HomeMy WebLinkAbout05090044-Application ¼
City of Carmel~Clay Township
COMMERCIAL or INSTI~,.T~TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional. New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
fflLDE~ of
CORD.
PROPERTY
OWNER:
LOCATION
INFO:
STREET ADDRESS
~ Et~c
ZONING:
FAX
SEWER UTIL.F'Y
ROWO R:
PLAN COMMISSION / BZA / BPW DOCY~T NUMBERS; ~D/~ ~..~ ,~ . ,
~O~ WE~ ~D/OR ~C ~ ~ [If Ap~l~b~): O~l -~O ~ ~V
HERCIa. L
(Privately owned hospitals
and medical off,es/centare
are commercial)
C~ INSTITUTIONAL
F'3 Munidpal/Public Bldg
[] Church
~: (Check all which
apply for lt~e new construction area)
{~SLAB C~] CRAWL SPACE
[] POST & BEAM C~ BASEMENT
(or POST & PIER) WALKOUT:Y
(If Applicable)
Ob/STR ¢~PLUM SQUARE
~SPKLR FOOTAGe::
OF CONSTRUC~ON:
---' - VEME :
[~3 NEW STRUCTURE
ADDITION
[] Room(s)
[] Porch
[-' Mez~nine or Deck
REMODEL
NEW TENANT FINISH
[~ ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'CrACHED GARAGE
[] CELL TOWER (New])
C~ CELL TOWER CO-LOCATE
C~ DEMOLITION
;-. 3E INFORMA .-:
Early Release Manufactured
Permit: Y ~ Trusses: __Y ~'~N
Lot Split: Y ~'~N Sump Pump: _Y
Does any part of the property lie within a special Flood
designation area: Y ~N
--' - :' --' -OR:
Plumber's Indiana State License #:
Class I s~x-ucture pennirs ar~ subject to the Genera] Adn~strarivc Rules of the State of Indiana (See 675 IAC 12) regarding expiration time [rames for
beghuung mid completing construction.
I, the undersigned, ague chat any consrrucuon, rcconsrructinn, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
r~lucstcd by this application w 11 comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana 21993' (Z-
289) aud amendments, adopted under authority of 1,C. 36-? et seq, General Assembly of the State of Indiana, and all Acrs amendatory thereto. I further certify that only
kitcheaJ,~th, and floor drains are connected co the s~ukaty sewer. I further c~ that the construction ~ not be used or occupied until a Cettilffc~te o[
Occ~6adicy or Substantial C~om~tion has beel~i~ued by the DelYaxtment of Cormnunity Services, Carmel, Indiana.
Signature of~mer oV~thorized Agent Print Date
OFF~CE USE ONLY: ************************************************************************
..~ # Ch~ed Re-
(~ tOBase Inspections: ~ Reviews
' -- Cert. of Occupancy: . / L/,.5 · ~J ~-' __
~ J 0 I~ ~ I~ ~ Additional Fees
TOTAE: *44' I ,R I LJ~ * ~ ~ ·