HomeMy WebLinkAbout06060013 Application
City of Carmell Clay Township
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
&~{;fpOO! 3
BUILDER of
RECORD:
~ q c-Kb
PHONE
L
FAX
CJ
L tv\.[~~ I
31'1
8LJ&, - (,9-9 7-
ZIP
Ybd-40
.~ S:Jr<-,,--
STREET ADDRESS
PROPERTY
OWNER:
(,l
OLA
Q~
LP
STATE
--::pv
BEST METHOD OF CONTACT:
o-f-
-3/+-
Ifa:?- &,000
FAX
BUILDER'S EMAlL ADDRESS
LOCATION
&. PROJECT
INFO:
BUILDING, PROJ
<-0-
SCOPE(S) OF 0 FDN
RELEASE: A. ELEC
dQ OO-Ot3FQO.
STATE COMMERCIAL
DESIGN RELEASE #:
o STR ~ARCH
o SPKLR OTHER(S):
ra( MECH
o
D
WATER UTIlITY
PROVIOER: --=:r=
SEWER UTIlITY
PROVIDER:
/
r
SITMATED COST OF CONSTRUmON:
(EXCLUDING LAND VALUE)
<.C-
,5
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars: ~ Elevator or Uft: YES c;J r~~:t~. r~BlDG.- CO~~UP1?N'TY~_:.;-;:~.2~:~~: OCCUPANCf CLASSIFICATION:
TYPE OF CONSTRUCTION: i.VIrE~b"'IMP'ROIiEMENT:'j_ ~:~, PROJECT INFORMATION:
A CO~~v~~~~ned hospttals ~\(~,\~~~t~as~~'Y~S:~REl 2006 ; ~~i;~elea~y AN ;'~~~:~Ured _y-1 N
and medical offlceS/cep\e~, )' ,"\ "',. \~J.- 'I I i<;:OIJ.\RI*'m(s) 'Ii i I:
arecommeroal) -e:C':' '-~(,,;l \.\ (,e..., I j-\'~I..1 ,CD\\'l>orch l~~t~plit: _Y ~N Sump Pump: _Y ~N
O IN~n( fI\,j' ,..\\.... c..t\ \'~ 1'--.,1 j
00" <u" "V,,,,,,;/" ,y. ~rl .~ t ",,', _,u,_Mezzanlne Of-Deck. --, Does any part of the property lie within a special Flood
~O\u""";Jtdg'" .,...\\, \ -1C2J1 REMODEL . l . v
J oP ~i:!o' \'.:i\'v' ,:",;-:;( LC8l:_NEW-TfNANJ_fINIS~___~~ation area: _Y L::o-N
u~. rcJo'l S r,dl'l", \ ,.I ,I'- 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATI IIYPE: ~~~let\\'~ ,. 0 DETACHED GARAGE j) _ l- \ fY'.
apPIYforthen~~i.s. r~,..j) 0 AlTACHEDGARAGE ---'f' ,r1:--V\.o \l
~ SLAB~.('{ CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana State License #:
o POST & ~ - 0 BASEMEI'lT 0 CELL TOWER CO-LOCATE r--- /) A
(or POST & PIER) WALKOUT:_Y_N 0 DEMOliTION ! () 10.") A ~ ,::> ()C
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,
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 I.c. 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 wiD not be used or occupied until a Certificate of
rp;llJC; 0 tantial Comple 'on has been issued by the Department of Conununity Services, Cannel, Indiana.
. .- . J r; N va. t-to..rJ- t'Vlc" o-d/ -00
ori Print T ~ Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: /~, UJ 9 ' /0
" 0 0 {/I # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: '" f) 'l/ Reviews
eter Base c9 Site Cert, of Occupancy:
proved: Dept of Community Services
LP COMMERCIAl
Additional Fees