HomeMy WebLinkAbout05110111-ApplicationCity of Carmel~Clay TownsMp Permit #:~
COMMERC/AL or INSTIZXTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
· or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
PHONE FAX
PROPERTY
OWNER:
BEST F CONTACT:
FAX
LOC, AT[ON
& PRO3ECT
INFO:
PROVIDER:
~w.~td SUITE# (If AppJlcable]
Address of Shell Building (If different than Address of Eonsl~cUon) Lot # and Subdivision (If Applicable)
SCOPE(S)OF C:ii,,"~N ~ C3*'~CH ~I~TECH Ca,,~LUM [ SQUARE
RELEASE: G~-'LEC C3 SPKLR OTHER(S):__ [ FOOTAGE:
SEWER UTiLTTY~.~ /~ ~--~-'~--"~ ~ OF CONSTRUCT[ON:
PLAN COMMISSION / BZA / BPW DOCXET NUMBERS; AND/OR
COUNTY WELL AND/OR SSPT[C PERMTF #'S (If Applicable):
PRO E- :N _-_- : N:
Early Release / Manufactured
Permit:. y v N Trusses: t'/Y N
Lot Split: Y ~/N Sump Pump: Y
(P~vately owned hospltal~
and r~lical offices/centers
am commerdal)
NO
~ Churc~
C~ CRAWL SPACE
O POST&BEAM C3 BASENENT
(or POST & PIER) WALKOUT: Y tN
NEW STRUCTURE
ADDT'fION
[] Room(s)
[] Porct~
[] Mezzanine or Deck Does any part of the property lie within a special Flood
g REMODEL
~' NEW TENANT F~NISH designation area: __Y V/N
[] ACCESSORY BUILDING --?., : NTRA- OR_:
[] DETACHED GARAGE ~
[] AT~ACHED GARAGE :tv - --
[] CELLTOWER (New) Yam,,--k~,~. ?.a;... ~.~.~Plumber's Indiana State License #:
State of Indiana
[] CELL TOWER LO-LOCATE
C:3 DEMOLtT~ON
kitchen, b~r~, and floor drains ar~
Occu~c~ or .Su~ Completio~ has be~n i~
Signature of Owner ~,uthorized Agent
OFF~CE USE ONLY:
~IE~U~RED:
of a structure, or any change in the use of land or srrucvares
applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana - 1993" (Z-
e St~te of I ~*~1 and all Acrs amen&tory thereto. I further certify rlmt only
~ not be used or occupied until a Ceftin'cate o£
[ndiane~
Rl,ing Fees:
Base Inspections:
cerL of Occupancy:
# Charged Re-
Reviews
Additional Fees
Services (Date)
S:Pene~s/~ CONNERC~AL