HomeMy WebLinkAbout06010090-Application
City ofCarmel/aay Township Permit #: Oft; 0 [D()CjO
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME
-/
Clv'C/<
/
STREET ADDRESS
1'J31
I./.
1).2.
PROPERTY
OWNER:
I " . c:
-fI.4Il4- PHONE
LOCATION
&. PROJECT
INFO:
A~dress of Shell Building f different than Address of Construction)
BUILDING, PROlECf, OR TENANT NAME:
I? ZONING:
If Evo
SCOPE(S) OF 0 FDN 0 STR ~ ARCH
RELEASE: ~ ELEC _ SPKLR OTHER(S):
STATE COMMEROAL
DESIGN RELEASE #: .) 15 4
WATER UTIlITY . n
PROVIDER: ~\....
SEWER UTIlITY
PROVIDER:
. PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
- COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars:
I
Elevator or Uft: 0 YES ~ NO
BLDG. CONSTRUcnON lYPE: ST,.GL
OCCUPANCY CLASSIFICATION:
~SEf. TYPE OF IMPROVEMENT:
i'J6\ COMMERC1f5 . t~'::' F?!l CO~TNEW!m:iIflbRE
r (Plivalely ow~.lY~S's\,~s~omr"'~ncc vnmJ aiAOOljU~;ons
and medical offlces,lcf!Qte5tate emu Local COd@ Room{s)
o IN~recomm PT OF COMMUHITY 0.F,.,-,. .\/r)t.rcJ!.",
'. . \~l..~ Melbmne or Deck
o Ii 1,@JbIi(lMjMEL / I~L5;1l 'REMQl!lEtRl-llP
o School 1010' . ~ JceJ') N~tENlIN1'l'INISH
o Church IAr-..rt:r' ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 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
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTlON
PHONE
3'5:"1- (O~7S-
FAA
S :S-9 - Co.2 ~
CITY STATE ZIP
)::<//::>/M..S. AI '/('2"S?
BEST MErHOD OF CONTACT: 7/~- '7'17/
710-:l.09"?
FAA
ZIP 'i Co? 8
77'S 7
'$- MECH )ll PLUM
SQUARE
FOOTAGE:
0'
.2 "-IOC)
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) ., 1:S0
OC()$l.
PROJECT INFORMATION:
Early Release V1 Manufactured V
Permit: _Y --r:-N Trusses: _Y -C-N
Lot Split: _Y ~N Sump Pump: _Y XN
Does any part of the property lie within a special Flood
designation area: Y ~ h r
PLUMBING CONTRACToR: ~.'5 bt..~ A, ~0rt/
K{'/~ t1,ft~- ()~e'4
Plumber's Indiana State License #: " i ~ ~ rc=-..-
76 # /6fJ74!(flJ(P LSJ~lr
dass I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration t~1. (nuni' for
beginning and completing construction. ! ItIV, 7 200t
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-Incli<>M 1993" (Z~
289) and amendments, adopted under authority of I.C. 36;7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify mal onfy-'-
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not he used or occupied until a Certificate of
Occupancy or Subs_dill comple~'on has been i ed by the Department of Commnnity Services, Cannel. Indiana.
/Y1'. ~~ ~_ M. '>#4,-/,. c:?~N/~/< /- /7- O~
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:*******************************************************~*~************
INSPECTIONS REQUIRED: Filing Fees: 1?- '1,. VV
, ' q ..., ...:-~ # Charged Re-
Upper FootIng Lower FootIng Under Slab Base Inspections: J I ".., '-' U Reviews
~ ._~~L9 om ,:3;;;;;<0vJi:,C;o ~'"~,,~
Fee Received by: ....-
~ Reviewed pproved, Dept. of Community Services
L \. S:Permlts/Fonns{ILP COMMEROAL
I