HomeMy WebLinkAbout06050037 Application
CityojCarmellClay Township Permit#: Ote0500 37
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAME ,
"BcW-CI\A
SIllEET ADDRESS
/031 (;$Nw;/~ RJJ.
PHONE
FAX
(-317) t\<f 1- 4ZS""7
ZIP
*3l?>
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
6hrv.....rG- h".....
NAME
v.e.t>l..a..
~~
tJA.+~ ~~
1v.l2.
rz.-.J.
SIllEET ADDRESS
'Z..'U> w...&-.--
LOCATION
&: PROJECT
INFO:
ADDRESS OF CONSTRUcnON
/I 'vu
BUILDING, PROJECT, OR TENANT NAME:
Iolk&. /?."w.F ~ - c.",
w~ 7i.b.4.--I-
SCOPE(S) OF ~FDN 'If STR 0 ARCH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
STATE CDMMEROAL
DESIGN RELEASE #: 31 (,7
WATER UTILITY
PROVIDER: 1J.u fh:,. W...-fc..r
SEWER UTILITY
PROVIDER:
~.c. Cu-......{
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
84 2. ~ 2.4/ t.,
mY
6~
STATE
1#
oB
FAX
317) Zk3-lAoo
STATE ZIP
TAX MAP PARCEL #:
o MECH
o PLUM
SQUARE
FOOTAGE:
4-z 5lJ
ESTIMATED COST OF CONSTRU
(EKCLUDING LAND VALUE)
# of Floors:
Elevator or Lift: [) YES p(..NO
BLDG, CONSTRUcnON TYPE: V -
I
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~L~~M~~FIAl:f" _, ~ " . ~ NEW STRUCTURE
Sub' fr>M?".elycIWnedh<>;Pi@NSTPUCTIO ADDmON
j8c'.(!;medJc;a!.offic;esffj'Qterl; " 'iD Room(s)
~~~~~!11~.r9~r~'-I"l"" NltrJ ai,! r.CJOulations 0 Porch
...r.:r IN<:TTTImONAL''" 0.... C' . 0
UEP('1\..::.......~...-.,... .'.;,'I,:(;(/i:-S. Mezzanine or Deck
CITY \2) Munl<!1pal/.~\>1\9 ~1~gS':T'\j 0 REMODEL
OFI]);.t,~9?!=l ' .. ".';:' ICEQ) NEWTENANTFINISH
o Oiu(Ch-" /. etA ( ! UVVNSf-1+P' ACCESSORY BUILDING
FOUNDATION TYPE:~(Qieck'all whIch 0 OETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~ SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WAU<OUT:_Y_N 0 DEMOUTlON
OCCUPANCY CLASSIFICATION:
~
PROJECT INFORMATION:
'i*'
Early Relea..,..~ ...J
Permit: ~Y-/!-N
Lot Split: _Y )(:.N Sump Pump: X Y_N
Does any part of the property lie within a special Flood
designation area: 'X. Y _N
PLUMBING CONTRACTOR:
~'"- ~~~ Corp.
Plumber's Indiana state License #:
Manufactured
Trusses: _Y XN
cp 881t>OD 4Z-
o.f IzPi/o7
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~ructure, 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.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, ba and fl drain are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certilicate of
Occupanc Su rial mplerion has been issued by the Departrn~f c,omm~tYG~rvi~ Carmel, Ind~ana.
L6b.t/C ~ ~ .s-/z./O,"
Signature of Owner or Authorized Agent Print Date
Reviewed pproved: Dept. o{Community Services
S:PermIts/FormS/ILP COMMEROAL
Additional Fees