HomeMy WebLinkAbout06020053-Application
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, --'---City of Carmel/ Clay Township
,. COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
PHONE i 'I . em .
3/1 cYt9-;J99(P
CITY ti" ISO STATE
& De. .::wo/Zs. x,<.L ~d/
1(- BEST MEniOD OF CONTACT:
N(J 'A Co u.cn .31 7 aoq -oJ / ()
rr L p PHONE
NAME
Ci 'a.ks
PD
STREET ADDRESS
d it?zj
A/~Fizi'JN/ jJJ:.u/
BUILDER'S EMAIL ADDRESS
NAME
h'Jd;+
STREET ADDRESS f')
1\'111 rR.nil5
S1.N-
er,'clta.n ST
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
I<evOL . (Y\MLL~ ('CLtiO(JS .-::rt-lDO 5OGl'7
STATE COMMERCIAL
DESIGN RELEASE #:
WATER UTllllY
PROVIDER:
# of Floors:
FAX
93- 433
ZIP
FAX
CITY
r!:Ae-/U..EL
STATE
:TAJ
ZIP
4003&-
SUITE # (If Applicable)
CAg.M~ 003J.-
Lot # and Subdivision (If Applicable)
ZONING:
SB-
SCOPE(S) OF 0 FDN 0 STR 0 ARCH 0 MECH 0
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
nt: ':;~Ir; .~ t \ . fSEW ~1 IVI
Subject to"comp 'PROVIGEli.l 811 regulations
...;t.........,._.~._ . , _,..... _, __
....~..."_.",.,,_.'-.,''-'...., ".n."....
'::f'YlDn(l.l~.eu.ei.h ~. fhr..
Signature of Owner or Authorized Agent
PLAN COMMISSION / BZi\1\!"J!Y-pqC!(gl\NUM.BE~'~~P.~9Ry <c. 'CRVICES
COUNTY WELL AND/OR SEI'l1C PERMIT #'5 (If'Applleable):; I '" t::
~,~ r- ^......" ,"~, I ,-H -r'...... ",
I' ...., '.;,":\.IIH'I' ,_ l l....F"I IV I I
Elevator or Lift: Q 'r.~ n fr, ~~\ BLDG. CONSTRUCTION TYPE:
PE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals 0 ADOmON
and medical officeS/centers II 0 Room(s)
are commercial) G 0 Porch
o INSTITIJTIONAL 60 0 Mezzanine or Deck
o Munidpal/Public Bldg eel 0 REMODEL
o School ,. 0 0 NEW TENANT FINISH
o Church ' 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
o SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's.rJ,
o POST & BEAM 0 BASEMENT -f,;?i CELL TOWER CO:l.OW{'. - f/ I,
(or POST & PIER) WALKOUT: Y N 0 DEMOLITION ~Oo;..."....
Gass I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 2) regardin e
beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any ch'J.nge 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 Cannel 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 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
Occupancy or Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
J:lJp. 1iYYl, &>11(11 , bHA, XNc., A'1~nt-
ron
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OFFICE USE ONLY: **************
INSPECTIONS REQUIRED:
Upper Footing
Rough In
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y....,i.N Trusses: _Y ~N
Lot Split: _Y -LN Sump Pump: _Y x..III.
...' \
Does any part of the property Ii.e wit in.a.sVeCiai:F.IOO",
re:: [\ ,~, \'~'-' ~\ '\
designation area: r: _fb. \..G \j \~;;:::.:i
PLUMBING N ;7
lme frames for
d- 10-00
Date
Lower Footing
*i1!:***** **~***********************************************
h 2"YFlrlngFees: 57?? ~-;)....
I ~ l' ~ .-, r # Charged Re-
Sla Base Inspections: ' ~ Reviews
Cert. of Occupa :s ' 0 0
to{A.1; 5 '7
Meter Base
Final
=ft I
(Date)
00",
Review Approved: Dept. of Community Services
S:Permlts/Forms/ILP COMMEROAL
Fee Received by:
Additional Fees