HomeMy WebLinkAbout05090199-ApplicationCity of Carmel/ Clay Tor nship
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For CommerCial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
LOCA'rZON
& PROJECT
S OF CONSTRUCT[ON
INFO: = of SD~r BuildJri
Sub~oc;~
FAX
PHONE FAX
CH7 STATE Z~P
[ BUILDING, PROJECT, OR TENANT NAME:
El~ror UR: ~ Y~ ~NO
~ N~ ~U~
~ ADD~ON
and m~l O~ ~ R~S)
are ~mm~al) ~ ~
IN~ONAL ~ H~nlne or ~
~ Muni~pal/Public Bldg ~ ~MOD~
~ ~1 ~ N~NISH
~ Chu~ ~ A~RY BUI~ING
~: (~ all ~ich ~ D~ACHED ~GE
apply ~r ~ ~ ~on a~a) ~ A~ACHED ~GE
(If AppllcaDl~)
MAP PARCEL #:
SQUARE
(EXCLUDING LAND VALUE) ~/ 00~)
Early Release //I Manufactured
Permit: ~Y N Tresses: .Y ~_N
Lot Split: _Y~/N Sump Pump: Y ~_N
Does any part of the property lie within a special Rood
designation ama: Y
PLUMBIN- i :NT -OR:
Plumber's Zndiana State License #:
~ SLAB [] CRAWL SPACE [] CELL TOWER (New)
~ POST&BEAM [] BASEMENT 8 CELL TOWERCO-LOCATE
(or POST & PIER) WALKOUT:~N DEMOLtTION / ~:~ ~
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for
begimaag and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable taws of the State of Indiana, and the ~Zanh~g Ordinance of Carmel Indiana - 1993" (Z-
289) a~ad an~admeats, adopted~under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendato~ thereto, I further certify that oaly
k~.c bfln, b~ at~oor dr~co~nn~cted to the sanitary sewer. I further cextify that the construction will not be used or occupied until a Ce. ri~cace o£
Occ~p~y or~~ issued by the Departmeaxt of Commu~t~ Services, Carmel, Indiana.
OFI~CE USE ONLY: ************************************************************************
Fi[lng Fees:
# Cha~ged
Under Slab B~se [rlsped~ions: Renews
~nity Services (Date)