HomeMy WebLinkAbout06030224 Application
City of Carmel/Clay Township Permit #: (Jra D30 z21
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME
'5"-;; N2
PHONE FAX
0DNSTRW:.-TroIJ CO 1::: . 2 - t..J crt
mY STATE
Iv&rzia 51;. -;1:ndia.nar()Ii5 ::cJII
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRumON
'"5
~-c,
~ddress of Shell Building (If different than Address of Construction)
STATE COMMERCIAL
DESIGN RELEASE #:
BEST METHOD OF CONTACT:
FAX
e.JVr C- BH j4"LS~
ZONING:
SCOPE(S) OF 0 FDN 0 STR 0 ARCH 0 MECH 0 PLUM
RELEASE: 0 ELEC 0 SPIQR OTHER(S):
~UAREQ,
FOOTAGE:'
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 Carmel Indiana - 1993" (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
Occu~ y or Substantial Completion has been issued by the Department of Community Services, Cannel, Indiana.
*' Print ..sherrj.$, ~"e-ll::e-
OFFICEUSEONLY:************************************************************************
Filing Fees:
SEWER UTILITY
PROVIDER:
# of Roars:
Elevator or Uft:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
"" COMMEROAl ~ NEW STRUCTURE
r (Privately own~qIs 0 AOOmON
and medical 0 fij~SE:D 0 Room(s)
are commercial Ubjeet t FOA Co 0 Porch
o INSTITUTIONAL ? eOI7JPI'a - NS1jqMezzilll,ne or Deck
o Munia~t!'}!l1"C Bi\,ili'tate 'neS@lt/REMOdEl'- I ION
o Sch9'<i, c r OF Can,! LCClJ ~~'rENANTJ~SH
o Chu~Ty OF ('~ ~ OMMUf,G--.A'ci::ESSORY BUIl'i'>ING
FOUNDATION TYPE: (Check alHVlliCM EL 'b r oEifACHW.~~GE
apply for the new construction area) J N / C g\ 'r'A1fAC~~blGA~GE
~LA.B 0 CRAWL SPACE D/AN,fD CEU:'T0M&KNOI)
o POST & BEAM 0 BASEMENT 0 CELL TOWER' CCJ,LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 OEMOLmON
*
ESTIMATED 'COST OF cONSnujmON:1
(EXCLUDING.LAND.vALUE),-~ "
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
-~-.I!.
Early Release Manufactureij \/
Permit: _Y _N ~'TrUssesY----- . _Y A-N
lot Split: _Y vN'" s~@m-,,:f)LY_N
Does any part of the prope~ within a special Flood
designation area: _Y_N
PLUMBING CONTRACTOR: ~ r< ('J ""t-t-
Plumber's Indiana state License #:
K
5/3Dlo~
Date
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Reviews
Reviewed/Ap oved: Oept. of CommuniIy Services
S:Permits/Forms/I COMMERCIAL
ditional Fees