HomeMy WebLinkAbout06010094-Application
Permit #:
O&O} 009'-1-
City of Carmel/Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of PHONE FAX
RECORD: I.::o-J ~. ( "';17 r;ffe . ~~~ (~1 17J8.ld1!S>
STREET ADDRESS CITY STATE ZIP
i~:?1 pe.. 1$1-\E;1?6 It-.! 460~
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT: (4]11) 6<iS. ~'Z.I
~uoJ .~ ~HA'-I'" A<l~U. "'-l
PROPERTY PHONE 1ZA-l ~e. FAX
OWNER: (,-?I, 1S1 .~ICO
STREET AODRESS CITY STATE ZIP
"'fOil NClejH o-1'E;2IDIAN ~r: 1~~U$ It-.! 4~~
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION
6?o &.. '::::~Me::L r;'Ie.,t::A12:II\iIE;.L
SUITE # ([f Applicable)
IN 4bO!>'Z.
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
1C:e.VtlL.. . l\I~ ~
STATE COMMEROAL
DESIGN RELEASE #:
WATER UTILITY
PROVIDER: tJ/ A
Lot # and Subdivision (If Applicable)
I.....DP~
ZONING:
~.~
TAX MAP PARCEL #:
I" -10. ~I-()O' OD -(}Uh ()Of)
~
SCOPE(S) OF CcfP~ ^ I'\~ ,.. 0 ARCH 0 MECH 0 PLUM SQUARE
RELEASE: 0 'a'El:!,- o.~ ,-i@JJil . , FOOTAGE: ~OO e .
I 1:'[I~:r1ce WiJ~~Jl..........,-_...J"";"'.
SEWER UTILITY . 'ot'''t -t - ." =-,."" ""':",Ii1flil!)NSTRUCTION: ()()
PROVIDER:' ;O,~ :.i'i:1'~.LC:i(EJ<<;tU.9!N.~.lAND VALUE) -$I(}" I ~s.' _
C/. ' ~,'''.W'. ::-:::HVICES
TV OF CARfVii""L / (;/. ^ V 'f '\ .
- " '-',-,"\, SHIP
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; ANO/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S ([f Applicable):
BLOG.CONsTRUCTlON,
OCCUPANCY CLASSIF.lCATlON: ;J. If
# ofFloers:
Elevator or lift: 0 YES ~ NO
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
o NEW STRUCTURE Early Release
o ADDmON Permit: _Y..1!:....N
o Room(s)
o Porch lot Split: _Y -!LN Sump Pump: _Y-A..N
o Mezzanine or Deck Does any part of the property lie within a special "Flood
o REMODEL d' ti 0,/ /;." '\\ -;'"
o NEW TENANT ANISH eSlgna on area: _Y ----A-N ../ 'Ii -\~~:;";} \ \\~
o ACCESSORY BUILDING PLUMBING CONTRACTOR: ...;:;:'c\ '':;,V /\0~ \ ~
o DETACHED GARAGE I-l/A .....-:.-::\~'^ \:~/ \\\ \ \\
o ATTACHEDGARAGE.~J.. ,/ If-., ,;/ \,\ .\\
~ CELL TOWER (New) tfW"'''f Plumber's India~sJ~'~;';:';;~ #: '"6J\;)~ \'\::-) \
o CELL TOWER CO-LOCATE \\\ '\ /\' \ '1, ,/\ \
N 0 DEMOUTION ",\ \ ./ /
\\\.J' \ / "",/-
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAG \~)\~ding expira&n time ~ for
beginning and completing constIUction. \\\ \.)\ /" /:'/'/
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any:chang~fu the use oHand or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning ~ance o~el Indiana - 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 am:\da~o~diereto. 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~upied until a Certifica.te of
Occu cy or Substantial Co . has been issued by the Department of Conununity Services, Cannel, Indiana.
TYPE OF CONSTRUCTION:
r;z{ COMMERCIAL
(Privately owned hospitals
and medical officeS/centers
are commercial)
o INSTITUTIONAL
o Municipal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
:Pl'iAfor the new construction area)
I,~ SLAB 0 CRAWL SPACE
4Vl- 0 POST & BEAM 0 BASEMENT
\ (or POST & PIER) WALKOUT: Y
'<'
Manufactured
Trusses:
_Y -1LN
'"&l-tA>-le:o~I4L.1...j1
Print
1.1~.~
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: (/1"11 ~ Filing Fees: ~# 3. 00
. . I UJI ' ~ # Charged Re-
~~:hF;:tin9 Me::::~ootlngFinalunder Sla I\IDfI';ift~I~""g, t:3: t~ ~
n 11 ~~i.:!: /" _ (P / J I h.. "W -:7 Additional Fees
?~:;z:cO (/ y~)~.
proved: Dept of Commumty Services (Date) F":R"eceived by: ! ./
LP COMMERCIAL /