HomeMy WebLinkAbout06070054 Application
City of Carmel/ Clay Township Permit #: 0 ~ 0700SL{
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
/
JILDER of NAME
A.ECORD:
PHONE
FAA
(3 n $!6'7307
PROPERTY
OWNER:
STATE
("0"5-1r",
BEST METHOD OF CONTACT:
Co
NAME
STATE COMMEROAL
DESIGN RElEASE #:
"-.5
SCOPE(S) OF 0 FDN 0 STR ~CH !Y'I1ECH
RElEASE: G::VflEC 0 SPKlR OlliER(S):
sum # (If Applicable)
. .- (
'16 ;)..40
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION / /
e. W'/7( SJf,(
Address of Shell BuildIng (If different than Address of Construction)
TAX MAP PARCEL #:
LUM
SQUARE
FOOTAGE: /3 {Joe)
WATER UTILITY
PROVIDER:
. I
E y,sf;;<S
SEWER UTILITY
PROVIDER: E y,'s I,:' 5
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR ,. Of
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): ~ I
# of Floors: Elevator or Lift: 0 YES BLDG. CONSTRUCTION TYPE: ~
TYPE9FCONSTRUCTlON: TYPE OF IMPROVEMENT: PROJECT INFORMATION: AI fA- >7~~
!XJ/ COMMERCIAL 0 NEW_~Vi;TURE Early Release /' Manufactured I "@ ~L
(Prtv~~f!llJ!!.~ FOR CON9JlRIAtMl1!ifuN\l Penn it: ~y ~N Trusses: _Y -ti. J..I,.....N
, :~~rIiintflI:ltg~'6~pliance with all rcrJgati~rc\;(S) Lot Split: _Y vN' Sump Pump: _Y _ I, (;;,.,"Vf1
o INSTITUTIONAL of State and Loca~5'D M~nlne or Deck Does any part 01 the property lie Wlthin a special Flood il{,
.' . is ~~~~MMUNI' tilfiM'ib61f designation area: _Y _N tJ.\ A '7/~
o CC~~OF CARMEL / CLAi'Sr~~~wru:~~~G PLUMBING CONTRACTOR: ChI! \c/-. Lq /(.... 5' '
FOUNDATION TYPE: (Check aU w~11D IANA 0 DETACHED GARAGE .."'- N7"'T" 1Y1 . (
apply for the new construction area) 0 ATTACHED GARAGE Ufl~ /l1~Lha{\. co. I Lt.. c....
k'f SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumbe~r's ndiana State License #:
'0 POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE I" oa') 000 7
(or POST & PIER) WALKOUT: Y N 0 DEMOUTION ~<l'7""'..2.. .... ......
- - .-'--------:__=:._ ....--. ~,t\ n i:"-:: \
Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding ~p~tion tithe fr~es f~r \' .'1 \
beginning and completing construction. i f -' ; \
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use pf.land or structures ' I
requested by this application will comply with, and conform to, all applicable laws Qf the State of Indiana, and the "Zoning Ordinance of Carm.ellndiaYfl,- 199)" (Z~ r:"'~" I .
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 furthei U6jf);~atonly - i :
kitchen, bath, and floor drains are conn cted to the sanitary sewer. I further certify that the construction will not be used or occupie~ un~l 'a Certificate of J
Occupanc orSubstantialComp do h niss edbYtheDepartm~fconunWU. 'tyServices,Cannel,Indiana. [J '~'L_____---_. -
!6/.^I/~ L<:tk:+>s 7- /3-.)001;,
Print { Date--
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ~ 7 S 3>, {)o
, . ~om OQ #~~~
Upper Footing Lower Footing Under Slab Base Inspections: r- V' Reviews
~-~- o. ~~~:gg -~,-
Review Approv~: Dept. of Community Servic Fee Received by:
S:Permlts/FormS/ILP COMMERCAL