HomeMy WebLinkAbout05090154-ApplicationCity of Carmel~Clay Township Permit #:
COMMERCIAL or INSTI.T,.?TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional. New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
STREET ADDRESS
PHONE FAX
~)RwOPERTY
NER:
BUILDER'S EHAIL ADDRESS
FAX
J~
& PROJECT
INFO:
LOt # and Subdivision (If Applicable)
COUhTY WELL AND/OR SEFTIC PERMIT #'S (If Applicable):
# o~ Room: Elevator or Lilt: I~ NO
ZONING:
SCOPE{S)OF O FDN q Sl~
RELEASE: a~EI~c ~PKLR OTHER(S):_
~gI-ECH C~LUM
~ALUE)
SQUARE
PR= · :NFORMATI N:
Early Release v/~N Manufactured u/ N
Permit: Y N~ Trusses: Y --
LotSplit: Y ~/N SumpPump: __-"~'-L~N
Does any part of b~e prope~y/~Je within a special Flood
designation area: Y ~ N
OFFZCE USE ONLY: ************************************************************************
ZNSPECl'zONsREqUI~RED: Filing Fees: "7 ~ r'~, ZE --
Lower FooUng Under Slab Base InspecUons: __J'~2 · ~)----'~'--__ # Charged Re-Reviews
~,-: 7' , Site Cert. of Occupancy: '
Meter Base ~
~, ~ . Additional Fe~-