HomeMy WebLinkAbout06040007 Application
City of Carmel/Clay Township Permit #: O~(Y-{o()07
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &; Accessory Buildings
BUILDER of
RECORD:
NAME \'\
.L L\..'\-. e..
(\ LPH9\lE
L Ov~s--\;-rv' ,-+;,,~ . t'
ji1--:?08.
SlREEr ADDRESS
00 'L qLo~
BUILDER'S EMAlL ADDRESS
r
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
o 'L
ADDRESS OF CONSTR\JCTION 9
00 L. ~~
eG e ("OOc)
STAll'
[ r --.r:n;
FAX
3/+.-rO[?'(,,+9
ZIP
D
SUITE # (If Applicable)
Lot # and Subdivision (If Applicable)
TAX MAP PARCEL #:
0'+\
J} .
SCOPE(S) OF P FDN 0 STR ilYAACH ~ECH B-l'LuM
RELEASE: D'ELEC 0 SPKlR OTHER(S):
# of ROOfS: YES 0 NO BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: CT,TYPE"OiGMPROVEMENT:
~Oti~CI&EO.FOR Cm,l;)~\; ;;0;JNNEWSm.UCTURE
(I'l;/l'ale\y.~"1.ah,?>pltalsar:ce Vile,.' ,.0 ADDmON
i\AlllMll!glj bm<iStc~n~rs'd l Qc.a\ CDe":"' VI,lD SRoom(s)
m.'tIi'rii;;,e~' IlStatc 0' . . \l'{ C.;:=R 'o'!'eJch
o IN5l1TUTl~r<nn~' J:::CPINJiUN ~vl'n\f'Jl'Q\-\~anineorOeck
c:.'ema ItPuuh~~ I G Ln 1 0 REMODEL
\~I= CP\R ~ ~Np.. ~NEWTENANTANISH
"chu'n:h \\,-\01",. 0 ACCESSORY. BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apPI~e new construction area) O--cAif~HEli.,*.~~
o SLAB 0 CRAWL SPACE ......-::~G~ ~El.t:TOWER\(~el'()\ Plumber's Indiana State Ucense #:
o POST & BEAM 0 BASEMEI'jJ_-;:::P re. Q?-.CELl TOWER OO-LOCATE I /2 f\
(or POST & PIER) WALKOUTi;:;~ :-:::-'::~i'l;.!-t:J DEMOLmON \\\)) -1 n (,S- <3 d- /t.,) OCI-\
Class I structure permits are subJ~t\b e GenSRl A~ tive Rul~ the'State of Indiana (See 675 lAC 12) regarding expiration time frames for
\\') \. l\Y" beginning.and~mpletingconstruction.
I. the undersigned. agree that any consttuCJio~/ onstruction, e,Dlargt"ment, relocation;""or alteration of a structure, or any change in the use of land or structures
requested by this application will complyMrh\ .hd confo;Elt((....all applicableJawsof [he State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z;
289) and amendments, adopted underau~~~C'3&.7 et seq. Gen..erat"Assemblyof the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected t~o the sanitary se;yel':"'rfurther certify that the construction will not be used or occupied until a Certificate of
~cv ~ Subs_rial Com erion has /by-the Depart~1ent of Community Services. earJI. Indiana.
U I D,.}':1,/l. ~ ,,,,.. 3 - J/-o~
Signature of Owne Print / ~ Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: OJ ldJFiling Fees: '71 ~ 1. :( G-
o . 1\\ '\11\ /]. # Charged Re-
Upper Footing Lower Footing Under Slab rI. \ Base Inspections: ,,0 O. 0 0 Reviews
C-;oU9h ;J Meter Base @ Site Cert of Occupancy: tJ 0
&
WAll'R l1TlLm' SEWER l1TlLm'~
PROVIDER: --r PROVIDER: I
..J..-v-\.... l~ ~
PlAN COMMISSION / BZA / BPW DCCKEr NUMBERS; AND/OR
COUtm' WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
TOTAL:
-(.). DO 00- 0
SQUARE
FOOTAGE: '3
.0
E511MA1l'O COST OF CONSTRUCTION:
(EXClUDING lAND VALUE) (0 '+0 0
OCOUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release v<:
Permit: _Y _N
Lot Split: _Y ~ Sump Pump: _Y '--1'1'
Does any part of the property lie within a special Flood
designation area: _Y ~r4
PLUMBING CONTRACTOR:
-1< ; r-K ka +r::;
Manufactured
Trusses: _Y ~
f . cB2. Q;:) (3 0 c::. A..
Additional Fees