HomeMy WebLinkAbout06030154 Application
City of Carmel/Clay Township Permit#: 0(.0030[54
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAM~at/-ICOR- Cot/5J12uCflo; PH' .111- S73-floo
?o;i~ IIldldLdfl J) 202-ClTY
BUILDER'S EMAlL ADDRESS @
J,k:/STAlD2 t;QUlcoR.t2ol11..
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ZONING:
TAX MAP PARCEL #:
o ARCH
OTHER(S):
o MECH
o PLUM
SQUARE . I
FOOTAGE: 3'60 <3
Il
'()Lf~
WATER UTlLTIY
PROVIDER:
EsTIMATED COST OF CONSTRUCTION: -;;/J
(EXCLUDING LAND VALUE) ..;) '/
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS, AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (ll Applicable):'
# of Floors:
Q
o
BLDG, CONSTRUCTION lYPE:
'iJ
QcCUPANCY CLASSIFICATION:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
~ 0 Mezzanine or Deck
REMODEL
NEW TENANT FINISH
ACCESSORY BUILDING
FOUNDAn~l!t~A~\!J~.a!I'lII(hlch:" ~-f: O-;"OETAdHEO GARAGE
apply for th~Bt'fef!1~~tr;lI.ffl,~~ ~f~~~ \\: f) i!q:,~rr~giEO GARAGE " .~:--'r;:~:::;"-: "
1lr'I SLAB !D:' CAAWLSPACE. '''''' 0 CELL TOWER (New) Plumber's Indiana State Lice~ #', l'~;, \~.,,:, :,; - , I
~O 0, 0'~"" " . .." ..... ,. 0 CELL TOWER CO-LOCATE ',' 'I r ...........--.."- ... ,,' I ' 1\
POST~~ -C.! ,BASEMENT'.F"i.'" {'" ,. ", ,: i ill" i I"
(or POST'I!{PiER') lTWA[KOUT:~Y~N"" 0 \ DEMOtlTlON ' ".. ,
r- ,!'. ......, .,.., J c',. c, - . -,- - > ., I; ,-,\ 1 1 I
Class I structur~ pe~~l ~~;;~bj~ct'.~~"~h~1 G~n~al Adri.ti~t;ative Rules of the State ofIndiana (See 675 lAC 12) regardili~~d:Mratio f 0 \ : i .!!
1\'::...... :1-,:\,'.\ beginning and completing construction. It i \ \ I : i..:-.~/
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the uslaf 1and.or.structures--"~'- ..!
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinanck 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 amendatorYl5hereto. I fur0..!E5ertif.y th~LOl1ly _ _ ~._____
kitchen, bath, and floor d . are connecte 0 e sanitary sewer. I further cenify that the construction will not be used or occupieaiiirti:f:lCCrtif]cate of
Oecu SUSS 'PIe on . ed by the Departmen' of Community Serv,/,'/.carmel. Ind,ana. "I
m r If/f/ 4-. tJ.l;:)'/vt (if" J rJ':{.:'O(P
Print"" , Jftlh ~ Date
TYPE F CON U
COMMERCIAL
(Privately owned hospitals
and medical offices/centers
are commerdal)
o IN51TTUTlONAL
o Munidpal/Public Bldg
o School
o Church
PROJECT INFORMATION:
Early Release / Manufactured ~
Permit: Y V N Trusses: Y N
Lot Split: Y ~ Sump Pump: _Y.-0
Does any part of the property)ie within a special Flood
deSignation area: _Y LN-
PLUMBING CONT~/#-
OFFICE USE ONLY: ********************************************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
~~ MeterBase(9 Site
%.....J,. "6,2.t,b~
pproved: Oept. of Community Services (Oate)
S/ILP COMMEROAL
Filing Fees:
Base Inspections:
Cert. of Occupa
TOTAL:
~0
Fee ~acelved by:
Additional Fees