HomeMy WebLinkAbout06050096 Application
City ofCarme//Clay Township Permit #:O{a1JStDOQf;.
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME 1~S1J ';eor&t-ion
RECORD: "7! Y9rta.:...z a t.]~r_nrH- ,..!
Oh~\ STREET ADDRESS P.O. Box 1?~(Q7
,;""....; I BUILDER'SEMAlLADDRESS
lo1c..t...
PHONE '3/7 ?- LJJI-7(P3 FAX t317 \f).JjJ.f-r
1 10 7 1 Ii . ':' "0 H 9 -:' 101m ""3-
STATE:::LIJ ZIP 'If,;z 'IJ '
_41978 ()
mY ...r!1':tf Is _
N_ Blu'i:>Lt::J ~
fWc'orp. h-lE'Sf METHO~ OF CONTACT:
~- e mall
PHONE 317-846-5025
NAMEBarnes Investment Co
PROPER
OWNER:
LOCATION
8< PROJECT
INFO:
STREET ADDRESS
11308 Lakeshore Drive E
ADDRESS OF CONSTRumON
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
r
'Sf ATE COMMERCIAL 31 4765
DESIGN RELEASE #: ISXX
WATER UTIlITY
PROVIDER:
FAX
mY
Carmel
'Sf ATE
IN
ZIP
46033
sum # (If Applicable)
Lot # and SubdivisIon (If Applicable)
TAX MAP PARCEL #:
J.;
SCOPE(S) OF '" FDN I1l STR liI ARCH 0 MECH 0 PLUM
RELEASE: 00 ELEC 0 SPKLR OTHER(S):
SEWER UTIlITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roors:
Elevator or Lift: c;I YES ~ NO
BLDG" CONSTRumON TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
I!O COMMERCIAL 0 NEW STRUCTURE
MeIr~pqs~_ 0 ADDmON
~~~!lI&'oIIIeesIcen\efS1 CONSTRUCT/CON Room(s)
o IN~~:~omPiianc(J with all roguiati@s Porch .
,Q...IlI\U1jqrl&JffiiEIafdd-OCf?1 COde~ REMOD~~zzanme or Deck
'E'PSch6el COMMUNITY SEffi]/I<NEW)rENANT FINISH
ClIJY(WfCl!;ARMEL~ r.LAY TOm~~RY BUILDING
FOUNDATION TYPE: (Checl\"rl-! ~iCli Li I DE'rJlCHED GARAGE
apply for the new constructkl);ia' e'J)JA 0 ATTACHED GARAGE
o SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
fi() POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALJ<OUT:_Y_N 0 DEMOLITION
SQUARE
FOOTAGE:
ESTIMATED CO'Sf OF CONSTRumON:
(EXCLUDING LAND VALUE) 91 650. 00
e)4:5-t'
OCCUPANCY CLASSIFICATION: ,'-1, /Z E:I1
PROJECT INFORMATION:
Early Release LI' Manufactured ~
Permit: Y /CIN Trusses: Y N
Lot Split: Y Ie N Sump Pump: _Y N
Does any part of the property lie within a special Flood
designation area: _y-XN
~G CONTRACTOR:
Plumber's Indiana State License #:
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 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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furrher 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
Occupancy or Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
-.Ja~,.,.. \1\1 ~ ~c....",)...{~ Wfob..ul
Signature of OWner or Authorized Agen~ Print t
<:
'-?'-O -010
Dt ff:"tu ~
OFFICE USE ONLY: *** ****************************************************3************** ~
INSPECTIONS REQUIRED: Filing Fees: J.f h ~ . 'I L
. . r"1 f) tf'\ A1t-\ # Charged Re-
Upper Footing Lower FootIng Under Slab Base Inspections: . ~ v , tlV Reviews
Meter Bas~ Site Cert. of Occupancy: (), ()
5.1
Review /Approved: Dept. of Community Servi
S:Permits/FormsjILP COMMERCIAL