HomeMy WebLinkAbout06050191 Application
City of Carmel/ Clay Township vJ /G, ~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
Permit #:
rkr5011l
BUILDER of
RECORD:
PHONE
FAX
STREET ADDRESS
mY
STATE
ZIP
BUILDER'S EMAlL ADDRESS
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME I j
I'-"~ f\
BL(~\'E
FAX
5/7-tfl/3 -2038
ZIP
t.{I..07'/
STREET ADDRESS
JLP/~t..<>
STATE
::eAl
LOCATION
& PROJECT
INFO:
AODRESS OF CONSTRUCTION
2.-1 eT" "'::>T~IE
,
t # and Subdivision (If Applicable)
,;21~.<..;l WARR.EN'~ Pj-\tL?.:)
BUILDING, PROJECT, OR TENANT NAME:
fi.j e: 0/Z-C AT Fi"'- A.. M G- lA?
STATE COMMERCIAL -; SCOPE(S) OF. ){:'FDN ~
DESIGN RELEASE #: ::> I ~ 00(0 RELEASE: )(;frEc 0 SPI<LR
WATER umLITY SEWER umLITY
PROVIDER: L--T-'l of tJ...f!-(\.<~ L PROVIDER: ~-ST" 01" L"'l'<-""E L
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUN1Y WELL AND/OR SEPTIC PERMIT #'S (II Applicable):
ZONING:
Bi
li'"ARCH ~MECH
OTHER(S):
TAX MAP PARCEL #:
jlt>.;::OCj-.2.'5" -1<" -03 -003.
lcrPLUM
SQUARE
FOOTAGE:
!)~
ESllMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) J 100 DCC.> _ 0..9-
# of Roors: d-
Elevator or lift: 0 YES
(')u,Od0063 - O(oO.QOD03,.J
BLDG. CONSTRUCTION TYPE: Y - e::,
OCCUPANCY CLASSIFICATION: M
Allb R 1O"'{
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
ru1 COMMEROAL 0 NEW STRUCTLRE Early Release ..-
T (Privately owned hospitals ~ ADOmON" Permit: _y ~N
and medical officeS/centers ~ Room(s)
are commercial) 0 Porch Lot Split: _y./N Sump Pump: v'y _N
o INSTlTlITIONAL &". 0 Mezzanine or Deck Does any part of the property lie within a special Flood
o Municipal/Public Bldg '7/;iL.J: B?!J REMODEL _
o School flLlbl ~I:~ NANT FINISH designation area: _Y v'N
o Church ~(JOt ~ .Acf~ LDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all wi: I IJo- O~t/ -, So}..)
apply for the new construction a ';'/)7' Olfi:,lI ~ 'FIlJer, J..$ L E- Y ~ r _~. ,"": ;::-:-.---:
(FJ? SLAB ~ CRAWL S O~ ~<ll ~PLJ/II/~ber's Indiana State License #:" '
tJ POST & BEAM 0 BASEMENT, =WWf1~ tI/f1j , '\,
(or POST & PIER) WALKOUT:_Y_N 81" " ! I ,
1;.4 t. \ '1f\(\
Class I structure pennits are subject to the General A e Rul~.B:5e~ Il}diana (See 675 lAC 12) r~aid~g ex~ . on . e fr~es for
beginning and comple ~ction. " . \ ~.
I. the undersigned. agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the 1,!se 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 LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only
kitchen, bath, an oor drains are ected to e sanitary sewer. I further certify that the construction will not be used or occupied Until a Certificate of
Occupancy S. tanti J. 'on issued by the Department of Community Services, Cannel, Indiana.
Manufactured /'
Trusses: _Y...!:::::::N
i,'
:1;
K .1:::>, 'fF'-A.LE.'i
5/;u./{)(0
Date I
# Charged Re-
Reviews
Additional Fees
Reviewed/Approved: Dept of Community
S:Permlts/Forms/ILP COMMERQAL
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