HomeMy WebLinkAbout06010161-Application
City of Carmel/Clay Township Permit #:~ \
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME
RECORD:
PHONE
Lf'
FAX
OOD ~Il
mY STATE ZIP
r" ~~ '" "'a' 0 \,~ r--J
BEST METHOD OF CONTACT:
LoVIA. h."",,- '<5 \ '-l \ Z-
PROPERTY
OWNER:
L
PHONE
51/
DC=
FAX
317
CITY
s.kl(O J:^ d-;CMC.
STATE
\' \ "-l
ZIP
4&z..<+'D
LOCATION
8< PROJECT
INFO:
sum # (If Applicable)
e
STATE COMMERCIAL 3.' ,
DESIGN RELEASE #: I /
WATER UTILITY "'J.-''^~ \ ~
PROVIDER: if; c \ ; "'''; ~ ~
ItA C~ . Sitop ~
SCOPE(S) OF ~FDN ~5TR
RELEASE: 0 ELEC 0 SPKLR
% ARCH
OTHER(S):
SEWER UTILITY
PROVIDER:
Ci""'Q..~
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNT)' WELL AND/OR SEPTIC PERMIT #'S (If Applicable): CJ~ oS" '
# of Aoars: Elevator or Uti::: r::;J YES )l NO BLDG. CONSTRUCTION TYPE:
OC~NCY ~IFIcATION:
ATION:
Eariy Relea_ V Manufactured \.
Permit: ~Y -AN Trusses: _Y ~N
Lot Split: _Y !Il;.N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y ~N D ... " J^ /
LUMBING ONTRACTOR~~ 1<-UQ. '-/
,..S -!l /~
/ /
Plunlber's' lana State License #: '
(CP cjJ00~;Y 5/
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
&It. COMMEROAL !)IJ.. NEW STRUCTURE
(Privalely_~iJ!#!IED FOH COIttf,TAfi>b.i1flONON
:~ ~~~~Wb~r~'eomp\f~~(.e 'Nitr 2!1 rE5.J,%.09(!}~i;
O INSTITUTIONAL of "'ja" ""l(j I .'" ", (',"'J- Porch
v,'; l..1 '-'j....C.1 \J.J\ G Mezzanine or Deck
o Mun~.. 16'l'tt9lllcjgOMi.,iUNIO' :REM0iiECES
o 5cJl9."Q C EL / CLGJ"" NEW_TENI\!il4~IflISH
o c!{urt: OF ARM ~ 0' ACcESSb'R"Y'BUILDING
FOUNDATION TYPE: (Check all whictNDIANiEl 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) WALKOLrf:_Y_N 0 DEMOUTION
Class 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.
It 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 confoon 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, bat floor drains are onnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dce ey 0' bsrantia/ {etion has been issued hy the Dep~ COlnm~~::c't~ Cannel, Inmana.
:tl'j!y-L~ flu, 'L L I. t7- ?1?1J(p
ner or Authorized Agent' Print I Date J
Base Inspections:
Cert. of Occupancy:
Reviewed proved: Dept. of Community Services (Date)
S:PermIts/FormstILP COMMEROAL
"
ir
oor.
Fee Received