HomeMy WebLinkAbout06030131 Application
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"ity ofCarmel/C/ay Township Permit #: Ofa(J3() /3/
'1MERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
'Tlmercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lk Accessory Buildings
PHONE
3/7 . 4>rt -1331{-
CITY
O'l~ -'l \Ow,;"\.
prONE
C-C,rWl" 532-7~gl
CITY
s/ c::..r",~1
. of
.tD:
/(,IJIt.
PROPERTY
OWNER:
STREET ADDRESS
/3:)'00
11/,
t'r,d,(;;V1
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCI10N
35"00 tV, ~r,cJ;'c."1 SI -c.......
Address of Shell Building (If different than Address of Construction)
-
BUILDING, PROJECT, DR TENANT NArE:
.5T '-"Gr"T;;~ I ~ -
STATE COMMERCIAL
DESIGN RElEASE #:
",,"C"y
/"",,1
SCOPE(S) OF 0 FDN
RElEASE: ~C
o STR 0 ARCH
o SPKLR OTHER(S):
WATER UTILITY
PROVIDER:
SEWER UTILITY
PROVIDER:
PLAN COMMISSION 1 BZA 1 BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoors: ,~
Elevator or Uft:
YES [;I NO
BLDG. CONSTRUCI10N TYPE:
TY~CONSTRUCTION: TYPE OF IMPROVEMENr:
COMMEREll!l<.,... C'~,", 0 NEWSTRUcnJRE
(PrivatEflY~~IlaIs' FOf.] CO.:NCC!lRADDm~
E(abfuo. .. . '-#. 'r. I J'
and m ~stser;e'i'hp "..'h _'I 0 Roo (s)
arecommeraal) -',',(1 3" iEf:....: t~~
o INSTI1lJ'DONAl of State ~::nc! i...cy;';;j COd!~"_~ 'Mezzanine or Deck
o rlI.llildi/iaiteuliliGJIQ9ViMU:\1 rv ,.:REMOOELc::
OOCll~urc~OF CARMEL / CLP\PD~'"l.~~Thi'i~~J;F1NISH
-C" " ACCESSORY",UILDlNG
FOUNDATION TYPE: (Check all whlc!lIANA 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
o SLAB ~ CRAWL SPACE 0 CELL TOWER (New)
o POSf & BEAM BASEMENT 0 CELL TOWER CO-LOCATE
(or POSf & PIER) ALKOUT:_Y_N 0 DEMOLITION
FAX
f)/2- 5"t7-tfd.f1.....
STATE
%I\J
ZIP
41,1110
BEST METHOD OF CONTACT:
FAX
$'51- - 7&'"2'1
STATE
.:riV
ZIP
i-{ e;, 0"$2-
SUITE # (If Applicable)
L/ \>03'-
lot # and Subdivision (If Applicable)
-
Jow,,' I"v,,{
ZONING:
TAX MAP PARCEL #:
SQUARE
FOOTAGE: "3 ~ () ()
l'
ESTIMATED COST OF CONSTRUCI10N: "')
(EXCLUDING LAND VALUE) / /], /J 0 0
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release \./.1 Manufactured V?
Permit: Y LN Trusses: _Y L::..N
Lot Split: Y ~N Sump Pump: _ v)st N
Does any part of the property lie within a special Flood
designation area: _Y ~i
PLUSING CONrRACTOR:
, LJ LL , V 0.(11 d- Po 0 t e J-1tJ C,
Plumber's Indiana State License #:
PC ~& 700 3:3
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 confonn 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 I.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 drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup cy or Substaptial ipJetion has been issued by the Department of Community Services, Cannel, Indiana.
;;'"".5 D'1 brei 3 -17 -0 {p
Print r, Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: e. Filing Fees: ~ 7: 0 (J
. . 0"'7 "'0 # Charged Re-
Upper FootIng Lower Footing Under Slab ~ Base Inspections: I 7,r, , v ' Reviews
C:;;ugh'i;;:) Meter Base ~ Site . :;;?~ Cert, of Occupan ':3 - t) 8
~~ ~ \<1J'/\I')r.rl~.a 'W'I.....J.- 1.1,0'
Reviewedl pproved:' Dept. of Community Services (Date)
S:Permits/FormS/ILP COMMEROAl
FeeR
Additional Fees
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