HomeMy WebLinkAbout05100040-ApplicationCity of Carmel/Clay Township permit #:~ta
coM~RCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Znstitutionah New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE
OWNER: ~ -- ~
LO~ON ~ oF CON~U~ON ~ tit A~,cable)
ZNFO: ~d~dl~ (If ~t ~ Add~ ~ ~) - Lot · and Su~l~ion (lf ~p[l~bE) ~~
'I~PE
[] Chumh
area)
[] CRAWL SPACE
POST & BEAM ,~ BASEMENT
(or POST & PIER) WALKOUT: Y N
[] Room(s]
~ ~ ~i}l~nfne or Deck
~,~ ~ ~REM~£~
~NEW TENANT ~ISH
A~ESSORY BUI~ING
~ D~ACHED ~GE
~ A~ACHED ~GE
~ CE~ TOWER (N~)
~ CE~ TOWER ~L~
~ D~O~ON
Early Release ~ Manufa.ctumd ~A
p,rmit: ___V_~ Trusses. ._.___Y ~._N
LotSplit: Y__~ SumpPump: Y..~
Does any pert of the prope~/~ lie within a special Flood
designaUon area: Y ;~__N
PL MBIN · i' ~-. :
Plumber's Indiana State License #:
FooUng
Meter Base
[, the tmde~i4gned, agree that any constructaon, reconstruction, enlargement, relocation, or alteration of a structu~, or any change/n the use of land or structu~s
requested by this application wilt comply with, and conform to, all applicable laws o~ the State o[ Ind/ana, and thc Zoning Ordinance o£ Cannel lndiana - 1993
289) and mnendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath~dJloor ~ are conneqted to the sanitary sewer. I bather certify that the construction will not be used or occupied until] a Certificate o[
$igna~m of Owner or AuthorizedJ~gent Print Date
OFFICE USE ONLY: ************************************************************************
'~' Base Inspections:
Under Slab
Site
Services (Date)
Rev Jews
Celt, of Occupancy: ~,~ ,
TOT L: ,71~ ~/./f) % e..~"" Adclitiona, Fees