HomeMy WebLinkAbout06020003-Application
City of Cannell Clay Township Permit #: 0& '() ~O 003
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lit Accessory Buildings
BUILDER of
RECORD:
IdP
BEST METHOO OF CONTACT:
{3f7 7/0-587.$
PHONE
I.LL- 1-5/7.
t-I,,v61
PROPERTY
OWNER:
NAME
C.
1';
C trLL-
'8-
ZIP
~z&?
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LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRucnON
~
c,,,,,
Address of Shell Building (If different than Address of Construction)
D-2.
&-I<.DU P
..ff>u5
STATE
//11
SUITE # (If Applicable)
Lot # and SubdMsion (If Applicable)
ZONING:
PuD
TAX MAP PARCEL #:
SCOPE(S) OF 0 FDN 0 STR .Rr ARCH .........MECH .Rr PLUM
RELEASE: p ELEC 0 SPKLR OTHER(S):
STATE COMMEROAL
DESIGN RELEASE #: :s /5 fe,(PS""
WATER umLITY /'
PROVIDER: L.-~
SEWER umLITY
PROVIDER: CAtt?Nf I!Z-
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars:
Elevator or Un:: 0 YES JI NO
BLDG, CONSTRUcnON lYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
J2I' COMMEROAL 0 NEW STRUCTURE
(Privately owned hospitals 0 ADDmON
and ~19Il1<\llili~~ 0 Room(s)
arecw.1ii:e'Ftla1f'~'t:.U r::'lR CONSTRUIUl/nP/P1
o INSTITl:1RgtuW to compilanCd WiHI l) r ........0 ."""Mehanine or Deck
o MunidpalffltltJlisB1dg. u. BberREMOOOS
~~F '" ~ld,Local Cc..l2r-oNEWTENANTFINISH
CQr.,IMUNITY@:R4..C1:iiBUILDING
D TI E 1iW,;<.!'lch CLAY EJ '?~/!C GARAGE
apply for the new construction mtli' 'I t9VrnAE: GARAGE
J?! SLAB 0 CRAWL SPA~IW\ 0 CEll TOWER (New)
o POST & BEAM 0 BASEMENT 0 CEll TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
SQUARE ..".
FOOTAGE: I ,0<0 51='
ESTIMATED COST OF CONSTRUcnON:
(EXQUDlNG LAND VALUE) :Q 76; oo<=>
II-I!. 5,P,< OCCUPANCY CLASSIFICATION: 8 RCi'J1
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y K..N Trusses: _Y x: N
Lot Split: _Y x.. N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: Y LN i7 l r.J^
PLUMBING CONTRACToR: 'B~ Vl:> la" -
"
Plumber's Indiana State License #:
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 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 of LC. 3&-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 art connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Deeney or SU,lantial Completion has heen issued hy the Department of Conununity Services, Carmel, Indiana.
~ ~<hI....r::r- 8LtU::: CvSANP' o!lJ.~t,
Signature of Owner or Authorized Agent Print
OFFICEUSEONLY:************************************************************************
INSPEcnONS REQUIRED: Filing Fees: {, 3::{ .J II
, 0 ,./ ) # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: / 1;Z ...) I.. Reviews
~~ Meter Base 0::-) Site CerCofOccupancy: / 0 3. tf 6 ,
30,t
~/3 t1
Revlewedl proved: Dept. of Community Services
s:PermIt5/Fonris/ILP COMMERaAl
Additional Fees