HomeMy WebLinkAbout06020014-Application
BUILDER of
RECORD:
City of Carmel/Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Ten~6i~~cj Ocesso Buildings
PONE
Ob Gr?O 0 /fL
Permit #:
2-
.
,
PROPERTY
OWNER:
BUILD~ mo,j~ T2-/Yl e
NAME
'z,el.-(..E:;(1...-" c:A-R-HG L LI.-C->
STREET ADDRESS
1& I fJ, Mlvlf/6 A,V
PHONE
3101-6-'/0- '7C7/7
FAX
.3/"l_.?~O- f6Pt?
LOCATION
s.. PROJECT
INFO:
CITY STATE
.J.S'(i, e,li/c,4utJ i '-L-/vol.
SUITE # (If Applicable) \1.,
((032 -=tr
ZIP
{'Ob
00
Address of Shell BuildIng (If different than Address of Construction)
Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: C I SW syS"l"B"'" S
ZONING:
80 TAXMAPP9'cr500 ob 03
o MECH 0 PLUM ~g~~E: 9 J 0 S 0 SF
ESTIMATED COST OF CONSTRucrrlJl!r
(EXCLUDING LAND VALUE) 91 <0 7~ 750
.0
o
<.
STATECOMMEROAL 0154<1.5
DESIGN RELEASE #: -:=> -0
SCOPE(S) OF 0 FDN 0 STR 0 ARCH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
SEWER UT1LITY C/h<'M c L. (foG
PROVIDER: bo-, ft <.715'
WATER UT1LITY /'. /'
PROVIDER: (>iI,/ "'F c./!R Mel
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I r~~..:.,or..Lln~)(_YE~_~l?_~? BLDG. CONSTRUCTION TYPE:
TY; o:o~~~:m~t;PN~ I~:~ls':d:. \~~ ~~:::::~T:
(Prlvate~wff~lsPltaIS 0 I ADOmON
and medl~i o~#lcen"fB - 3 "ooe i:,' Q) Room(s)
are comm~(~aJ J I L 0 "GJ Porch
o INSTlTUTltAL J f 0' Mezzanine or Deck
o Mu iapaI/PobnC'llldg--- ---- --0, 'REMODEL
o Sc I '):i'l( NEW TENANTFINISH
o ChurcFr '-.-- 0 ACCESSORY BUILDING PLUMBING CONTRACTOR: 'D
FOUNDATION TYPE: (CheCk_~,l"Ihich 0 DETACHED GARAGE -121'11'"::/11 <".. .\\/1 I L'J YVlo./. tA
ap~y for the new conSlructi~'i;eiY.1SE:D 0 ATTACHED GARAGE _ ~ ~ 0.dll1-H /V ':::4
SLAB 0 CRAWl!'!,PAcp.; I-@/ (q:JJ- TOWER (New) Plumber's Indiana State License #:
POST & BEAM 0 EMENTo7 COl??p1iQ_ eELW,o/,w'~. ,C.D-LOCATE ~ Ir'r\fl (\il
(or POST & PIER) W StaIN _.O"OEI;1QUTION.JC7:/0 .. UJ 1_'K:l
. C<1,'(.1!~. - "I a./I r,":J"",
dass I structure Tlf"nnits n.r,.. ~~ e-G'etth'aJ. Atl~1~!.l:t?ative Rules lfffIG State of Indiana (See 675 lAC 12) regarding expiration time frames for
r---- mrr,eI.",'1 ME! ;"-"~;ndcompletingconstruction.
1, the undersigned, agree that any construction. ficon-sttu@tLn.:IeiJlar;g~rrlent:'k1.hCu:jpn. or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, irtlJ/GrJJ&tW1 ;9, all app&~lmT~he State of Indiana, and the "Zoning Otdin<Ulce of Cannel Indiana - 199r (Z~
289) and amendments, adopted undet authority of I.C j6~~eq, General "&WeftJiIJ pi the State of Indi<Ula, <Uld all Acts amendatOl)' 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 Certificate of
OccupanC[ or Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana,
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release 'v Manufactured V
Permit: _Y -A-N Trusses: _Y A-N
Lot Split: _Y AN Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y XN
ERlv 7A y'L6/(
Print
//t2o/P6
Dite /
OFFICE USE ONLY: ** ***** **** ******* *** ************* ***** * *** *** 2'* ******** ************ ***
INSPECTIONS REQUIRED: Filing Fees: / /' '1 ? ~
. . - # Charged Re.
Upper Footing Lower Foo~'n er Slab Base Insp.. .ections: ,/ t?:: <,0 Reviews
~~ Meter Base Final Site Cert, of Occupancy: / ~.. cfu .
.--0 . 7 ") .r>.f c7'V Additional Fees
~ - "\2\ ':::J. TOTAL: /1?'50r--.J'
. Iffl\ V ~ . . -/i~. (,)00(, C-?;/7@ ~.2'6;"l
ReViewed/Appro ed: Dept. of Community Services (Date) Fee Received bY' . .
S:Permits/FormS/lLP COMMERQAl .