HomeMy WebLinkAbout06020042-Application
060;< 001:2
City of Carmel/Clay Township Permit #:
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
NO. . _. _~~......:.;.~".' \~-,\\ S.Uffi# (IfA~lIcable)
__.11.,;..'>--__,1\,. 110-
W .. '7"--::- , -;;: \;\JI\ \ 1_':::"'\\ I II 0 - .
Address of Shell Building (If diff~t thin"~dd~ Ofconstruct!on) \. \\\ \ ,\ Lot # and Subdivision (If Applicable)
. ''.1 1\ -< \. 1\'
5~E- i.1 I \ / Ii . \
BUILDING'~D'lATENANTM: \\"\\ _~.\Jir-)J1 TAXMAPc.:~#~ '2503 0,0 o~
STATE COMMERCIAL SCOPE($}IOf.;\..D-FDI\I?"CJ STR CH SQUARE 0 .
DESIGNRELEASE#: 3/ S0t31 REUEAS~: ~. D .SPKLR OTHER(S): FOOTAGE: ~
WATER UTILIlY f) SEWER t:rn'-/1 ESTIMATED COST OF CONSTRUCTION: ~ - ~
PROVIDER: L ~~ P~OVID~~: L-M.rvt ~ (EXCLUDING LAND VALUE) ~ 00'0
r' .. I C~. ,...-;....:;::, n,' ".
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS;' AND/~~,s:::, \\j~j . - , !! \\ </. ; r
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If APPlli~~I~)J ------.--....~::--.---..:.~'-.--'!----ll! \ ~!
_.L'::. 10 r I !Of ';j
Elevator or Uf't: LrYtS ,: ~.'NO BLDG. CONSTRUcnONTYP,E: [Ji
, !i III !l Irl
TYPE 0F1:0NSTRUcnON: ! I~TtH' OF IMPROV :u i L lJ~~OJECT INFORMATION: -
CI<l""COMMERCIAL I C!J--NEW-!mUJcruRf_--1 -E~rlv Release /': Manufactured /'
(Privately owned hospitals 0 ADDmON Permit: Y N Trusses: /Y>:.N
and medical offices/centers _ n Room(s) I - ,.......- -
arecoB2:ASED 1:: . 0 Porch llitSplit: _Y ~N Sump Pump: _Y_N
o INSTIT1JtIOR " I ,..: ?,R CONS~R tl"'T,P"lli'lnlneOrDeck Doesanvpartoftheprop~rtyr withinaspecialFlood
o MiM b iC:B,y\!, ,.r:~0 ~"lh 0 MODE(I'I _ , .
o School of """0 ^ _ " , ,rNE...t........~ FINISH designation area: _Y N
Ifh. ..... "...L"" ql a ! "~'rc:1 ( - -.! ';~I"\~ I
o ....I!!:?,!r OE "~I' 'I "-'",", -EJ,eACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATlON/'Ftfe ,((;be~k^a!!~icnc.:i';iTYG::'D.EJ'~~GARAGE ~ C' c- , .c:7 ~. ,0
applvorthe~loftS\!ful:tiQn~a!1'~t/CL;\\,-8~~IT,A ,li'GARAGE ,^^-d.-~i~ "--~- L
r;i SLAB 0 CRAWU:;t'A~ N ft 0 "CELC !jl> (New) Plumber's Indiana State License #:
o POST&BEAM 0 BASEMEN-t' ~ i\ 0 CELL TOWER CO-LOCATE ~/"'I~\ ~\ r--.I
(or POST & PIER) WALKOUT:_Y_N 0 DEMOl.ITION ..l,d'--'J" ~- '--' ~,
NAME~, D~~ME 3n ~-~AX~4~-€g3g
STREET ADDRESS I \ __ _ _ l\_) ~ . "",pP
t ~~~~- ~- ~~
BUILD~Jf:LADDRESS r .11 ^_ BESTMETHODOF ONTACT: ,,\ -, . ^ I
'rt..O'3.MA5> e.... ~,v ~A-l L ~ ~""-- 5u ~ -4;"(Ch
PROPERTY NAME \;1 _ Q . .. r <
OW~ER:. fo t.LC. ~ cr - er
MIl~v\ '" "", \ J {. STREET ADDRESS
if .*tla ~p. Ll
..
LOCATION
& PROJECT
INFO:
BUILDER of
RECORD:
~.
cm
FAX
-10.Du 57
~,
PHONE
# of Floors: "
OCCUPANCY CLASSIACAllON:
Class I structure permits 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 amendments, adopted under authority of I.G. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche arh, and floor drains are connected [0 the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu ub don has been issued by the Depar~~f ~o~::ty ~ces, C=el~In~iana.
'11(..........,,,- ~ r-.~ <fa. 7 oe-
.
Signature 0 wner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: /j,;2 5 () ()
J r. # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: I '71. ) 0 Reviews
~. ough I. n Meter Base ~ Site Cert. of Occupancy: / 0 3, (J 0
l..'~ c:.:::::::-' ? ;< 0.
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