HomeMy WebLinkAbout06060095 Application
City of Carmel/Clay Township Permit#: 04o~Oo CjS
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BLDG. CONSTRUCTION TYPE: I/~ ~ ElC I!>. OCCUPANCY CLASSIFICATION: f3 ~
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y LN Trusses: -'S.....Y _N
Lot Split: _Y ~N Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y-p--N
PLUMBING CONTRACTOR:
PU,"~'D,) ?UlM81,Jt"
BUILDER of
RECORD:
PHONE
C.110.J ?€fl-V/$5
PROPERTY
OWNER:
STREET ADDRESS
o
BUILDER'S EMAIL ADDR~S
t'l-/L- ~
NAME
6J
t>L.
t::; . CD",
'D/l...
CfTY
I..JO/A..JA,(JO
STREET ADDRESS
LOCATION
& PROJECT
INFO:
-.t.
ADDRESS OF CONSTRUCTION
ID "'I,
Address of Shell Building (If different than Address of Constructlon)
o STR ~ ARCH
o SP OTHER(S):
STATE COMMEROAL
DESIGN RELEASE #: '31<l7,?(,
WATER UTILllY ItJIJP/.IS
PROVIDER: IOf;t
SCOPE(S) OF 0 FDN
RELEASE: ]I! ELEC
SEWER UTILITY
PROVIDER: fA
~ CIi'
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: [) YES ~ NO
TYPE OF CONSTRUCTION: TYPE OF IM~VEMENT:
d COMMEROAL 'U~?'TE~cruRE
7J (Pnvalely owned hospttals OR CONS I e~1<(
and medl~1 o~~c;e@:!ri ,,''::> \fJ\tD 8. ~ 0 Room(s)
~re ....\~Ofll~ <..(1,,-,;,:' ,r').\ Co08J'_p'~
o IN 0 .c,,' ~~t to o,-"_,,r.d ,.0" ,-r'i..:):Y'C:1l''-M:'ei\''{i''e or Deck
""'" paI/P<'!l>IiC.""", ^ \ ,Ij \'11' O. REMm'"
o School 01" C()~,,'" CI ~\NEW'TENANTANISH
o ,~\ .."Pl'f\t:.L I :--,b ACCESSORYBUILDlNG
FOUNDATION ~k'alrllvIiI~O\p..NFtJ DETACHED GARAGE
apply for the new.eonktiiic:tion areal 0 ATTACHED GARAGE
iii SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
tJ POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOlIT:_Y_N 0 DEMOLITION
FAA
7 -,5 74 - ~4<{z...
ZIP
STATE
IN
ZhO
BEST METHOD OF CONTACT:
Eil-\ L.-
FAA
ZIP
Lot # and Subdivision (If Applicable)
ZONING:
g~
TAA MAP PARCEL #:
1'71'30;00.6b IsoOt,
!lI: PLUM SQUARE <7"
FOOTAGE: t.Z-/:,o
0( MECH
MATED COST OF CONSTRUCTI.9N:
(EXCLUDING LAND VALUE) lit /40,000
Plumber's Indiana State License #:
P~_6&l/OOZ-"'l2.,
----::::::::-\
.--rl If::::; \'.' \\\
dass I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 I~S.12)~afd-~ ~~4~'b~'e;:-&::uri~ fo~\
beginning and completing construction. \~-\ \ \~:: \h~j ?-- \ \ \ \ \ \
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure}"oiaq.y; slUirlge in-the use of land or struc~~ \ \ \
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zo~ing Ordinance of Carmel Inr;l~- 199?7\(Z~ \
289) and amendments, adopted under authority of IC 36'7 et seq, General Assembly of the State of Indiana, and all A~ti anie'.ndatOIY. fm-etq. I~~rtify #s..only
kitchen, bath, and floor' connected to the sanitary sewer. I further certify that the construction will not be\lsed 6r oc~ until a Certificate of~ \
Dc or Subs ,rial Comp rion been issued by the Department of Community Servie"" Cannel, Indiaha:\ ~ ~ 1---- J
DAIZJZ,.J DPUb""<S \\\ \..----- ~ q./o(P-
Print \\ . __~te- I
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\ 0"
(Date)
Additional Fees