HomeMy WebLinkAbout05110045-ApplicationCity of Camel/Clay Tow~Mp
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or lnstitutionah New Structures, Additions, Remodels, Tenant Finishes, & Accesso~ Buildings
BUILDER of ~mE
RECORD:
LOCATZON
INFO:
STA'II~ COHHEROAL
DESIGN
PROVIDER:
COUNTY WELL AND:
# of Roots:
EHA~L ADDRESS
PHONE
PHONE
FAX
BEST METHOD OF CONTACT:
FAX
SUITE # (If Applicable)
Lot# and Subdivision {If Applicable)
ORTENANTNAME:
Elevator or Ur~: ~] YES
SCOPE(S) OF
RELEASE:
ARCH O HECH O PLUM SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTiOn:
(exc~UmNG trod va~uE)
OCCUPANCY CLASSIFICATION:
(~/~COMMERCIAL
(Privamly owned
and medical offic~dl~l~rs
CZ] ADD~ON
DETA~MEO C~ARAGE'
~ '~,~ ~/A'FI'ACHED GARAGE
S~B ~ C~WL SPACE ~ ~ ~WER (N~)
~ & B~ ~ ~EME~ ~ ~TOWER CO-L~
(or ~ & P~ER) W~O~: Y N ~ DEHO~ON
Permit: _tLY __N~, Tm~. w Y N
bt Splib Y~ ~mp Pump:
~s a~ ~ of ~e pmpe~ Ite ~in a ~al FI~
designation ama: _ Y
Plum~s X~iana S~ U~e
See 675 IAC 12) regarding exp~
beginning and completing construction.
I, the undersigned, agree that any construction, reconstracti0n, enlargement, relocation, or alteration of a strucra~, or any change in the use of land or struc~
regneatcd by this application will comply with, and conform to, all applicable laws of thc State of Indiana, and the Zoning Ordinance of Carmel Indiana - 1993
289) and amendmenta, adopted under authority of I.C. 36-7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I farther cereffy that only
kitchen, bath, and floor drains are connected to the ~anitaty sewer. I further cert~ that tlac construction will not be used or occupied until a Cer~catc o£
la, 2~. o5~
Signature of Owner or Authorized agent Print eate
OFFZCE USE ONLY: ************************************************************************
ECrlONS REQUlREO: Filing Fees:
Lower Footing (
Revtewed/A~proved:' Dept. of Community Services (Date)
Base Inspections:
Celt, of Occupancy: -
# Charged Re-
Reviews
AddiUonal Fees