HomeMy WebLinkAbout06060110 Application
City of Carmel/Clay Township jl1l}$fv O&Oft;() I 0 I
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME
RECORD:
,
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
ADDRESS OF CONSTRucrrON
s-t"
Address of Shell Building (If different than Address of Construction)
BUI lNG, PROJECT, OR TENANT" NAME-
IVers, (
.$ C}oO
, ,
,flOIl
Permit #:
OftotJVllo
:r:. 34Lf -7.J7:/AX 3tt4 -7f7.
rnd.. ~ :ATE-r Zl4~:27i?
BEST METHOD OF CONTACT:
33- 'III?
If'Coo
sum # (If Applicable)
Lot # and Subdivision (If Applicable)
ZONING:
;z.oO 0
TAX MAP PARCEL #:
STATE COMMERCIAL "3
DESIGN RELEASE #: /71' 2 f?
WATER umUTY I
PROVIDER: ::x: t"otp S
SCOPE(S) OF ~ FDN U. STR oWRCH ~ MECH
RELEASE: j'oiJ ELEC ~PKLR OTHER(S):
SEWER umUTY
PROVIDER: C -r R kl D
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars: Elevator or Uft:: c;I YES X NO BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o COMMERCIAL ~o NEW STRUCTURE
(Privately owned hospitals ADOmON
and medical offices/centers 0 Room(s)
Mare commerdaf) 0 Porch
^ INSlTTUTlONAL_O ~ or Deck
o Munidpal/PullJicBlcjg ~~'lll:L'::ns
;:gr 5choo~r1 ~o.~OR cO _t'lFWq;et.(ANtFINISH
o Chur EJ>5e \,3f"\Ce V \~~~SORV BUjl,OING
FOUNDATION TYPE: ~eQ\'i'!b~ \..oQ '1i1i:lP4!:1l'I1\G.W\GE
a)i1~:e newCO~~O~'~~~\.l~~~~~g=f
o POST&BEAM iDew Emp,\1.SL I ~ELL TOWER CO-LOCATE
(or POST & PIER) ~ :'v'"'y IlWlfloEMOUTJON
SQUARE
FOOTAGE:
ESTlMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
so OOC)
t1
OCCUPANCY ClASSIFICATION: C- II- DJ> I
PROJECT INFORMATION:
Early Release Manufactured
Permit: _V ~ Trusses: _V~N
Lot Split: _ViN Sump Pump: _VXN
Does any part of the property lie within a special Flood
deSignation area: _ Y ~N
PLU~BING CONTRACTOR: L ' L
s 0_C1 IlZ/ M<U:.ue- {1.1 Cd-.
Plumb~ana State LIcense #:
C____l":c. Cf fR f)O {} 0 ~
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 Carmel Indiana - 1993" (Z'
289) and amendments, ad ted under authority ofI.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 InS are conne d to the sarutary sewer I further certify that th constructlon will not be used. or occupied until a Certificate of
o u ,- C - as been;,sued by the DeParonen':;;it ~mc 'r;; lJ ;';;;;; I!-- P6 J / i (;
Print ~
OFFICE USE ONLY;, :*** ****************************************************}l'l************
CTIONS REQUIRED: Filing Fees: 7 fa-. q. 0 U
- 0 0 00 # Charged Re-
Lower Footing Under Slab Base Inspections: ~. Reviews
Cert. of Occupancy: 0 7 . 8'0
,- 00 Additionai Fees
~ ,
.~
Upper Footin
Rough In