HomeMy WebLinkAbout06040044 Application
City of Carmel/Clay Township Permit #: ore fYfOf)~t.j
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8r. Accessory Buildings
BUILDER of NAME
RECORD:
'-TI
05a>
FAA
(317 8 B-tP5//
STREET ADDRESS
fiN.
A
STATE
I
BEST METHOD OF CONTACT:
617 7/0,5878
ZIP
Y'c,,280
PROPERTY
OWNER:
Cez..:-
FAA
IJ
CITY
:J;..DlhVAfoLt
STATE
IV
ZIP
~ .z.l3~
LOCATION
8< PROJECT
INFO:
sum # (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
W-A-
STATE COMMEROAL
DESIGNRELEASE#: 317087
WATER UTILITY
PROVIDER:
ZONING:
15-(,.
SCOPE(S) OF 0 FDN 0 STR /ARCH 0 MECH
RELEASE: 7f ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
IfI113110'/~ _oolo/.
.0' PLUM
SQUARE
FOOTAGE: /5;/bO SF
SEWER UTILITY
PROVIDER: C rl?w
.5"00/000
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNlY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
# of Roors: t Elevator or Lift: Q YES BLDG. CONSTRUCTION TYPE: !?Xe,1" OCCUPANCY CLASSIFICATION: B ,e
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
;ZS COMMEROAL 0 NEW STRUCTURE Early Release L Manufactured /
(Privately owned hospitals 0 ADDmON Permit: Y N Trusses: _V_N
and medical officeS/centers 0 Room(s) . - L /
arecommerdal) 0 Porch LotSpht: _Y N Sump Pump: _Y---L-N
o INSTITUTIONAL 0 Mezzanine or Deck Does any part of the property lie within a special Flood
o Munidpal/Public Bldg 0 REMODEL . . 7.
o School ~ NEW TENANT ANISH designation area: _ Y +-N
o Church 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (~!'A'8'~l!J POR !EP\ DETA@jG\l~li~ ~ J. ..A ./
applYforthenewcon~ ".area) ,,' Ll~"'AEHED-G'AIW:!;!! CIV71?lZPJz.~C l?/~~ ~ "/~f{JWN..JI-'-L-O.
~ ~t!O Comp"aTlc'"",v't~~'1 --WI!- _,j"
SLAB 0 CRAW'-<RACE LJ ..l.t:LL TO K',Nll!I) Plumbers Indiana State License #:
o POST & BEAM ur Jt"'G ilnd Lca,,,'CEULTOWER CO-LOCATE
(orPOST&PIER) :.!darft:Jr.;t- <.yOrvN/]Lqs:)!lD,E~9!::WWcES C-P3tfSOOO/C)
~ -
Class I structure pe~tS arel sul;j:d~ ili~Ge~ekIlK~~VM~~ l:If'the State of Indiana (See 675 lAC 12) regarding expiration time frames for
IN 0 I A N A beginning and completing con,truction.
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 Carmel Indiana -1993n (Z'
289) and amendments, adopted under authority of I.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 drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occ;g::;:;bsretiOn h.. beeni"ued hythe DeparB;;mm7;::;Uel.lndian~ D'J/Iot,
Signature of Owner or Authorized Agent Print
Additional Fees
pproved: Dept. of Community SeNices
S/ILP COMMERCIAL