HomeMy WebLinkAbout05090198-ApplicationCity of Carrnel/Clay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE FAX
BUILDER of
l
RECORD: C,~n ~ a ~
BEST METHOD OF CONTACT:
PHONE
L C St -& 33- d
~ STALE
ZIP
ZIP
INFO:
DESIGN RELEASE#
PROVIDER:
[M4E:
If different that
PROVIDER:
SUITE# (IfAp~~O
PLAN COMMISSION / BZA / ~ COCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERN[T #~ Jif Applicable):
E[evatoror tJft: [~ YE~TYP OCCUPANCYCLASSIF[CA'r[ON:
: TYPE ZM E- NT: E:~ ~. E "~ -- -;=J -::
{~'~OMMERCIAL [] NEW STRUCTURE Early Release Y '~N Manufactured
(Privately owned ht~oltals [] ADD1T[ON Permit: Trusses: y ~N
and medtcal~flces/centers [] Eoom(s)
aro commerc~l) [] porch Lot 8~llt: ~um~ Pemp:
[] INSTmJTIO~AL [] Me~z~nlneorDeek Do~ln¥~ar~o~thepropertylie~'a|nssl~:lllFIood
[] HuniOpal/Public Bldg [] REMODEL
[] Scho~.l (~,/I~EW TENANT FINLSH designation area: Y ~_N
[] ACCESSORY BUILDING m - _- NTRACTOR:
[] DETACHED GARAGE
[] ATTACHED GARAGE
I~'"~LAB [] CRAWL SPACE [] CELL TOWER (New) Plumber's :(ndiana State Ucer~e
I~3 POET & BEAM [] BAS~EI~I~,EHT [] CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT~YN C~ DEMOUTION
nerd Adn~v~tx~ 675 lAC 12) ~ frames for
beginn/ng and comple~ng construction.
I, the undersigned, agree that any construction, reconstruct/on, enlargement, relocation, or alteration o£ a structure, or any change in the use of land or structu~s
requested by this application will comply with, and con£orm to, all applicable laws o£ the State of Ind/ana, and the 'Zoning Ord/nance of Carmel Indiana - 1993 (Z~
289) and amendments, adopted under authorit3' o£ 1.C. 36~7 et seq, General Assembly o£ the State o£ Indiana, and all Acts amendato~ thereto. I further certify that only
kitchen, ba~/, ar~ floor ~ are connected to the sanitary sewer. I furthex cextffy that the construction will not be used or occupied until a Cea'tiff*cate o£
has been issued by the Depar truest of Commun/ty ~ces, Cannel, lnd/anm
S~g~nature 6f ~,ner"or Authorized Agent Print ~ /
OFFZCE USE ONLY: ************************************************************************
REqUXRED: Filing Fees: ~ .
~ # Charged Re-
Up,el' Footing Under Slab Base Inspections: ~ Reviews
Site Cert, of Occupancy:
! ,,-t I ! /iA Addiflona Fees
t Services tee Reca~ved by: