HomeMy WebLinkAbout06060057 Application
City of Carmel/Clay Township Permit#:l9h 0(00057
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory' Buildings
BUILDER of
RECORD:
NAME
Bvt e(L -(
STREET ADDRESS
SID E, Ql.1fu ~1-ncJ
ZIP
LOCATION
&. PROJECT
INFO:
BUILDER'S EMAlL ADDRESS
\(
NAME
P 'f
llH.h.tCl-vq, c. ~11-'Y>
PROPERTY
OWNER:
STREET ADDRESS
2.00 I 12.0 oS S
CITY
,,/OD Lxt ~
Rd
Lot # and Subdivision (If Applicable)
STATE COMMERCIAL
DESIGN RELEASE #: 3/
ZONING:
(!J-~
BUILDING, PROJECT, OR TENANT NAME:
:r:o ms
SCOPE(S) OF 0 FDN 0 STR ~ ARCH "'jiil(' MECH
RELEASE: "'" ELEC 0 SPKLR OTHER(S):
WATER UTlLTIY
PROVIDER: <0 . It.!uo..;h (
PLAN ODMMISSION I BZA I BPW DOCKET NUM 1 !\tIItIl~"'D
COUN"TY WELL AND/OR SEI'T1C PERMIT #'S (ISlal3m~ "'_ F 0 F1 C . ,/
# of Roors: 2- Elevator or Uft: Q NtPSt t~~~~N'SlR4m~ rt~ OCCUPANCY CLASSIFICATION: B
TYPE OF CONSTRUcnON: CITY 0 E 6lrIM~Y.~lifENT-~deS, P 0 INFORM llON:
'f;Z{" COMMEROAl F eAliliiW:smuciUktY -::.EF1VI(1.1!!g Release Manufactured N
",.. (Privately owned hosp~als 0 ADpfTrdNVLA Y iOWN.R!lait: _Y 1N Trusses: _Y.;.o...N
and medical offices/centers 7ctO~(JIi.\' \:j IP I
arecommerdal) 0 porch" lo'Split: _Y N SUmp Pump: _Y ~
o INSTITlJTIONAl 0 Mezzanine or Deck Does any part of the property lie within a special Flood
o Munidpal/Public Bldg 0 REMODEL d" Y - /N
o School -j2( NEW TENANT FINISH eSlgnatlon area: _ --1.
o Church 0 ACCESSORY BUilDING PLUMBING CONTRACTOR:
FOUNDAllON TYPE: (Check all which 0 DETACHED GARAGE '/h "5
apply for the new construction area) 0 ATTACHED GARAGE _l./. ~_ /'
"'b1C. SLAB 0 CRAWL SPACE 0 CEll TOWER (New) Plu be"', Indiana State licens. e #~~
ilfi1i POST & BEAM 0 BASEMENT 0 CEll TOWER CO-LOCATE J - 000 J . F~"ff~>' \ \\
(or POST & PIER) WALKOUT: Y N 0' DEMOUTlON U' IJ',-~f ..::" , , "" \\
~~'tf.:\\j-:.~- \\\ \;,\\\\
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See;67(~~BPf~~ exPirati~ri'~~" \ 'fi;'; \ \ eS for
beginningandeompletingeonstruetlo'1-~$i\j?'g:"'- ~', 10 \\~W,l' \1
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration Ofa~. e 'I' ~{;"ny change' - land~~ tru'c~
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana> ,\, \, \ \ ning .. mud ~na -199\3, (Z'
289) and amendments, adopted under authority of I.C 36--7 et seq, General Assembly of the State of Indiana,' . ,'1 S ory theret~-rther certtfy;t;f1at only
kitchen, bath, and floor drains .onnected to he sanitary sewer. I further certify that the construction \YiH~Th r~~; ~uii""til a Cer . c;;te of
Dee orSuo/tantial G tion has en issued hy the Department 01 Community Services, C~~~ y- .# ~7" / I
. . te: ' Lt/U n \~, /( /1/ /p _ 05
gn ure of Owner r Authorized gent Print \~. i);'tl I I
- I
,
OFFICE USE ONLY: ** ******** *********** * ********** ****** ***** ************ *~ * ***** **~** ** *
INSPECTIONS REQUIRED: Filing Fees: &33, /3 .
r-7 /I /I 0 # Charged Re-
Upper Footing lower Footing Under Slab Base Inspections: /'-- () L/ . L/ ReViews
Meter Base ~ Site Cert, of Occupancy: . (9 0 I
Additional Fees
I
I
I
5 JOO~
Reviewed/ pprov : Dept. of Community Services
s:Permlts! LP COMMERCIAl