HomeMy WebLinkAbout06020047-Application
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,'ity of Carmell Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER'S EMAlL ADDRESS
N
NAM /:) PHONE
fJf ~ ~ltll};IfA1 -rotcJ~~ UC
STREET ADDRESS CITY
82- ~ V~/L Cb.5s/~.Nr ~ "It!
ZONING:g-::L, ,
STATE COMMERCIAL SCOPE(S) OF P FD~~!1il-" ~ ((-9~/~Raj \i \",:',M~S.~.,:, ;,
DESIGN RELEASE #: :215 a RELEASE: if ELEC , , SPKlR, OTHER(S):,.,'.'.._, , ,
.;,.J. 7 {,I 1 !l;
WATER U11UTY / I ~l SEWER U11UTY.", . i " ESTIMATED COST o~ CONSTRUCIlO!j',
PROVIDER: we y;l PROVIDER: :?,'&L (, 9(ElOO&JNGf1f~Y~LUE)", :l() GOO
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR / , 1.1 I i \ c..j .
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If APplicable):! .__..J c__ i
# of Floors: Q NO BLDG. CO~STRUCllON.J:fP.E:_III3_~1'. .. ..OCCUPANCY CLASSIFICATION: t5
TYPE F ST , SeD P,'" 15 ~TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ect '..', 1 '. l./I' 1< ''''!-
COMMERCIAL t? ~:om.PI(:.;f);:;; \,,0 "':;~EW_sfr{(J,q].!~
(pnd'vatedely, ~6'g;;P~~[(i(f:: ;"!.'1;' I ; :,.','qJl aADDIJl9~ijr,,....c;;;
an m c!l-bmbe"'cen....!"r'I.. ""-"'~:! r:r-,,'D Room(Sr
~~ ........1"- ,',/." "'_.L
areca OF "'-'f, >iV, Ui\:i 1"'. r' '''ro' Porch
o IN . A CAr-li1,1."':., .'. r /';0. VMem~eorDeck
o MUnicIpal/Public Bldg :'- kiLL. .REMODEL,-
o School 11\!DIAf'.!A~NEWTENfiilrffrn.rISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new mnstruction area) 0 ATTACHED GARAGE
[i" SLAB 0 CRAWL SPAC~. CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO, LOCATE
(or POST & PIER) WALKOUT:_Y. N 0 DEMOLlTlON
BUILDER of
RECORD:
STREET ADDRESS .,.- ~
~O -c' 7-5'
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCIlO~/?
11/ 03
Address of Shell Building (If different than Address of Construction)
.---
/)f' (Xl /1/,.1 /~
perrrmP v-'-L/C./?' /
PHONE
dAJ L/o7-7U?
STATE
A:f
ZIP
z-t"8
STATE
/I'J
B/6 -7775
IP
z..l/b
sum # (If Applicable)
~O
lot # and Subdlvlsion (If Applicable)
ooooCJ
'5
&'"':<5"'0
Early Release / Manufactured "./
Permit: ~y _N Trusses: ~y ~N
Lot Split: _Y/N Sump Pump: _Y --N
Does any part of the property lie within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
c"p/.G/Z
'j).L,
Plumber's Indiana State License #:
;/e! rro700QF3
Class I structure pennits are subject to the General Administrative Rules of the State of Indiarul (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 l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor dra' co e d to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup or Subs as been issueci- e Department of Community Services, Carmel, Indiana.
/L~ S'-ru.4-ltr 1'1-. ./kFF&t ,2-$-O?
Print Date
******************************************************
!.) 10 .i()
,
!t:f;J..,,(}
/ ' {.It'
C
Upper Footing Lower Footing Under Slab
~ Meter BaseG Site
..
Filing Fees:
Base Inspections:
Cert. of Occupancy:
TO..TAL. : :.~. /
-/~4
Reviewed/Appr ved: Dept. of Community Services
S:PermIts/FormS/ILP OMMERCIAL
Fee Received by:
# Charged Re.
Reviews
Additional Fees