HomeMy WebLinkAbout06030138 Application
City of Carmel/Clay Township Permit#: DCR-a 3oB3'
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME
:r.
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRucn~NL...
10 . HI("nl
Address of Shell Building (If differen
n
t;m'
FM
3;).'3- '57;;6"
X1V Lei 50
15.
BEST METHOD OF CONTACT: ~ I.'
4.tJ?-lQ I
FM
STATE I pP '0
r:-~ . '-lid,
, .,......',-.;Jr-lj'.. ..'n.-'.....
"tf{l ~!~~~~!;a.r:G~ ~,':;!~~~<S~I.:~ '1
Lot # and S~ 0~~H;,;bl~)' ,. '.'ieai C;1rJ%. .
Cf I '-1'1...ir"dAUfiJiT\" '~:!::[>\/f""','~' ,
^ r-.~ ,,_,. '--" --, f "~'" ....- ....
TAXMAP'PA~ilCE[i-#/ ''<,I."I\Y l-O\V-";'{~,_~_, c
"0/ '< '.' . ''',-" "
I,. Lh!\I/_\
ZONING: 13 3
SCOPE(S) OF 0 FDN 0 STR 0 ARCH 0 MECH 0 PLUM
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
SQUARE ~ j . ''")
FOOTAGE: /-JUI<7'-
WATER lJT1LITY W'/l
PROVIDER: I V
PlAN COMMISSION / BZA / BPW OOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoars:
Elevator or Uft: 0 YES }( NO
TYPE OF CONSTRUCTION:
~ COMMEROAL
(Privately owned hospitals
and medical offices/centers
are commerdal)
o INSl1TlJJlONAL
o Municipal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
apply for the new construction area)
l5ir SLAB 0 CRAWL SPACE
o POST & BEAM 0 BASEMENT
(or POST & PIER) WALKOUT:_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
~ NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOUTlON
ESTIMATED COST OF CONSTRucnON:Jt'. ~
(EXCLUDING LAND VALUE) "'7.tfV
PROJECT INFORMATION:
Early Release V Manufactured-2-
Permit: _Y L::.......N Trusses: Y N
Lot Split: _y'LN Sump Pump: _Y "N
Does any part of the property lie within a special Flood
designation area: _Y AN
PLUMBING CONTRACTOR:
PI~e~:iL ~~::!:: ;,t
1C. 'if1100/'7;;1...
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.
It 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 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, b , d floor drains are co nected to the sanitary sewer. I further cenify that the construction will not be used or occupied until a Certificate of
Dce :y' SubsWltM G tiqp has been issued hy the DeparnnetAi7:iilt ServiC(!/'ijt5L ~ /;;lD JD to
Print Date '
OFFICE USE ONLY: *****************************************************~f*************
INSPECTIONS REQUIRED: ~ Filing Fees: -6 ~cr d2!..
. ..~ ....., <lei 0",.......- #ChargedRe-
Upper Footing Lower FootIng (Under Slab Base Inspections: ,..... 0 71, It:) Reviews
(/R';~~ Meter Base B Site '-'V1A;\.J> Cert. of Occupancy: / 6 :3 .. 0 5
A;\r r <' Addibonal Fees
'J \ TOTAL: , ~ -->
~
~;<'1. 0(0
Reviewed Approved: Dept. of Community Services
S:PermIts{FormS/ILP COMMERCIAL
'Z.2,t>C.
(Date)