HomeMy WebLinkAbout05100083-ApplicationCity of Cared~Clay Township Permit #:
COMMERCIAL or INST.I~,T~. ~TIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For CommerCial or Institutional. New StruCtUres, Additions, Remodels, Tenant Finishes, & Accessow BUildings
PHONE FAX
PROPERTY
OWNER:
BUILDER'S EMA~L ADDRESS
FAX
STAT~
LOCATION
SUtTE#
Lot # and SubdNblon (If Applicable)
TAX MAP PARCEL
SCOPE(S] OF CD FDN ~ STR
SEWER UT[UTY
PROVIDER: ~,~L~,~ c
SQUARE
FOOTAGE:
ESTZNATI~D COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
~vatororLIR: ~ YES ~jt NO
OCCUPANC
(Privately owned hospitals
Bldg
POST & BEAM C~ BASEMENT
POST & PIER) WALKOUT: _Y N
C3 NEON STRUCTURE
[3 ADDTI'IOi~
, [] Eoom(s)
~,~.(~.. Me~anlne or Dec~
~ NEW TENANT F~N~SH
~ :'~A, CCESSORY BUILDING
~; ~r~CHED r~m, AGE
[~ ~' Atr~ACHED~&'~ GARAGE
[] CELLTOWER (New)
[] CELL TOWER CO-LOCATE
~ DEMOLITION
Early Release Manufactured
Permit: Trusses:
Lot SPlit I
Doesany part of the property lie within a special Flood
designaUon area: Y N
ana StateUcense#:
Lower Footing Under Slab
]AC 1:2)
,, all a and the "Zoning Ordinauce o£ Carmel Indiana - ~93" (Z-
;rate of Indiana. and all Acts amendatm7 thereto, I further certify that only
I not be used or occupied until a Ccrt. iBcate ot'
Filing Fees:
# Charged
Base Inspections: Reviews
Cert. of Occupancy:
TOTAL
~dditional Fees
Community Services (Date) Fee