEASe: C~"EI~C CL,~PKLR OTHER(S):_
SEWER LF~LFrY ESTIMATE[
PROVIDER: (EXCLUDING LAND VALUE)
FOOTAGE:
COUNTY WELL AND/OR SEPTIC PERMIT #~ Jif Applicable):
EI~ or Uft: ~YES ~ NO 8LDG, CONSTRUCTION TYPE:
--PE; -I --M ~ :1
~r Deck
~ :E; -N '- -:
Early Release
Permit. _Y
Lot ~plit: _y c~
Manufactured
Trusses: y L/N
Sump Pump: y~
BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
C~ CRAWL SPACE [] CELL TOWER (New) Plumber's Indiana State Ucense #:
[] POST & BEAM [] BASEMENT [] CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT: Y____N C~ DEMOLITION
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12 r
) egarding p for
I the ...... beginn~ and complet lng constamction.
, unoerslgnea, agree that any constructlor~ reconstruction, enIalgemext~, relocation, or alteration of a structu~, or any change in the use of land or atructu~re~.
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the Zoning Ordinance of Carmel Indiana - 1993
289)andar~¢~drt~n~ad~tsdunderauth~tity~£~.C.36:~¢ts~q~Gen¢ralAssemb~y~£theSta~¢~£Indiana~andal~Actsamendat~rythemt~..~ I furth~ certify that only
k~tch¢n~bath~and~rdrainsarec~nn¢ctedtothesani[at7sew~r.~fm~her¢ermythatthe~nstru~ti~nwi~n~tbeu$ed~r~ccu-i~a.--.. ~ ~.~. ~ ,r
OFFIa[ USE ONLY-' *******************************************************--
INSPECTIONS
REQUIRED:
Filing Fees:
# Charged Re-
Under Slab Base Inspections: neMews
Site Cert. of Occupancy: · ~ ~