HomeMy WebLinkAbout06030155 Application
City of Carmel/Clay Township Permit#: 0(003015S
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: l'\.-\{ T~ -r-: i1
STREET ADDRESS CfTY STATE ZIP
13 ~...~\I., =- ~'. "if'1 3".-.1 '11. '
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
~ - ,J
PROPERTY
OWNER:
NAME
"'-'liD ''-;7'
STREET ADDRESS
~'(
PHONE
FAX
3/,
STATE ZIP
]; ~,0
SUITE # (If Applicable)
CfTY
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRUCTION
BUILDING, PROJECT, OR TENANT NAME:
'>::> -S;'" - \'L,l F
STATE COMMEROAL
DESIGN REUEA$E #:
Sh::u.., <A
it
SCOPE(S) OF P FDN jJ STR
REUEA$E: a>'ELEC ~ SPKLR
SQUARE
FOOTAGE:
1"\1
WATER UTlUlY
PROVIDER: , { d"
Vb l~ ~ ~
PLAN COMMISSION I BZA I BPW COCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
SEWER UTlUlY
~OVIDER:
v+iIJ.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
5
# of Floors; Elevator or U,,: YES Q NO BLDG, CONSTRUCTION TYPE: II, OCCUPANCY CLASSIFICATION: IS ":.f
TYPE OF CONSTRUCTION: R:'I!E,Qf~yEMENT: PROJECT INFORMATION:
~ COMMER_ASED FOR CO:,\3:'\'~!'WL~RE EarlyRelease 1 Manufactured "-
(Privately '1i p~ltomp',i"nce W":CJ:~ ~oomON Permit: Y N Trusses: Y-^-.. N
and medl enters" nil LG~,31 GJ,'C] "ttBl ~
are commerdal) of State d. " _.... , .' ',:n,\J1i '~ Lot Split: _Y _N Sump Pump: _Y N
. I '~'! "( '" L!J
o INSTl1UT10S:l~DT nE COIJ\i!iu ,,\ "'El"J~fl,rDeck Does any part of the prop:rlie within a special Flood
o Munk!""I/Pl.JbJrc~ld!l-,MEL I CLrfj'l ~cJbEL-'
o S~!Jf C}\1'1 N1S:l NEW TENANT FINISH designation area: _Y N
o Church' INDIA LJ ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE I, \, \ I --,."
apply for the new construction area) 0 ATTACHED GARAGE n:l:"'L.*\, T Iv..".,b;h~
'GO. SLAB 0 CRAWL SPACE 0 CElL TOWER (New) Plumber's Indiana State License #:
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WAlKOlJT:_Y_N 0 DEMOLITlON I n( rS ,<,:
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.
1. the undersigned, agree that any construction, recenstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
.' rCquested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority ofI.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 drams are connected to the sanItary sewer. I further certify that the construction will not be used or occupied until a Certificate of
cupancy or Substantial Completion has been issued by the Department of Conununity Services, Carmel, Indiana. 3/24 / D~
..... ~,;."'......~ ~)(y..,..J ~
re of Owner or Authorized Agent Print
OFFICE USE ONLY: '** * * *** ****** ****** ** ***** ************* * ******* * *** **lJ* ******* ********* *
, INSPECTIONS REQUIRED: Filing Fees: (f;3 '7, Or
'. la1~ #~~
Upper Footing Lower Footing Under Slab Base Inspections: --1-1 V'- I-.:...J V Reviews
Meter Base ~ Site Cert. of Occupan 25 , tf[)
~ ~, u r 4 Additional Fees
. B' TOTA : - , - V
pproved: Dept. of Ccmmunity Services (Date)
S/I~ COMMERaAl
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