HomeMy WebLinkAbout06050157 Application
City of Carmel/Clay Township Permit #: ()(o'OSOls7
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
Lot # and Subdivision (If Applicable)
~
70NlNG:\J,\....\\..J . ~\ODS
I""'\\"~"""" B'-,,:J'O.\'
U) .. ",n? (/-' :..10. e,ll . ,-
seo E(S) QE, ~SJiN~ ~.)srR,C:>iieJ<6pDi;i<~~iV SQUARE
RElEASEP.~1f1O ~~:\~~)<m,1~~.S),: C'::~ " ,e FOOTAGE: k/7 q lp
SEWER 0 'c C\\\J\I:,J \'-'1' 'c\.; ~'EshMATI:D COST OF CONSTRUCTION:
PROVIDER: :'\'10. ~O- . ,~\, (EXQ.UDING LAND VALUE) 8/ / O~IJ. 00
\~\)"..
BUILDER of
RECORD:
NAME
'/td-I#t to l't I2t fL/ ~S ~E
<th
BUILDER'S EMAIL ADDRESS
;t..., L.-t a..c
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
200 I f2ass
ADDRESS OF CONSTRUCTION
3'100
i<d
4v<.
I
Address of Shell Building (If different than A
STATE COMMEROAL
OESIGN RELEASE #:
Ie\. V
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR ~ 0
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): C~
# of Floors:
Elevator or Uft:: ~ YES 0 NO
BLDG. CONSTRUCTION'lYl'E:
TYPE OF CONSTRUCTION:
'0' COMMEROAL
r (Privately owned hospitals
and medical officeS/centers
are commerdal)
o INSTTIUTIONAL
o Municipal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
apply for the new conslnlction area)
~SLAB [] CRAVVLSPACE
POST & BEAM 0 BASEMENT
(Of POST & PIER) VVALKOUT:_Y_N
TYPE OF IMPROVEMENT:
o NEVV STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
J>f( NEVV TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOVVER (New)
o CELL TOVVER CO-LOCATE
o DEMOLITION
em
Uo
STATE
.IN
ZIP
;l/~i'
-~
(JaJ I&LS
ZIP
75~o/
sum # If Applicable)
'A.,
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release" Manufactured
Permit: _Y --I"-N Trusses: _Y AN
Lot Split: _Y ~N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y ~N.
PLUMBING CONTRACTOR:
me'S
Plumber's Indiana State License #:
p~ t,QoOO105
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.
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 afle. 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
~~Z beeniSSUedbYtheDepartm;~~~:unir~::,~el'Indiana. S I Z-s I 01 ~
Signature of OWner or Authorized Agent Print ~
OFFICEUSEONLY:************************************************************************
I~SPECTIONS RE~UIRED: {J;.\,,\OI4 Filing Fees: /Ir/, 1..!/; # Charged Re-
Upper FootIng Lower Footing Under Slab \.I Base Inspections: ;;>. O. tJ Reviews
Meter Base ~ Site Cert, of Occupancy: · ()
501
l'\
\..u(J
o~
~
Addiuonal Fees