HomeMy WebLinkAbout 0077.00 ApplicationCarmel -Clay
w„ l mp IOA6 ,e Application for
jit
4�DLynprovement Location Permit
This is valid only if construction is started within 120.days of issuancc date; all: construction must be
date unless an extension of time has been officially granted by letter by the Director. Deoartment of Comma,
Permit No / `.200o
Date
Roll Ft
issued) within 2 years of issuance,
NAME PHONE FAX
GC 64(o-55oo 84£5-ea
BUILDER
MEET crY STALE VP
Po (30)c -r 5-7 cA-9^-4F - jrJ 4coo 3 z
TENANT NAME
(ifapplicable)
'a{kkK PLA�� p4:�-L•tF-
NAME r PHONE
TRAc?\C CoSI ps RELEASED MR �/a FA%
OWNER
s ee c aWUjVC1 00 COMP lance wit*%—n
StateCou'nty,,
-
and
10 Z�. o p-"�R —0//
LOT SUBDfVIS10N�� �, iI {J,(�11 G
LOCATION
T �Gr N ''
ADD OF CONSRtUCrON
5 \Aj. if z DR.�
A. TYPE OF -CONSTRUCTION vu t
1. ❑ Single Family ❑ Yes
2.
❑
Two Family
3.
❑
Multi -Family
Type of Foundation:
4.
A Commercial I Industrial
❑Craw ce .
5.
❑
Farm
asent t�
6.
❑
OTHER
(Specify)
❑Slab ! I
Gl 3
B. SEWER:
l /
1.
Sd
Public (Name of System
2.
❑
Private (Septic Tank, etc.)
?000
_ Attached /
YES NO v
YES NO L/
C. WATER: l t Sump Pump YES NO
I. Public (Name of System J. Manufactured Trusses YES NO
2. ❑ Private (Well C�
D. ZONING: M — 3 K. Plumbing Contractor �2D0.1 {mot k" IzcC
E. ESTIMATED COST OF CONSTRUCTION U�og
�l
(Excluding Land Value) +15,0 oO Plumbing License ii BOCA or ❑ CABO
The undersigned agrees that any construction, reconstruction, enlargement, relocation, or alteration of structure, or any change 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, and the "Zoning Ordinance
of Carmel Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assemblyof the State of Indiana, and all
Acts amendatory thereto. I further certify that only kitchen, bath, laundry, and floor drains are connected to the Sanitary.sewer. I further certify
that the construction will not be used or occupied until�gCerbfwate.af Occupancy.has been issued by the Department of Community
Services, Carmel, Indiana 1^
I W Inspections d:
lY
Signature c Owner or Authorized Agent I
�1� F«,00� �I �J
(Print) (Phope Number) )L /
Sewer Capacity Allotted
I9F.61
I . ❑
New S e
2. ❑
Addition Po
3. ❑
Remodel
4. ❑
Foundation Only
5. ❑
Demolition
6. ❑
Accessory Building
7. ❑
Swimm ng Pool
8. ❑
Garage Detached _
Lot Split
Flood Zones
Footing/Underslab ., on Meter Base
Site in/ tY/-zq
Permit (Square Footage)
hrspection Fees:
Cc
Services Fee Received By E.UP%& .ivy
Applications:
2000.o042.B City of Carmel\Clay Township Permit No:
Date:
Application for Improvement`Location Permit Roll File: 999000000003588
BUILDER
PHONE
(317) 846-5800
CITY I STATE I ZIP
FAX
(317) 848-8838
TENANT NAME
nF wolkaN.l
PARK PLACE OFFICE SUITES
OWNER
NAME
PHONE
FAX
FRANK COSMAS
STREET
CITY
STATE LIP
6214 NORTHWOOD DR
LOT SUBDIVISION
CARMEL
WATER SEWER
IN 46033
ZONING SECT CITY ITWP
LOCATION
ADDRESS OF CONSTRUCTION
TYPE OF CONSTRUCTION COM
❑ SingleFamily Do plans include a
❑ Two Familv porch? YIN
❑ M If F mil 'I
u I- av Type of Foundation
Commercial I Industrial
❑ Farm ❑ CraWISDaCe
❑ OTHER Q Basement
ISPEcIm ❑ Slab
Plumbing+ Contractor GOBDON
Plumbing Licence# 106436 Code Book BOCA
ESTIMATED COST OF CONSTRUCTION
(ERDIUding Lend VAUD) $ 75,000.00
Construction Notes
ADDRESS IS: 755
SUITE CITY ZIP
BSMT
Lot Split
Sump Pump
TYPE OF IMPROVEMENT
COMTEN
❑
New Structure
❑'
Addition - Porch
❑
Addition - Room(s) How Many?
❑
Remodel
Foundation Only
❑
Demolition
8
Accessory Building
Garage - Detached
❑
Garage - Attached
x❑
Commercial Tenant Space
Report Type:
30
Tenant Space
Y / N
Flood Zones YIN
YIN
N
N
Manufactured V I N
N
N
Trusses
Dr. Tenant:,Pgrk.Place Office Suites. Full State Rel: 97083375
'The N.denienrd nur<n Ih8(an cc eanao i"Iion. rceun UruC)i<m. culxryenrem, rrin<xlinn, or xllerxfon er,l, urtn.c. or xn. rhnu tc i i Ihe. rle Vf Ivrd r.r,l rneurren rvq ,t,i 19 IIir:rppfl ii ,r ,1H
nnaph'»idr. nh Ir".f..I. In ull.IrPlicahteV»a of Ihe Stemor helixno.:wdthe"loulne Uniinnuv of Cnnnei ledian-I?)}"1/; Esni Rud anrrndorene, nnnpinl under auth:,dn of I.('. h.. e:
seR. Cenrrai As+en,hl) of the clot- of hW ian:r. xnd .II Acb mnen.Lrtun N<rcln. 1 tonher evrTif Ohrt oulr k l<hrn..ralll. Wundrs,:md Onur Drains nn: rnumohd n, Ihe
111.1E Ibol Urc pmrgn¢den will :wt 1'. oartl :.r ocfu0 mt unlit x llrrliliulle u! Upeul'Ir^rc hN+ Ueen inrwd b} ILtl Ocnaruuclil nl' lnnnnunllp ou vicn. f: rrnvr ivd'uu.a.
Extended Building Description
PARK:P.LACE, OFFICE; SUITES•&755.VV7CARMEC DR. _!
Signature of Owner or Authorized Agent
(Print) (Phone Number)
Sewer Capacity Allotted
Plan Commission I BZA Docket #:
Reviewed/Approved: Dept. of Community Services
Required Site Inspections
TYPE RED. .oF TYPE REQ. .oF
Footing Final Structure
Underslab Final Site
Meter Base CIO I
Rouqh-ln H Bonding I Grounding L�JI
Permit Fee:
Inspection Fees:
Certificate of Occupancy:
PRIF:
TOTAL:
Fee Received By
Sq.FI.
ISgmFE FOOTAGE)