HomeMy WebLinkAbout05110105-ApplicationCity of Carmel/Clay Townsltip permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutionah New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
NAME ~ ~7T'~ FAX --
~ ADD.SS ~ ~6~
LO~ON ~o~ OF CON~U~ON ~ mm · (If ap~able)
& ~RO3E~ ~ ~
INFOI ~ ~~ dl~m~dd~ ~ ~ ~ ~ and ~bdM~on (If Appll~ffe)
I
~zmm~, P~O~,~~: ~ ZOniNG: ~ - -
PRO~D~: ~ d_ (~CLUDING ~D V~UE) ~ ~ 0 [~
Elevator or I
(Privately owned hospital~
:ncr medical o~/~ ~n~
[] Huff~al/Pdbllc B!dg
~ Church
~rea)
[~) CRAWL SPACE
0 POST&BEAM C~ BASEMENT
(or POST & PIER) WALKOUT:
[] NEW~
[] ADDH~ON
[] ,m(s)~,
0 Porch, ,~;:~
: 0 Nezza~lh~6rDeck
~ REMODEL
[] NEW TENANT FINISH
~ ACCESSORY BUI~ING
~ D~ACHED ~GE
~ A~A~ED ~GE
~ CE~W~(N~)
~ CE~TOW~ ~L~
~ DEMO~ON
OCCUPANCY CtAS~IHCATION:
Early Release
Permit: Y ~ Trusses:
LotSpllt: Y~X_N SumpPump: Y_2S_N
Does any part of the property lie within a special Flood
designaUoo area: Y._~_N
Class I strum permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 12) regarding expiration time fi~unes {or
beginning and completing constt~etion.
l, the undersigned; agree that any construction, reconsU'uction, enlargement, relocation, or alteration of a st~ctu~, or any cha~&e 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, md the Zoning Ordinance of Carmel Indiana - 199T'
289) and amendments, adopted under authority o£ LC. 3C)~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cer tify tbat only
kitchen, bath, and floor drains are connected to the sanitary sewer. I fitrther ee~dfy that the construction will not be used or occupied until a Cer~Bcate o£
Occu~ c? o/' Su~ga/3t~ Co~ktt'oa has been issued by the Department O[ Colmllul~tt~ Services, Cra-mci, Indiana~
INSPECI/ONS REQUIRED:
Upper Footing Lower Footing Under Slab
Meter Base Site
ty Services (Date)
Filing Fees:
Cert. of Occupancy:
TOTAL:
t by:
Charged Re-
Reviews
'~ditional Fees