HomeMy WebLinkAbout06060180 Application
\
City of Carmel/ Clay Township Permit #: 0 Lo 0 {q V I g 0
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
~ PHONE
;p- ..7.RA,?1z"GiC. 3 'u>l;!<Z. -:LIIJ(_
STREET ADDRESS
98""00 We;
CITY
Z,v.
~~.
STATE
~~N
ZIP
<;/{P
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
;Z CAe Tl:?f? /IA'#lZtJ(.J::.
);t(lJ1/ff
IGII<.- r!orz.?
BEST METHOD OF CONTACT:
'-"Lb~~ . e~
PHONE
...-
L: -/h IJ Ii_
FAX
LOCATION
& PROJECT
INFO:
STREET ADDRESS
3/0
ADDRESS OF CONSTRUCTION
10
,VI?"
CITY
(!Ai2JnEL
STATE
IU
sum # (If Applicable)
ZIP
L/~631.
v~
Lot # and Subdivision (If Applicable)
Address of Shell Building (If different than Address of Construction)
5Am
BUILDING, PROJECT, OR TENA/'fT NAME:
- '/nIt. ?rlY>lC- oS
STATE COMMERCIAL
OESIGN RELEASE #: 31 g<gi (
7.3 ~s. N 1#5f
v'~r~cr
o MECH
AJ'.4
1= (!A em l:fL
SCOPE(S) OF )ol FDN )ls..STR 0 ARCH
RElEASE: 0 ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
SQUARE
FOOTAGE: ! 3 (0 9 0
WATER UTILITY SEWER UTI~
PROVlOER: C~Cl. OT'<.....lIn PROVlOER: CA(ZmL'L
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR #=
COUtm' WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: 3 Elevator or Lift: [) YES Jlt.... NO BLDG. CONSTRUcnON TYPE: f.J~.~ Ilt;/)t' OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
tl5.... COMMERCIAL ~ NEW STRUCTURE Early Release Manufactured v.
(Privately owned hospitals 0 ADDmDN Permit: _Y XN Trusses: .L:>..Y _N
and medical offices/centers 0 Room(s)
.recommercial) 0 Porch Lot Split: _Y XN Sump Pump: XY_N
o INSTITUTlONAL 0 Mezzanine or Deck Does any part of the property lie within a special Flood
o Munidpal/Public Bldg 0 REMODEL 'v
o School 0 NEW TENANT FINISH designation area: _Y.b-N
o Church 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Checkallwhich 0 DETACHED GARAGE <:"CHh' ~y.? "7:? ~.~'~,.)/~
apply for the new construction area) 0 ATTACHED GARAGE -" _ _ ~ ~s;. "- r'--~". '" ~. ""
J15:. SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana State License #:
o POST & BEAM j8l. BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_YXN 0 DEMOLITION CJ'{CJ S~3Cp~
tJr't..I"tIcr'>
ESTIMATED COST OF CONSTRUCTION:
(EXCLUOING LAND VALUE) I
e.
"00.
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.
It 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, adopted under authority of LC. 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 will not be used or occupied until a Certificate of
Occupancy or SUbstanJal ~/eti1 bas been issned by the Department of Community Servic... Carmel. Indiana.
~~ (~ ~c,5.e:r ~.e..~ f9 -:2"J-O(o
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY'****************~**~****************************************************
. ~)(16IiN& n. I') f)/10 /0
- _ ECTIONS :-- U Filing Fees: '^ -,.., ,
. ~ ~^11 DO # Charged Re-
Upper FootIng Under Slab) U\ I^' Base Inspections: (p, eo Reviews
Cert. of Occupancy: Jt /0 rj, GO
TOTAL, 1rJ"'tt~O ~1/2~{;6:'IFees
~d
Revlewed/i\Pproved: Dept. of Community Services
s:PermIts/ForinsrrLP COMMEROAl