HomeMy WebLinkAbout06030065 Application
City of Carmel/Clay Township Permit #: ora 03oocP'
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME PHONE FAX
RECORD: C~9~,,=,> c:;;:~ 7?.s- <-/8'2 t/// 7 7~ y',rz. -~.52
STREIT ADDRESS on STATE ZIP
:8 Z5 #~~'=Ir? 1:>/2- ..L~~ ~ '/bOSZ-
BUIlDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
b,....,a..,-...; G'cS; io^-es, Co." -?~
PROPERTY NAME PHONE FAX
OWNER: .-;r- ~ &If!!:/Ng-.9-//-JB~ z >5 - 2-yd'C? ZSS- - Zt.o I 7
STREIT ADDRESS CITY STATE ZIP
C)&SCJ /...",,4Y~~ -pp~ ~ c:A~ -:C .N :I'~o3 z..
LOCATION ADDRESS OF CONSTRUCTlON SUITE # (If Applicable)
8< PROJECT q;;.,5Z) /?7Ai"Vr-~~ ~~ /(,D
INFO: Address of Shell Building (If different than Address of Construction) I Lot # and Subdivision (If Applicable)
/?7,-y..c-L-=>C... ~,e.....<::.....
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL #:
;r-:-~ ,;ac.a~
STATE COMMEROAL SCOPE(S) OF o FDN o STR o ARCH o MECH o PLUM SQUARE
DESIGN RELEASE #: RElEASE: o ELEC o SPKLR OTHER(S): FOOTAGE: I" >~O
WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONSTRUCTlON:
PROVIDER: .z:-e-rC- PROVIDER: ?- ;:r:e- ~ (EXCLUDING LAND VALUE) 2"0. 0'" 0
I
PLAN COMMISSION / BZA / BPW OOCKIT NUMBERS; AND/OR
COUN1Y WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoors: A. Elevator or lift: Q YES KNO I BLDG. CONSTRUCTlON TYPE: I OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
}lQ COMMEI\QA~ _. _ 0 NEW STRUCTURE
(Priva~@e FOR CONSr;;;)..,A~II'JI,
and rn!'I!lll'l;2lj('i"fbcenters . TliU~ 1lRliclj,,(s)
are coii\/I1Mtl;\ll cOmpliance with all regtilllti<llrnt1
o IN5TITlJTlONAL of State and Local Cod'o 0 Mezzanine or Deck
o 8m1P\1lle>Jbli~~MUNITY~~
Bc~bF CARMEL / CLAY[jjO.w!ll$Pffpl~:~~~~G
FOUNDATION TYPE: (Check all ~FIlANA 0 DETACHED GARAGE
apply for the new construction areaT' 0 ATTACHED GARAGE
.8l SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUllON
PROJECT INFORMATION:
Early Release 'lI' Manufactured V
Permit: Y 4-N Trusses: _Y ~N
Lot Split: Y 4N Sump Pump: _ Y...."/...N
Ooes any part of the property lie within a special Flood
designation area: _Y '" N
PLUMBING CONTRACTOR:
?~s,=r.JI=Lv~;~9
/
Plumber's Indiana state License.#:~,^-~:-._----~~-'--_h.'--
-yc. <l't'( 00 ~'13 fr~\ [s~;, (0-:;; C~~ n ~Ij ~ r
:1 Ij :1
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardrn~"'" I ~pIratlon tune frames for j :
begmnmg and completing construction. ' ;! \ I lA A R - 9 2006 .
I, the undersigned, agree that any construction, reconstruction, enlargement, relocatIon, or alteration of a structure, or any change in e use ~t'I~d or structures i
requested by this apphcatIOn will comply With, and conform to, all applicable laws of the State of Indiana, and the "Zomng OrdinJ.ce bfCarmel Indiana - 1993" (Z~ I ,
289) and amendments, adopted under authonry ofl C 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory th~~~tu I Iuuj1l;::r cntifythat only J
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constnlction will not be used or occupied until a Certificate of
Occupanc S tantial Completion has been issued by the Department of Community Services, Cannel, Indiana.
~..a.../ ~L:>"""'''''B-'-''Y
Print
3-2~~
Oate
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: ~ 5 Filing Fees: 5".:8/ , 1 tJ
.. \ Q "?.,.,..."., # Charged Re-
Upper Footing Lower FootIng Under Slab Base Inspections: / I p<. ~ ...J U Reviews
Rough In Meter Base ~ Site Cert. of Occupancy: JJ. . /0 3 ' CJ 0
TOT L: .:p a&. 0
; ..00(,