HomeMy WebLinkAbout06010163-Application
City afCarmel/Clay Township Permit #: !JCe/O / D rre 3'
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, a Accessory Buildings
BLDG. CONSlRUcrrON TYPE: '2. 'B ) OCCUPANCY CLASSIFICATION: Nl
PROJECT INFORMATION:
Early Release ~ Manufactured V
Penn It: Y Trusses: _ Y Ll..-N
Lot Split: _Y N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: Y -X.N . = f).rb..
PL~MBING CONTRACToR: '* 'Bca"~ . v~_
\_ \-J... Mt"'rffi,neo\
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
BUILDING, PROJECT, 0
C\s,t.~
STATE COMMEROAL
DESIGN RElEASE ':3.':52 \ \
WATER UTILITY
PROVIDER:
SCOPE(S) OF 0 FQN
RElEASE: ""I., ELEC
o SIR
o SPKLR 0
SEWER lITIUTY
PROVIDER:
PLAN COMMISSION I aZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
\
~NO
Elevator or Uft: l:;I YES
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
rei COMMEROAL 0 NEW STRUCTURE
(Privately o~,hpsp.ItaJs 0 ADDmON
and medlca\~.[D FOR r:ON P Room(s)
are comm<&J~ject t ~ ~ STFttiCPb/4DN
o INSTTTUllONAL ? ::-OnJpl:an,;e With Ell r8'uffl~ ~e or Deck
o MUIJIlCIIl?J1publil1 illd~te ana lOGI'IQ' BJiMODEl'Wl'l
o S~chMt::PT OF COrv;:\iIUNr~~;rENANTANISH
o , n F. (' ~ R . f 8' ~AGaS!tiCillltSJILDING
FOUNDATION TYPE: cfi'eCkallwiM\:l / CUD' -pgrl'~~~GE
apply Jar the new construction area~'~ 0 IA N A 0 AlTAtH~'GARAGE
[5i( 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 DEMOUTION
FAX
.2
FAX
ZIP
ZONING:
C\#;;d Subdivision (If Applicable)
TAX MAP PARCEL #:
. C-;;2.
l{.,V
~MECH ~ PLUM
SQUARE
FOOTAGE: 25,4
ESTlMATEO COST OF CONST'RUcnON:
(EXCLUDING LAND VALUE) \ ~ I oro
Plumber's Indiana statE Ucense #:
Class I structure permits are subject to the General Administrative Rules of the State of Indiana. (See 675 IAC 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 strucrures
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 amen. , adopted under authority of).C "36';7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, th d. llp6~. d . .. .0. n. n..ected.to)1ie s~piciry sewer. I further certify that the construction will not be used or occupied until a Certilicllte of
Occu ex uliS mple h ~-iSSued by the Depattment of Community Services, Cannel Indi.ana.
~ p', 'q_H -- / ~\(J ~. Le'-J~ \ /ZS/Dto
S.~re of owner 0 A on Agent .' Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 'J/ t cJ (,. ·
/ 0 ""-:0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ( / ~ Reviews
~ Meter Base ~ SitE Cert. of Occupancy: / f') '3. C) 0.
^ , d } II j J .::) b Additional Fees
TO(l"AL: ../ L ./5 ,/ / //'7'
~;?C U~/&/~-
1=""" D.Joi~,,:.rl hll.
7r
I1ff\
Reviewed/A oraved: Deot. of Community Services
(Date)