HomeMy WebLinkAbout06020060-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
e6/;?,rJo 60
BUILDER of
RECORD:
PHONE
'3J7- &'lfI-/OtJl)
FAX
317 - (" 71'1-1(,,91
ZIP
'/ f.,.;(t);L
PROPERTY
OWNER:
STREET ADDRESS CITY STATE
/1?50 1-tJ. Sri, s;-; r;,;I>MNt/-/'OLl~ IN'
BUILDER'S EMAlL ADDRESS BEST METHOD OF CONTACT:
BLENF&/?T. >Pm 'C~ c.vAj~7lf'VCTIL)A/.Ccn1 3/'7-'-/1/-L/5?'/-
Na.I9'<'II'IAJ /lJtJJfT'J'/ IYIEblMl ,;)F,clt.. Wtl. PH03/7 _ 7'4-.;1- c?031 FAX
5,. }4:~cif4c ; cr;l'I<<fI1EL
II
STATE
IAl
ZIP
'I~t)3c7
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTR
117~'5 7ZLfAJt?i~ 51.
77
sum # (If Applicable)
3?OD
Address of Shell Building (If djfferent than Address of Construction)
Lot # and SubdMsion (If Applicable)
BUILDING, PRO-!);CT, OR TENANT NAME: ZONING: TAX MAP PARCEL #:
/!OUl.r 5t[E/' b16 RELEASED Fnp ,,,_pt(p J1' l7-tJ9-?>5-00.,Otj- l-1<'o
STATE COMMERCIAL d SCOPE(S) 0 eC1:lCF6N1mo'i,.STIl.: %.e,R'c!(I~~IQNeo: PLUM SQUARE '_
DESIGN RELEASE #: 3/'1.:?d7 RELEASE: ~ ELEGlto8 ,sr,~L!j;,9.~E~~): "'n, "-t'::R& FOOTAGE: /?CO;rF
WATERUTlLITY .::z::Nl:>f!.5 SEV/Eij-\ITIUJY 1- C(,.>b;TiJ?,w,,:~ ;~W~TEDCOSTOFCONSTRUcnON~ 'U
PROVIDER: PRO\IllltJf. uF '" ('I ,t!. '. :~EXtlL~NDVALUE) :J 3// ao
-.. . '-IV'II 'HIP
PLANCOMMISSIO /BZA/BPWODCKET UMBERS;ANDIOR INDiANA
COUN1Y WELL AND/OR SEPTIC PERMlT~t~!i",abi.):.\
# of Floors: 5'" ,"'., lit:')! res;' BLDG. CONSTRUCTION TYPE: I /1 OCCUPANCY CLASSIFICATION: B
\'-;:.P-'.\ . f'f
.,~. ~
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
"
~ COM~ <W STRUCTURE Early Release,/ Manufactured X
(PrIV DmON Permit: _Y....<:..N Trusses: _Y.,L:-N
and Roomes)
are Porch Lot Split: _Y --.f...N Sump Pump: _Y.){.N
o IN Mezzanine or Deck Does any part of the property lie within a special Flood
o REMODEL
o N<W TENANT FINISH designation area: _Y.....i'-N
o ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION : (Check all which DETACHED GARAGE r:
apply for the new construction area) 0 ATTACHED GARAGE r.w/li'?bS ;)fa'lltf,v/(" At. fl EteC7J(/tI9L
~ SLAB 0 CRAWL SPACE D......CELL TOWER (New) Plumber's Indiana State License #:
o POST&BEAM ~ BASEMENT /0 CELL TOWER CO-LOCATE ~ IO-7"V"?VI(
(or POST & PIER) ALKOUT: Y <---1Il 0 DEMOLITION L..!::. Lf t
Class I structure pennits 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 confonn 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 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
Occu cy or Substantial Completion has been issued by the Department of Conununity Services, Carmel, Indiana.
" 3/f'1/?A.J Im,car. dT -/() -010
Signature of Ow ~ or Au rized Agent Print Date
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
(Ro'U9h'0 Meter Base ~ Site
OFFICEUSEONLY:************************************************************************
ra 3 t.j. 00
/12,50
Cert. of Occupancy~ I () 3 . 0 0
TOTAL: .:f$"q-x.q. tY 0.7
'----;;: (i~tt';;?::J //};1;,.......{;;----
Fee Rec~ved by:
Filing Fees:
Base Inspections:
# Charged Re-
Reviews
Additional Fees
1tM.
14,J.ooli>
(Date)
Reviewed/ Ap
S:PermIts/FormsjI