HomeMy WebLinkAbout05120102-Application
City of Carmel/Clay Township Permit #: 05"/20/0:<
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME PHONE FAX
RECORD: .c:, t.J METAL F.c.eRlc""iroRS. It-JG. ~7- 5:;>:" 71 ~0 3\7- 'B;;>~' ~3
STREET AODRESS tl, cm STATE ZIP
lor 00\ E"."ST 59 ::,TREET !NDIANAF=t=,LS lND'-"'NA 4c.,~ ow,
BUILDER'S EMAlL ADDRESS BEST METHOD OF CONTACT: EM.<>IL :J/; .;.
~>J0'>RRICo CiilAANoJMElAL . CoM -rAW_ I :l.9. 05
PROPERTY NAME PHONE -FAX
OWNER: T...lColT J:t MERIDlAN llc. 3.7, 573'~3:'o 317.":,73-033\
STREET ADORESS IN C<>Rl;; <f' CB RIU.I~o tELLIS cm \>JD'N'. JIS STATE ZIP
\O~ol tJoT<TI-I MeRlO I..."" ~E"~3B INDIANA 4~C1o
LOCATION AODRESS OF CONSTRUCTION sum # (If Applicable)
&. PROJECT \0555 l'-br:n~\ MERIDI<>N S'mEIS'T
INFO: Address of Shell Building (If different than Address of Co~U~ I Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: '?>V'~\ 0 ZONING: 65 II, TAX MAP PARCEL #:
~UN\I>-lGTDN tJAllC>N-=>L B...t-J~ 1(,,'''\0'05.04.= '100.500
STATE COMMERCAL SCOPE(S) OF o FDN o STR o ARCH o MECH o PLUM SQUARE
DESIGN RELEASE #: RELEASE: 0 ELEC o $PKLR OTHER(S): FOOTAGE:!:> l ~O """'ft.
WATER UTIlTIY SEWER UTILITY I ESTIMATED COST OF CONSTRUCTION:
PROVIDER: \,\p PROVIDER: N,.,. (EXCLUDING LAND VALUE) S\D,CCO.=
PLAN COMMISSION/ BZA/ BPW DOCKET NUMBERS; AND/OR Docl'l~ .. O!5o"l 0017
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars: I Elevator or Uft: Q YES II!I NO I BLDG. CONSTRUCTION TYPE: c:.. 'lY\.U. I OCCUPANCY CLASSIFICATION:
TY;E :~~:~~.i:i~@~BFOR c;;S~;'~QM;::T:
(Pri'lat~~qmfl\ ~ AI:2tt1PTiitfS..
and medical offIces/~!alli~nce with aI~gi!oom(S)
IN=m~ "'" and ~Ocal Co "P~p:q,.;
o 0 ~~MMUNIiii" .\iOOo~OijjneorDeck
o ~(lf&of_ '''''''~EL / CL.@{W>'r\jElli.W~NISH
o Church -,.....". IN~IANAD A~E'SSoRHUILDING
FOUNDATION TYPE: (Check all whit{,'U 't:J DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
.. SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(Dr POST & PIER) WALKOlIT:_Y_N 0 DEMOlITlON
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y ~N Trusses: _Y ~N
Lot Split: _Y~N Sump Pump: _Y~N
Does any part of the property lie within a special Flood
designation area: _ Y ..2L-N
PLUMBING CONTRACTOR:
""'"
Plumber's Indiana State License #:
N~
dass I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a 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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy or Substantial Completion has been issued by the Department of Community Services, Cannel, Indiana.
Qcv>o'-'~co ~oN C,.,.Rr.:,c.o 11'17'DD
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: r;z '1,~ ( <if ()
. . 01 ..,,,...... # Charged Re-
Upper FootIng Lower FootIng Under Slab Base Inspections: 7 V I ^'-J Reviews
Rough In Meter Base ~ Site Cert. of Occupancy: ~~ ~ , 0 0
L7 ~ q r ,,1:" Additional Fees
~~ _ CJ/.'~
(Date) 'or; Z2 ~;~ Jf~~~
Fee eived by: <- "---
Reviewed/Appro ed: Dept. of Community Services
S:Permits/FormS/ILP MMEROAL