HomeMy WebLinkAbout06050172 Application
City of Carmel/ Oay Township Permit #:_OlJJ D 50 /7'J..
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
~..."....... ~~~r_( CAr_wi."
STREET ADDRESS
77;;>. c: 136'.....f/-. ~:/~ (00
PHONE
-Yi ,. :,,,,,-,,./1/1
cm
-L-,/................ ./~'J
FAA
7,7,)~-'7' '7/'1
STATE
::h./
ZIP
~( ;J.r~
PROPERTY
OWNER:
..-1<.0-"'1
..........:;(.,1'.<-,""""
BEST METHOD OF CONTACT:
-- ,(
C. ".-'1.'"
FAA
STREET ADDRESS '3 "3,'3'P:!Jl tt~ 't"v"C4'II'oc~.~ ;[:~h .J!;AT( J'N
rJ-o'"J ,{!.._ ,t_......... c:..... ...L- ._...~ I
~{~I:ff~
Address of Shell Building (If different than Address of Construction)
C._-( 'TN
. /
sum # (If Applicable)
LOCATION
8r. PROJECT
INFO:
ADDRESS OF CONSTRUcrrON
!:>.rlf' old /'1~r!.J:.._
BUILDING, PROJECT, OR TENANT NAME:
e~ k~ k I- hi,,.;
STATE COMMERCIAL
DESIGN RELEASE #: J 18 CJ 11 f
WATER UTILm (l _ ~ D
PROVIDER: ~~
SCOPE(S) OF P FDN 0 STR
RELEASE: t.ef ELEC 0 SPKLR
SQUARE
FOOTAGE:
?f)~iJ
,
ESTIMATED COST OF CONSTRUcrrOr-n-
(EXCLUDING LAND VALUE) II /1'1 .ro.), 00
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUIm' WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars:
Elevator or Uft: c;:I YES c;:I NO
BLDG, CONSTRUcrrON TYPE:
v-(]
OCCUPANCY CLASSIFICATION: (I,
.....,
d OF CONSTRUcnON: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMEROAl Q~-JII.eW,~UcruRE Early Release ./ Manufactured V
(:ia~m:q,!"o~p!faMj CONSTR.mJ \\1)9ft'!ON Permit: _Y ~ Trusses: _Y N
~o,,,~~c~g~n~~H'l(,;e with all rogulat'fiho SRoom(s) Lot Split: Y V N Sump Pump: Y ~
a.ciI\)IIW~IlJ"" '1 t ... . Porch - - - -
o INSTI1UT10NM State qp'\ U')C(11 Caues. ~
~~C' liP blic:Bld' . . "V ,"'-;"V Mezzanine or I,le.ck,'- Does any part of the prope~lIe within a special Flood
1Pi'I. ~U\v,,~,UNII ~,t~ El__<" ," . ,/,
h 1-" Y T !~W.~NT FINISH" _;,"':~~~I~~~tion area: _Y_N
~ CARMEL / Cl.Jl. b-.ACCESSORY BUILDiNG' PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Chec~"'~J1',:t:i.\l,I\ '8;',p$TiicHErfGARAGE \1\.,,;'.\\, M ,__I
ap~IY or the new construction area) 0\ AlirACHED GARAG~ ~(\"c .r!'"I!"".~ r(.....~-
. . \'" n.. L-\JIJU I,\.....rl \
SLAB 0 CRAWL SPACE GJ\~~l:f. TOW~(N'U' Plumber's Indiana state License #:
o POST&BEAM 0 BASEMENT O\\\CEl~TOIWR'cO-lOCATE'_~-"CPI);d.;1JO::>2
(or POST & PIER) WAlKOUT:_Y_N OI"?E('\OllTlON .___-- ,
\\> ...\ ---- ~----
Class I structure permits are subje to the General Adrnnu;;ative Rules of the Stak'~f Indiana (See 675 lAC 12) regarding expiration time frames for
\ ~g and'cQi;;,pleting construction.
It the undersigned, agree that any nstruction. reconstruction;'ml~ment, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this applicat' n . 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, a oE 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 fIoo a ms are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cert:ilicate of
Decu Subs' Completion has been issued.by,theDep~ent of Community Services. Carmel. 'an~ 'I
. ~c.~'_"-- 1 j/:;.;r/<'L
Signatu of OWner 0 uthorized A nt Print Date (
OFFICE USE ONLY: *******
INSPECTIONS REQUI ED:
Upper Footing Lower Footing
Meter Base c0
*** *******************************************
(ft f; I ()' giling ees: <3' OS, 5' ()
Inspections: 'ZOO" 0 ()
Cert. of Occupancy: -tt:J-.t2.. 7" () 0
<11.- '11?. . -So Additional Fees
~~ 0~{,
# Charged Re-
Reviews
Site
.0-5,.100 CD
e)
T~
/ ()
Fee Received by,