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HomeMy WebLinkAbout05110110-ApplicationCity of Carmel/Clay Township Permit #: COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures~ Additions, Remodels, Tenant Finishes, & Accessory PHONE oP~PERTY NER: ~_.o/...or";'? ONTACT: STATE LOCATION & PROJECT INFO: Address of Shell Bufldlr SUITE # (If Applicable) SCOPE(S] OF DESIGN RELEASE #: RELEASE: C SQUARE FOOTAGE: WATER ~ PROVIDER: PLAN COMMISSION / BZA/BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicedle): #of Roots: EievatororLl~t: ~ YES BLDG. CONSTRUCTION TYPE: ~ COMMERCIAL (Privately owned hospitals and medical offices/centers are commeraal) [] INSTmJTIONAL [] Nunicipal/Public Bldg [] Church C ) BASEMENT (or POST & PEER) WALKOUT: Y N [] NEW STRUCTUR~ Eerly ~elease ,~ ,,~ [] ADD1TION Permit; Y _z~__.N [] Room(s) Lot Split: Y ~'N [] Porch ,~ ~] Me~z, ~nlne or Deck ~L~ Does any pert of the ~ DETACHED GARAGE:,:,:: [] cELL TOWER co-L~..AT~; [] DEMOLZIION Manufacturedt .,~ Trusses: /~r,j y N Sump Pump: -'~--/~-'-~- lie wifl~in a special Rood State License #: : General Administrative Rules of the State of Indiana CSee 675 lAC 12) regarding expiration rime frames for beginning and completing constxuction, st~uctu~, or any change in the use of land or structures with. and conform £ t~e State o£ Indiana, and the Zoning Ordinance of Canud Indiana - 1993" (Z- adopted under authority of I.C. 3&7 ¢[ seq, General Assembly o£ the State o£ Indiana, and all Acts ameadatory thereto. 1 lumber certify that only , sewer. I further certify that the construction will not be used or occupied until a Certificate o£ s been issued by the Depssxmen[ of Community Services, Carmel. Indiana. _ J - Print OFI~CE USE ONLY: ************************************************************************ REQUIRED: Filing Fees: Lower Footing Under Slab Base Inspections: site Cert. of Occu0ancy: Additional Fees of Community Services (Date) Fee