HomeMy WebLinkAbout06020029-Application
060;1.. 00;2-1
City of Carmel/ Clay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lk Accessory Buildings
BUILDER of
RECORD:
(J jJ, PHONE 3/7 6'17- 5 J Y?
;d CITY );YPfl5
STATE
ZIP
f/t? ;l
o
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
NAME
BEST METHOD ~F CO~ACT: .5..3 Y..r-
FfoY.
STREET ADDRESS
09;!.
STATE
AVE
Lffi:fIP z-
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION
~AHt=:
SUITE # (If Applicable)
Address of Shell Building (If different than Address of Construction)
Lot # and SubdiviSion (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
,
-, r('-~ M ' .p ,In IJv
STATE COMMEROAL
DESIGN RElEASE #: 3 S q 8 3
. J ZONING:
/J'( . ilcio r-..t
SCOPE(S)OF ~~~ON~-;J ~.::~:~~uPGA~qi:-'-,o' ME~~"\ 0
RELEASE: ~C '.' : OTHER(S): '", " '
; )) r--'---"-'" -"-'-1 i' "
TfoY. MAP PARCEL #:
- 600QOO"'#oO/
SQUARE
FOOTAGE: .3,;l.O
WATER UTILITY SEWER UTIL.ITt i Lj/ I
PROVIDER: C ^ I? Me PROVIDER: ! , f""At
'''' ,'\ III Iv';
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR ! It.' I i I
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): iY' ,4-\ I
ill !.
ESTIMATED COST OF CONSTRUCTION:
(EXq.ppl~~ LAND VALUE) g 0!75
'i;( ji;
I L."
Ji...-J l
- ,
# of Aoors:
Elevator or Uft: 0 YES
sloG. CONSTRUCTION TYPE:
,
OCCUPANCY CLASSIFICATION: M- I(f m
PE F STRUcnON: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMEROAL 0 NEW STRUCTURE Early Release / Manufactured ~
(Pnvalely owned hospttals , Q--1(i)DmoN Permit: Y V' N Trusses: _ Y ~N
andmedlcaloffices/centers lOt:. 0 Roomes) . - ~ .....Co'
are commercial) jl~{/ II,,' 0 Porch Lot Split: _Y N Sump Pump: _Y..k::.."
o INSTITUTIONAL r ~l'Iezza r
o Munidpal/Public Bldg h<t '~ffE,[:'~ne or Deck Does any part of the property lie in a special Flood
o School ....0' ~~_~9F1'r.iI~ designation area: _y_
o Church 0 5~~~~~~I~fOt1 CLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which g,., D'GAIJh,G.E;P~d,'. 0"'';'0-,.. N /t"r
apply for the new construction area) LN'/l1fcj.C EI[l,1I\i\.fUE' ,Ii ,(' I. (' "'If) " .' 70(':...,. -
o SLAB 0 CRAWL SPACE 0 cmcrl;lw~.(Ne;'i)\h.' ((j'Plum6iir's Indilll,iilState Ucense #:
'G2l' POST & BEAM 0 BASEMENT 0 CELL TOWER,00;LOCATE~'( JI ., \.-'0(1 'Uelaj -IV
/1orPOST&PIER) WALKOUT:_Y_N 0 DEMOLIllON '''7[:/../ 'IV,,"]S, '01)8
1\, _ (:/ . v,:--D,.
Class I structure pennits are subject to the General Administrative Rul~:i fhe'~~~~~hf Il'~ <Sle'6.~C 12) regarding expiration time frames for
beginning and completing cbnstlUctionY IV S /...J
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struc~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 amendments, adopted under authority of LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I fUMer certify that only
kit~hen, 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
Occu cy Subs lia/ CompJe . '1l h ~n issued by the Department of Community Services, Carmel, Indiana.
. FL/)YPE,C()TTOIi 2-7-06
Pnnt .. Date
OFFICE USE ONLY: ** ************* ** *****************************":'!')!<** **"** *" **** **********
, '., ECTIONS REQUIRED: Filing Fees: _ ~ '1 '1. r / ~
. - . . cr /' '7 ..... # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ;/ (0, e7<..J Reviews
Rough In Meter Base ~ Site Cert. of Occupancy: .
TOTAL :.., /t 7A <; 3,9,i'-'AddiliOnal Fees
,Wt '>h~Z~,"~/--f7L
Review /Approved: Dept. ofCommunilY\Servces (Date) Fee RecPiVe<fbY' ~ V
s:PermIts/ ormS/ILP COMMEROAl D