HomeMy WebLinkAbout06030222 Application
City of Carmel/Clay Township Permit #: ()~0502:Ja.
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory Buildings
BUILDER of NAME LLc PHONE FAX
RECORD: -U-A,eN\orJ '3 i 7-S/4--9<f92- ~I -514-9 '7
CITY STATE ZIP
CM-A6<..- r-J 4bo 3.'2.-
BEST METHOD OF CONTACT:
~A(L-
PROPERTY fUkS d) PHONE FAX
OWNER: N 'E:-t"I -'Cf7b - s -8
So. CITY STATE ZIP
tJ....,<o~ N 4bo"S
LOCATION ADDRESS OF CONSTRUCTlON sum # (If Applicable)
8< PROJECT Zoo W, Ib -rn 5r.
INFO: Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
. @,r:,LL
STATE COMMEROAL
DESIGN RELEASE #:
WATER UTIlITY
PROVIDER:
...... W &q""'-
SCOPE(S) OF ~ FDN )15 STR
RELEASE: '" ELEC 0 SPKLR
SEWER lfTILITY
PROVIDER:
lll--ARCH
6THER(S):
o MECH 0
Nk
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR , lION
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): "ot. ic,lT.\.,C \
..... r::r'n..~ l, <.'- .l....+;n 5
ElevatoR - ,-YESt..I ~\~.9\C )stDG._~oN~uciioN TYPE:
. .t O~ ;(;",(\,..:1.
TYPE OF CONSTRUCTION: oi Stal:rYpE'OFIMPROVEMENT[.;t::o PROJECT INFORMATION:
C,.,.,,,,.. SHIP
o COMMEROAl nEpl OF C )~' ~<;WISTR!JcnJREJN Early Release \/ Manufactured \/
(Privately owned hosplt~ 0'" CPrP,hGLADDtTJON Permit: _Y ~N Trusses: Y ~N
and medlcalofflcestc~;rf r ""D\jCDi!'Room(s) . - l/J. ~
are commercial) .\-1. (j Porch Lot Split: _Y ~ Sump Pump: _Y
~ IN~M ONAl lIP bl' Bid 0 Mezzanine or Deck Does any part of the proP2li.e within a specia Flood
\2l- Munlclpa u IC g 0 REMODEL . .
o School ..., ^ \ I. 0 NEW TENANT FINISH deSIgnation area: _ Y
o Church ~~ ACCESSORY BUILDING ~UMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which.j(J 0 DETACHED GARAGE J
apply for the new construction area) 0 ATTACHED GARAGE
~ SLAB 0 CRAWL SPACE 0 CEll TOWER (New) PI mber's Indiana State License #:
POST & BEAM 0 BASEMENT 0 CEll TOWER CO.lOCATE
(or POST & PIER) WAlKOlJT:_Y_N 0 DEMOunON
# ofFloars:
OCCUPANCY CLASSIFICATION:
LJ
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 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 Le. 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
Oc~ubstantial C~ has been issued by the Departmen::::nununity SeMces. Carmel, Indiana.
~ ()j ~ (&p J,...)G LL ~ H I.e. 3/:g 0/00
Signature of Owner or Authorized Agent Print Date' (
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED:
Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
~1w
Additional Fees
r;; (CLAd ifr;-}&
Upper Footing' Lower Footing
Under Slab
# Charged Re-
Reviews
~"Kt~,~ A~50200C1
Review IApproved: Dept. of Community Services (Date)
S:Permlts/FonnS/ILP COMMERCIAL
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Fee Recelv by: ~
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