HomeMy WebLinkAbout06040183 Application
City of Carmel/ Clay Township Permit #: f)fo 0 ~O f g 3
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions,Remodels, Tenant Finishes, l!r. Accessory Buildings
LOCATION
8< PROJECT
INFO:
L-?
PHONE
I 7 - e,Oe,-
0.
FAX
3\ 7 BDe-CoJ&S""
BUILDER of NAME
RECORD:
5~:\--e. \ 0
reD.\-l.
STATE ZIP
\ -, li\.\ 4(.,2..4-0
BESTM 00 OF CONTACT: e~ \ I "r L"'- \1\
c.e.\\ 1",,, ,-I'-l-il_
CITY
PROPERTY
OWNER:
~-'"
LP
PHONE
~\ 7 I:'D~,,-
XI
FAX
~\7 6C""-~\aE',S
STREET ADDRESS
Cv-oO ~.
STATE ZIP
iN 4 B
# (If Applicable)
II: / LID
Lot # and SUbdiViSi~/~~bl~ (YI,(I{ Mor;
18: ARCH 0 MECH
OTHER(S): <. I Tr:;
o
BUILDING, PROJECT, OR TENANT NAME: /1/1
o fPee. / / /Ch...
STATE COMMEROAL SCOPE(S) OF II FDN i>( STR
DESIGN RELEASE #: 3 / W 9 7 (0 RELEASE: 0 ELEC 0 SPKLR
ZONING:
WATER UTlll1Y SEWER UTlll1Y
PROVIDER: ~o /:a. r We. PROVIDER: G .-
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
-,
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
0"
# of Roors:
Elevator or Un:: 0 YES "$.. NO
o Lt O'J 00 2.. <D
BUDG_ CONSTRUCTION TYPE: $ l3
i"N\l
TYPE OF CONSTRUCTION: IMPR VEMENT:
~ COMMERCIAL
(Privately owned hospitals
and med'~f"l'iqjrJle"'D'" . 0 Room(s)
are comm~J;Cra,tJ:"-~;:St:: ,..OR C NSfMtJeiflfltilN
o INSlTTUTIdN'ADJ8Ct to COmp:'2nCe w,th all rD uIMeRi\'l!Je or Deck
o MuniapaI/PuQ!j~ ~!i!/te an,J LocaO;~'W~f(JDEL'
00 5chCh I3'~PT OF COMMU~JI-'oq (N,E,!,IJ,t~~':NISH
LJlW.. .., r. " 'AlZ€es"",R>':llllJILDING
FOUNDATION TY'PI!:I ~i:k aJl'Wlti~:::L / CLro.' -DET(lCHfD ~Ijt.GE
apply for tile new construction arealN DIAN Ag ATIACHEb' GJ(RAGE
~ SLAB 0 CRAWL SPACE '0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
PROJECT INFORMATION:
Early Release V Manufactured 'J.
Permit: _Y...b..N Trusses: Y.LlN
Lot Split: _Y.Y.N Sump Pump: _Y '^ N
Does any part of the property lie within a special Flood
designation area: _ Y XN
PLUMBING CONTRACTOR: B d' ;211 ~
Plumber's Indiana state License #:
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 I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat d floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dee,... cyor. _ ubstantial Ci pletion has been issued by the Departm~ Community Services, Carmel, Indiana.
/lar1,.L~ AHAt' 4-;Z.fi,-ZuV(p
Si ature of - er or Authorized Agent Print -- 7 ' - Date
Additional Fees
Reviewed/Ai> roved: Dept of Community Services
S:Permits/Forms,fILP COMMEROAl
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