HomeMy WebLinkAbout06020023-Application
City of Carmel/Gay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
rCJiP~ ()0;23
BUILDER of
RECORD:
NNo17
V.p.
o~.. 1'\2 oc. II o.J c:... \ '" '-
PHONE
'517-~3~-5?kO
CITY STATE
\\S 1o.Ji:)
BEST MErnOO OF COt-ITACT:
- (., 3 € -.$'31.:0
FAX
317-(.,3'6'-0/18
PROPERTY
OWNER:
ZIP
7..UJ
FAX
777
STATE
e.l \ '-JC
ZIP
'Z.-
LOCATION
&. PROJECT
INFO:
e. Lu...Je. e.n
SUITE # (If Applicable)
J~0\4\lA-
Address of Shell ~~lIdlng (If different than Address of Construction)
BUILOING, PROJECT, OR TENAt-IT NAME:
,.t>,H&t-\"f\ ~
'STATE COMMEROAL
OESIGN RELEAsE #: 3 1:> ~
ZONING: TAX MAP PARCEL #:
8- 3 /fp- D<j- 3'-00..00 ~
~ ARCH \6 MECH Jl(.PLUM SQUARE ; J
otHER(S): " (;;I ,~ . FOOTAGE: 4 t "0 J
, SEWER UTILITY
PROVlOER:
ESnMATEO COST OF CONSTRUCTION:
(EXCLUi51NG'LANDYALUE)
.' '.;- II !',
000 :000
'I'"
PLAN COMMISSION / BZA / BPW OQCKET NUMBERS; ANO/OR i I ! \ i I
C<JUNlY WEll AND/OR SE~C PERMIT #'$ (If Applicable): l[-r ~\\ . l: \ i \ ! Ii!!
# ofAOOrs:~ Elevator or Uft~~~.:YES Q NO! 'i \ )~LpG. CONSTRUCTION TYPE: T10~1LSi Z-tj"
TYPE OF CONSTRUCTION: TYPE OF i:MPR~!lIEItT:6 2006 PRoiE :IN c.. ATION:---.--------' 1
o COMMERCIAL ~L~~ STRUCTIJRE, Ea~y Rei ,...."!__ _~._----...!1~-"I.If~cture(Lj <..-/
(Pnvately owned hOS~ 0, AOOillON - -- --.. ------ Permit:, Y N Trusses: Y. N
and medical offlceslc V::'''S I 0 Room(s) , - - ~. -;;-
are commercial) IJbjec/"1 tD" L_D2'!Cch __---..--.!~tSplit:, _Y -b,---1>J Sump Pump: _Y UN
o INSTITUTID ONAL . 10 COrn OR cfl;:;r, _Mezzanine or Oeck Does any part of the property lie within a special Flood
Mumapal/P~I)C Bldg Or S iJiJ,Q fiEM~,C)
o School C l:::P,O laI9qf)f;l'NEW-,15I'!AW~ designation area: _Y...J(N
o Church 'fry ()r::. ~ COM.;e 01~~6Rv(~J-P,!N'GI PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check aJrw~~R "'{CItVDEr'A:CKEI!6-GAAA~f)s C' fl . . I r . ()
appiyfor the new construction area) Mtl./g; ATt1>.iO~!'!,~RAGE r,~ ,1(")... &4.....,.~.fP nJ <l. M.tl.c:.-~~'~~
o SLAB 9- CRAWL SPACE 1~'L~LGl'I--l l2)Y.ER <Gllwb Plumber's Indiana State Lice. nS<. #'. :
czf POST & BEAM l!J BASEMENT '1L\IA CELL 1_~ifSl:rbtATE .' I \
(or POST & PIER) WALKOUT:_Y-,,---~ 0 OEMOLI1l0N AlP 1'(' _ \ a, i QOO ,,'
Class I structure pe~ts 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 Carmel Indiana - 1993" (Z~
289) and amendmen opte. nder;authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche ,bath, and or drains ,,' connected'to the sanitary sewer. I further certify that the constmction will not be used or occupied until a Certificate of
,cyai's.;- tia/ G f/npletion haS been issued hy the Dep",onent of Community Services, Cannel, Indiana.. /,
~ae~ 'k<, \ ev-g. pc; :y, h~/f)tc
Pnnt ., L . 'tate
ReviewedjAppr ved: Dept. of Community Services
S:PermIts/Forms/lLP COMMEROAL
Base Inspections:
Cert. of OccuRancy:
T6TA~:
, ......
. ?/ff~~~
Fee Received by:
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