HomeMy WebLinkAbout05100195-ApplicationCity of Carmd /Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or InsUtutionah New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
OWNER:
LOCATION
& PRO3ECT
INFO:
~ PHONE
~ CITY
ADDRESS OF CON53~UCTION ~;;s
Address of Shell Building (If different than Address of Cons~uct~on)
[] INSTrruTIONAL
[] Munidpal/Public Bldg
~] r..,h urc~
~: (Check all which
apply fer the new censtnscflon area)
STATE
BEST METHOD OF CONTACT:
FAX
SUITE #
DSTF_~ATECOMMERC3AL ~ .,. ~ ~ SCOPE(S)OF C] FDN
~SPKLR t
PROVIDER: PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
#ofRoors: Elevat~rorLItt: ~] YES [~ NO BUDG. CONSTRUCTIONTYPE:
NE~V STRUCTURE
[] ADDITION
[] Room(s)
[] Porch
REMODEL
NEW TENANT FINISH
ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
~ SLAB ~] CRAWL SPACE [] CELL TOWER (New)
[~ POST & BEAM [] BASEMENT [] CELL TOWER CO~LOCATE
(or POST & PIER) WALKOUT: Y N ~[ DEMOLiTiON
$ MECH
FOOTAGE:
RO3E INFOR~A -_:
Early Release '\ A Manufac'cured
Permi~ Y ~,JN Trusses: _Y_.~,.._..N
LotSplit: Y_~N Sump Pump: Y._~N
Does any part of the property lie within a special Flood
designation area: Y_~__N
Class I structure lzrmits a~e subject to the General Administrative Rules of the State of Indiana (Se
beginning aud ccanpleting construction.
I, the uudersigued, agree that any construction, reconstruction, e~largement, relocation, or alteration of a steuc~re, or any change in t
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of (
289) and amendments, adopted under authority of I.e. 3fi~7 et seq, General Assembly of the State of Indiana, and all Acts amendator
kitchen, bath. and floor drains are connected to the sa~taty sewer. I further certify that the construction will not ~
_
~t~r ~ .~m Cert. of Occupant:
Additional ~
TOTAL -'