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 -
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OFI~CE USE ONLY: ************************************************************************
REQUIRED: Filing Fees:
Lower Footing Under Slab Base Inspections:
site Cert. of Occu0ancy:
Additional Fees
of Community Services (Date) Fee