HomeMy WebLinkAbout06010145-Application
City of Carmell Clay Township Permit #: 0 (pO J 0 JllfJ
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME 5 K
5-if LJC- -h'o Vl
-'5)52-
ZIP
LA 2 ?O
STREET ADORES
PROPERTY
OWNER:
555'2-
Z2D
LOCATION
&. PROJECT
INFO:
sum # (If Applicable)
Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
TAX MAP PARCEL #:
STATE COMMEROAL
DESIGN RELEASE #:
SQUARE J".r\ ,.1\
FOOTAGE: 3/ocu "'('l
WATER UTIlTIY
PROVIDER:
SEWER UTIlTIY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) .;t t::, 5' OCJ(j. qQ'
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COWTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
Elevator or Un:: 0 YES
BLOG. CONSTRUCTION TYP
OCCUPANCY ClASSIFICATION:
TYPE 0 . "OR CON . VEME T:
COMM t'\:~~,~pliance with al'c!YgNl:W~ucruRE
(P H fi\td~qSp,~t,<\I~ 2nd local CoClJl;SADDmoN
andmetllcaloffltes,leente" . NITY C:i=R\JlllbEiS:>m(s)
~lbF COMMU ':::- Q ~~
o IN """,.~ ~.' Qo1~i=L / CLAY 1i~l!:jSMbanineorDeck
CC",u!,I""",~Pu~1IC "'ug- fi'":REMODEL
o School INDIANA (ij"'NEWTENANTFINISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~LAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLITION
Early Release Vt Manufactured (/1
Permit: _Y -t:;t.' Trusses: _Y #N
Lot Split: _Y p Sump Pump: _Y-l!:
Does any part of the property lie within a special Flood
deSignation area: Y 'vNr
PLUMBING CONTRAcroR~' .
-\3~ -(( -pI [LfYLb
Plumber's Indiana State License #:
~'BO n(O~ ~
,
r~
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 Cannel Indiana - 1993" (Z~
289) and amendments, adopted under authority ofLe. 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 Certilicate of
Occupanc tantial . has been issued by the Department of Conununity Services, Cannel, Indiana.
? S hf\VW ~CL(~
Print
~/U/1)lo
te {
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: .r;..:~ Filing Fees: q I; 7, (j 0
. . . ~o-_., ~'\~o '7 0 r ^ 0 # Charged Re-
Upper Footing Lower Footing Under Slab J.l~ Base Inspections: .:) 0'0 , LI Reviews
~9h~ 0ter~ Site A\'l\fI~ert.ofoccupancy: 103, 0'0
TOTAL 4t- It , 00 Additional Fees
Review Approved: Dept. of Communi
S:PermIt:s/FormS/ILP COMMERCIAL
Fee