HomeMy WebLinkAbout20131104 Permit App.PDFCITY OF CARMEL /CLAY TOWNSHIP PERMIT #
COMMERCIAL/INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For New Structures,Additions,Tenant Finishes,Remodels,and Accessory Structures
REQUIRED BASE INSPECTIONS *
*Additional inspections may be required.
O~C454
N’E
C-
BUILDER
OF
RECORD
E-MAIL ADDRESS —.I BEST ME4HOD OF
‘<~~9 ~I/L ,/%~A.L.~CONTACT
PLUMBING STATE OF INDIANA ~‘Th
CONTRACTOR LICENSE NUMBER }/(tc)2~-CZZ)~
NAME t-i ~c’wtfC~Jt:;z~s ~-d..k
PROJ ECT
LOCATION
PROPERTY
OWNER
PROJECT OI~TENANT ~OMPLEX AI4D/OR BUILDING ‘
tU 14~(tL t~OC~L Mo~
LOT SPLIT
E1 YES III NO
ELEVATOJ
I:WcES LII NO
HAMILTON COUNTY PARCEL NUMBER —‘‘~fZONING (FLOOD ZONE/S
SEWER UTIL WATER UTILITY SEWER/WATER
(‘~UTILITIES EXCAVATOR
TYPE OF TYPE OF CONSTRUCTION Number of Units
PERMIT IWc.MMERCIAL D INSTITUTIONAL —DMunicipal I Public Building ~School ~Church III MULTI-FAMILY ________________
EARLY RELEASE TYPE OF IMPROVEMENT
LII NEW STRUCTURE LI NEW TENANT FINISH LI ATFACHED GARAGE LI ACCESSORY BUILDNG LI CELL TOWERIIIYESLINO~ADDITION —IE]Room/s LIPorch Ill Deck ‘REMODEL LII DETACHED GARAGE LI DEMOLITION []CO-LOCATE
PR•)ECT PLAN COMMISSION /BZA /BPW DOCKET NUMBER/S AND/OR SQUARE FOOTAGETACDATEIS
PDF PLANS TYPE OF FOUNDATION,-L~’tLK OUT PORCH
LI SLAB [~‘BASEMENT —-LI CD LI E-MAIL LI CRAW~PACE LI POST &BEAM ~POST &PIER LI YES
STATE OF CDR NUMBER RELEASE DATE CONSTRUCTION TYPE
INDIANA
CDR SCOPE OF RELEASE III HOOD TYPE OF RELEASE
LI FDN LI STR LI ARCH LI ELEC LI MECH LII PLUM LI SPKLR LII OTHER
OCCUPANCY CLASS
Class I structure permits are subject to the State of Indiana General Administrative Rules (GAR 675 IAC 12)regarding
expiration time frames for beginning and completing construction.
1,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 laws of the State of Indiana and the “Zoning Ordinance of Carmel
Indiana —1993”(Z_289)and amendments,adopted under authorityof l.C.36-7 et seq,General Assembly of the State of Indiana,and all Acts amendatory
thereto.I further certify that only kitchen,bath,and floor drains are connected to the sanitary sewer.I further certify that the construction will not be
used or .ccupied until a Certificate of Occupancy or of Substantial Completion has been issued by the Department of Community Services,Carmel,Indiana.
___-_________
Signa ure of Owner or Authorized Agent Print ame Date
LI Lower Footing LI Rough-In
LI Undersiab
LI Upper Footing LI Meter Base LI Forestry
LI Fire
LI Final LI Site
‘PERMIT FEES
Filing I Review Re-Review
Base Inspections
Cert.of Occupancy Other
P.R.I.F.
TOTAL
Review-ed /Released Department of Community Services Date
‘ermits\Forms\AppIications~ResidcntiaI\1LP Application\20 10-07
Fee Reeds ccl Department of Community Services Date
Last Updated 01/10/13