HomeMy WebLinkAbout06050156 Application
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City of Carmel/Clay Township Permit #: ~'D6VI5'rv
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, l!t Accessory Buildings
BUILDER of
RECORD:
NAM7<.Y fA I-fr L6~~r2tq
STREET ADDRESS
30tII,.. A-PIL--/I#t Cr:
BUILDER'S' EMAlL ADDRESS
ek.C::,,@SI3C ..W
PROPERTY
OWNER:
FAX
eLL/o'
STREET ADDRESS
(:;;;-0
153
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRumON ,4 '1\
.5, dZA-N&,E;U~ E r'--U,
Address of Shell Building (If different than Address of Construction)
L-LC
PHONE
:3/1---5('(-01/
STATE
IN
BEST METHOD OF CONTACT:
13MA-/
FAX
CITY
CArf.ME:l....
ZIP
'1/"'7>33
CITY
C4~EL
STATE
/
ZIP
t./ '" D J;;J.-
SUITE # (If Applicable)
E
Lot # and Subdivision (If Applicable)
Hi WI<
STATE COMMERQAL
DESIGN RELEASE #: .3 18 d-f) 5
SCOPE(S) OF 0 FDN 0 STR ~ ARCH 0 MECH
RELEASE: ~ ELEC 0 SPKLR OTHER(S):
# of Roors:, ElevatoJ' 0' Uft: 0 YES ~~~ BIDG, CONSTRUmON TYPE: ex ~ OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: :\C'\~\:,\\T:YI'IfC()F IMPROVEMEN1':- ,!'RO)ECT INFORMATION:
~ COMMERCIAL. rC\::\S c" ((I" 0 f:lEW STRUCTURE
(Prlvate~ .9~~et[h'C:.6.SP1~1?'d"J" v~~,{\,~,,:;, '", 11~\2- fjo.o.mON
and~d91;offjs.~~nters...-o.\C-' .1.,',:\,;','\:\ c\,\\D Room(s)
",\~-",~~"., "(,, \.()O'\\~ 'C,"." 1;\.).::> 0 Porch
~~~~*~;~Iit!~I~~~,\J~( ", U'. RE~OD~~zzanine or Deck
o ~11i V '1\'2-\..1 ~~, 9' NEW TENANT FINISH
~l!hifrC/>,j>.,Y'1:- \\)\f>: 'b ACCESSORY BUILDING
FOUNDAT rtM: '(Checka"llwhich 0 DETACHED GARAGE
apply fore:i'i i'eW construction area) 0 ATTACHED GARAGE
Kif SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
D POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOl.lTION
WATER UTILITY .. SEWER UTILITY r _ . f}
PROVIOER: PROVIDER: ~
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
ESTIMATED COST OF CONSTRumONJ
(EXCLUDING LAND VALUE) P '3 OOtJ, 4-v
9
Early Release Vl. Manufactured V
Permit: Y ^-N Trusses: Y ~N
Lot Split: Y 3 Sump Pump: _--;;&N
Does any part of the property lie within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
Ph;/;D ---rluJr:/1 h-er'T
Plumber's~ndiana State License #:
PC .f0.L()D~qs;
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.
It 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.e. 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 Certilicate of
Occu cy or SubstsUltial Completion as been issued by the Department of Community Services, Cannel, Indiana.
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OFFICE USE ONLY: *************************************************W****(;***************
INSPECTIONS REQUIRED: Filing Fees: 39' '/, 0
.,., AI () 0 0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: 1"\ V . Reviews
~ Meter Base @ Site Cert, of Occupancy: . tJ 0
C?iLlPl Additional Fees
,/f/V
proved: Oept. of Community Services
LP COMMEROAL
Fee