HomeMy WebLinkAbout06040092 Application
City ofCarmel/aay Township Permit #: {)(.eO'lOD9;J.,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
PHONE FAX
(31)750 --'tV 53
CITY STATE
NoYle.J VII. JA/
BEST METHOD OF CONTACT:
I, A/pl- Il,cup 7S"o-Ws:s
FAX
BUILDER of NAME
RECORD:
';v p/, 1-/1./
BUILDER'S EMAIL ADDRESS
.r;, 4,~N" ' t? v
ZIP
,062
PROPERTY
OWNER:
STREET ADDRESS
'{II t..J Mrl'fo/ ~f-, LAI'HI
ADDRESS OF CONSTRUCTION SUITE # (If Applicable)
W 1'1 ;J./ 5 f 541 t!' /).D c-1-t.M<,
L 11 Pel;
'(
CITY
ZIP
STATE
LOCATION
& PROJECT
INFO:
Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable)
WATER UTILTIY SEWER UTILTIY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: C Itt/'1 e I '-fl-; I:t,'" PROVIDER: LA!!-,"'...' ...d:' I,' -1-,'" (EXCLUDING LAND VALUE) 115'0 () () ()
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS: ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
I . ~ C~ 1\-' CONSnlucnON TYPE:
j \''''ur1 .' ~,~ ;::i\:\GlI;J
TYPE F CONSTR . to comy\'<,PC8' P~~jlM~ROVEMENT:
............... +a an'1 \ nl,..oll'
IJ6 COMMERCIAL 01 Sta, , .."- ~{~ E
(Plivatelyo~'ll1ilWlt;aI;c COtv1MUNtj .A6~~SHIP
and medlcal\;lJl1olS'lden't.!r!; RMEL I eV'- j OJ Room(s)
are comm~ Of CA I {\ 0 Porch
o INSl1lUT1d1>iJ1.~ 1 INOIAN 0 MOllanlneorDed<
o Munidpal/Public Bldg 0 ..Jl.EMODEL
o School Il2l" NEW TENANT FINISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~B 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 OEMOLITION
BUILDING, PROJECT, OR TENANT NAME:
-To,;....... N'
STATE COMMERCIAL .
DESIGN RELEASE #: ') 1,'2 s:- ("
SCOPE(S) OF 0 FDN 0 STR ""'-ARCH
RELEASE: id"l'LEC 0 SPKLR OTIiER(S):
TAX MAP PARCEL #:
~UM
SQUARE
FOOTAGE: I
OCCUPANCY ClASSIFICATION:
PROJECT INFORMATION:
Early Release -l Manufactured
Permit: Y Trusses: _Y A-N
Lot Split: Y N Sump Pump: _ Y ----K-N
Does any part of the property lie within a special Flood
designation area: _Y LN
PLUMBING CONTRACTOR:
Scl,'f!/-;;~ !ll.{lvf.b,'IJj
Plumber's Indiana state License #:
c..'f3 ~/ 05' <;l (p c,-
i.tl'~
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 confonn 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 l.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
OccX~an;5 or Subs"J:ltia/9)m!/etion has been issued hy the Department of Conummity Se,:"ces: c.nnel. Indiana.
~fJ~? JZli,v fJ6,--eht." /719/1'0&
siYnature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: d~'f. Filing Fees: 6/ / , '1&
. . r #Ch~~
Upper Footing Lower Footing er Slab Base Inspections: AOO, () () Reviews
(J~ ~rJ Cert. of Occupancy: ~ /0 1, rJ tJ
,/ -it $J '6 ~ 7 f..p , AdditiOna,i Fees
20fX, :! ~u:.~' ~
Fee RecEli
5: Permlts/