HomeMy WebLinkAbout05090148-ApplicationCity of Carmel~Clay Township
NAME PHONE FAX
PROP?.RI'Y
OWNER:
LOCATION
& PRO3ECT
INFO:
STREET ADDRESS CITY STATE ZIP
BUILDER'S ~MAIL ADDRESS BEST M~fHOD OF CONTACT:
NAME PHONE FAX
QTY STAT~ ZIP
surr~ # Iff Applicable)
Addres~ of ShelJ Building (If different t~aJ
Lot # and Subdivision (If Applicable)
BUILDING, PRO]ECT, OR TENANT NA~E:
TAX MAP PARCEL #:
STATE COMMERCIAL SCOPE(S)OF c3 FDN c3 STR glL ARCH ~ MECH ~ PLUM SQUARE
DESIGN RELEASE #: .~/~[ ~j~[~.~ RELEASE: ~j ELEC ~ SPKLR OTHER(S): FOOTAGE:
SEWER UTiLiTY ESTIMATED COST OF CONSTRUCT[ON:
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
OCCUPANCY CLASSIFICAT]ON:
PE- F :-
~ COMMERCIAl.
(Privately owned
are commercial)
---; IMPR 'V - i:
[] NEW S'fRUCTURE
] ADDITION
PR . - .- - ON_:
Early Release ~ Manufactured
Per'it:: Y N Tresses: Y __~N
LotSplit: Y ~ N SumpPump: Y ~' N
Does any pert of the property lie within a special Flood
ama: Y ~C~N
PL MBIN -: ' %'::
t~ SLAB [] CRAWL SPACE []
~ POST & BEAM C~ BASEMENT [] CELL TOWER CO~LOCATE
(or POST & PIER) WALKOUT:YN [] DEMOLITION
Plumber's Indiana State Ucenes #:
-: ~ F"' _
ndiam~ (See 675 IAC 12) regarding expiration time frames for
· or any change in the use of la~d or sU'ucmt~s
and the ~Zoning Ordinance of C~rme! Indiana - 19~3
5opredunder aurhoriryo£I.C. 36-7et seq General Assemblyofthe Scateof Indiana, and allAcrs amendatory thereto. I further certify that only
re connected to the sanitai7 sewer. I further certify that the consbmction will not be used or occupied until a Cettiflc~te o£
been issued by the Dep~tment of Commtmlty Services, Cannel, Indiana.
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