HomeMy WebLinkAbout06040059 Application
Permit#: Q ft2o'-lOOSJ
City of Carmel/Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEM:ENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
&[.0
FAX
-'-I g tf t1
ZIP
'6 U. f/
STATE
_LN
BEST MErnOD OF CONTACT:
1-tTne
bo
FAX
o7t~ LffL( (J
mY
M 5""k Yed lM) Is.
STATE
N
ADDRESS OF CO'iSTRUCTION
'I -/I {; <'
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
.,- ,f-p-t'.
STATE COMMERCIAL -,. I F C -7 ,.-
DESIGN RELEASE #: V ~ I> <-- ">
WATER umllTY :t: iN &
PROVIDER: ../- t! '1 Rw D
SEWER umllTY
PROVIDER: t .
If?'l'Jtlst,,'p
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Aoors: /
Elevator or lift: 0 YES
BLDG. CONSTRUCTION lYPE: 1 - ,5
OCCUPANCY CLASSIFICATION: 'S - /
-
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT:
rs;{ COMMEROAL 0 NEW STRUCTURE
(PIiV~~?wned hospitals 0 ADOmON
and ~~rs~ 0 Room(s)
areli!I'lI!!~L~OCU FOA CONSTR O_Porch
o IN5T!1'1:InOIl~ttO COmOI'an~ ^;. UCOON.zzanlne or Deck
o MunlcIPilMPS\'Ii',\lI~g .8 I/"h allC!!l'gllllM~
OOgp,t OF cui:; ,0 br;ai COCml,. NEW TENANT FINISH
~,"JQ;IlJQ;~..<"'A IMU,\!iTY SEh\~~spRY BUILDING
FOUNDATld1ityP~'t\JDeti~~io;trLA .0 'b'~At4lED GARAGE
apply for the new constructio1ff"~ v Y 1 gW~j!lI) GARAGE
gSLAB 0 CRAWL-sl~~A 0 CELL TOWER (New)
o POST & BEAM 0 BASEMEiIIT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
sum # (If Applicable)
)
ZONING:
5-1
~ ARCH iX: MECH
OTHER(S):
ESTIMATED COST OF CONSTRU
(EXCLUDING LAND VALUE)
PROJECT INFORMATION:
Early Release __ Manufactured .-
Permit: Y V N Trusses: Y V N
Lot Split: Y ./ N Sump Pump: _Y ..,/ N
Does any part of the prope/:lie within a special Flood
designation area: _Y_N
PLUMBING CONTRACTOR:
l54-jJ ?luvnh,~
Plumber's Indiana State License #:
/ () 0 1<--{r{
Class I structure pennits 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 CertiBca.te of
Occupancy or Substantial Completion has been issued by the Department of Community Services, Carmel, Indiana.
.~~ ;i!., ~ j(l5e"/'fI ;e. K?n./.d/ tl-7-{)b
}lnatu f ~ner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
.. ECTIONS REQUIRED: ~ Filing Fees: 1-/ ) 7 7 . ~ 0
.. td r: (J () t'\ 0 # Charged Re-
Upper Footing Lower Footing nder Slab r~ 19 Base Inspections: Q . CI Reviews
Cert. of Occupancy: I () 7 ~ () 0
'6<6
!v/-
TJIi ~/rt /JfI
TOTAL:
Reviewe /Approve(!: Dept. of Ccmmunr
S:PermItsfFormS/ILP COMMERQAl
~
Additional Fees