HomeMy WebLinkAbout05080225-ApplicationCity of Carmel/Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE FAX
ZIP
ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
& PRO3
INFO:
Address of Shell Bulldtng (If different than Address of Construction)
NAME:
SU1TE # (If Applicable)
Lot # and Subdivision (If Applicable)
[] School
[]
[] CRAWL SPACE
[] POST &. BEAM C~ BASEMENT
(or P053r & PIER)
~{~1. Room(s)
,~ NEW TENANT FINISH
' L] ACCESSORY BUILD[NG
[] DETACHED GARAGE
[] A'I*TACHED GARAGE
[] CELLTOWER (New)
[] CELL TOWER CO-LOCATE
WALKOUT: Y N C3 DEMOLITION
Early Release ./ Manufactured v
Permit: Y ~_N Trusses: Y ..~__N
LotSplit: Y.Z~N SumpPump: Y_~N
Dons any part of the properb/lie within a special Flood
dnsignation area: ~
Plumber's Indiana State License #:
beginning aid completing constxuction.
I, the undersigned, ageee that any consWaction, •construction, enlargemenr~ tel•cat on or alteration of a structure, or any change in the use of land or sWaccares
requested by fl~s application .will comply with, and con[ami to, all apphcable laws of thc State of India•a, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) an~ anen~_ents, adopted under a~thority of I,C. 36-7 ct seq, General Assembly of the Sts~e of Indiana, and an Acts ~mendato~y thereto. I fulther certify that only
kitshe~, bath, and floor drains are connected tu the sanitary sewer. I f~rther certify that the construction will not be used or occupied until a Certificate o£
Occuj~ffc)' or Subst~ti~ Completion has been issued by the Department_...•[ Community Services, Carmel, Indian~
Sl~lature of Owner o~ Aufltorized Agent print
Base Inspections:
Certl of Occupancy:
TOTAL:
# Charged Re-
Reviews
Additional Fee~~