HomeMy WebLinkAbout06060107 Application
City of Carmel/Clay Township Permit #: f)h 060 107
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
PHONE
ilL TU"J LL <:
C
. bO FAX
-0bS7
STATE
Iv
BEST METHOD OF CONTACT: b (;,
FAX
PROPERTY
OWNER:
PHONE
LOCATION
&: PROJECT
INFO:
:S
ADDRESS OF CONSTRUCTION
/5 l:As
B
STATE
-rJ
SUITE # (If Appllcailie) "
o <OJ .:JOO
Address of Shell Building (If different than Address of Construction)
Lot # and SubdMslon (If Applicable)
TAX MAP PARCEL #:
o STR <it AROi ~H ~lUM
~KIJl cffHER(S):
SQUARE 'J
FOOTAGE: 0<. 0 7
ESTIMATEOCOSTOFCONSTRUCTION: /10 /Ic/ _0(/
(EXClUDING lAND VALUE) ::J Y.J <.:>
WATER UTILITY
PROVIDER:
SEWER UTIUTY
PROVIDER:
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'S (If Applicable):
BLDG. CONSTRUCTION TYPE:
# of Aoors:
Elevator or Lift: c;J YES ~ NO
OCCUPANCY ClASSIFICATION: B
PROJECT INFORMATION:
Early Release V Manufactured V
Permit: _Y ~N Trusses: _Y ~N
Lot Split: _Y LN Sump Pump: _Y XN
Does any part of the property lie within a special Flood
designation area: _Y ~N
PLUE~G CONTRACTOR: K'Oi--\ A N ~f2.P,SfJ.J
_ ~ ceL m l:. c 81b!.t GAL- I JiVe.
Plumber'Kndi'J{''} State License #:
L } VG J. \ bb
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
1:81' COMMERCIAL 0 NEW STRUCTURE
r.~~:'~~D FOR coffi;~b
o IN=";,~ject to compliance with all rfaJui1!>lilllns
"f .sli~te "1""( Lor.;' ad n Mezzanine or Deck
o Munidpal/Publit: III ~ -" "*I.
o 5chcBEPT OF OMMUNI ~Ett~INISH
FOUNDATI~ ~9J J;i~~EL / CtgY =~G~~NG
apply for the new construction area)1 N DIAN'tJ ATTACHED GARAGE
'fz(j SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
/[] POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
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.
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 ofI.C. 36;7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I funhercertify 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
Occupancy, ubstantial Completion has been issu~ by the Department of Community Services, Cannel, Indiana.
, -'I1Jr..-i-t l:\~L D} (),~i:11 _<;"- 30-06
Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIREO: Filing Fees: (j ..-, 7 . (/1 .3
rJ Jl A1 tJ 0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: .".,. ClV . Reviews
~Ug~ Meter Base 8 Site Cert of Occupancy: I () C7
3 Additional Fees
<t---~/~tJy