HomeMy WebLinkAbout06070045 Application
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City ofCarmellClay Township Permit #: 6& /) 7rJ(l1.{5'
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lk Accessory Buildings
BUILDER of NAME PHONE FAX
RECORD: LA 11-1- tQ. ore e 31::r .. (P4d -(036 31=1- /.{d -(p 81
STREET AODRESS 01Y STATE ZIP
S -':110 L/ l(jO
. net I Lf50-(o 33
PROPERTY PHONE FAX
OWNER: LLC SOL> (3/7 "if'-fB -& il
cm STATE ZIP
Pc-t\lN .s LVI'/NIA .INj:>,"l/\.l ()L!j :i""10
LOCATION AODRESS OF CONSTRUCTION
&. PROJECT 50 &;)&0
INFO:
BUILDING, PROJECT, OR TENANT NAME:
Dn. A'f B PLA 4 1J[
SCOPE(S) OF l( FDN il( STR
RElEASE: Jl{f ELEC 0 SPKLR
I
STATE COMMEROAL
DESIGN RElEASE #:
3/ e (P [3
WATER UTILITY
PROVIDER: J:. V\J c..
SEWER llTILm .....0 D
PROVIDER: c..; I ..... W
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COU""" WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or Uft:: ,OCYES Q NO \~ CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: CO~S . VE ENT:
~ COMMERCIA.!,. c.~D ~O?-. Ge ,."t'" 3\ ~' v.~.NEW~~CTURE
(P~~~,~\13" a\ CO ~00i0N
'"d~c;,1 \lfIi~..,t<e1II~~ 3('10 LOG \\'1 S ' .QI~WS)
're~lil~o\SW "NI'0~ ,O'Jl!)" Porch
o INSTITUTIONAL <:: Q,9~~' I C \J'. '{ 0 Mezz,","e or Deck
o J>:IiJ~/~~IiC1>..~t:.\.. r>-O REMODEL
o ~llO)O ~~ Cp.: .'D\f>-~ 0 NEWTENANTFINISH
O'~ \1" 0 ACCESSORY BUILDING
FOUNDATION riPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~ SLAB 0 CRAwLSPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOwER CO-LOCATE
(or POST.& PIER) WALKOUT:_Y_N 0 DEMOLfTlON
'fAX MAP PARCEL #:
1(.,- 13 -1/-04-18-
.i!!t ARCH ~ MECH ;i( PLUM ,'uO 03 8
OllHER(S): -I J ()
I.O/l
D
DDll
11-13
PROJECT INFORMATION:
Early Release Iv Manufactured . J /";
Permit: _Y ~N Trusses: _Y--K.J.!iJ
Lot Split: _ Y $-N Sump Pump: -X- Y _N
Does any part of the property lie within a special Flood
designation area: _Y LN
PLUMBING CONTRACTOR:
EJ,r1E'r.p"-I:;~ mEC/I-,qtVIC~ l
Plumber's Indiana State License #:
? C - 10;;)004 Jq
Class I structure pennits 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 -1993n (Z~
289) and amendments, ad er authority of r.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 float ins are c nnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CertiBcate of
~CU~Cy o:!ubst8.n' Com don has been issued by the Department of Community Services, Cannel, Indiana.
""L:> - gr.",," ~vl-vi ~ "J 1'1 /,0G>
Signature of Owner or Authorl Agent Print Date f
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: ~\f{) Filing Fees: :2 7; /4 'if', ;Z ~
~pper Foot0si..} Lower Footing ~ "\ ~ Base Inspections: f6,I9O . 00 # C~:~~~s Re-
("""ROU9h~ Meter~ @~ Cert, of Occupancy: . t'O
" TOTAL:.55/.724 Additional Fees
OO{q
Reviewed proved: Dept. of Communily Servi
S:Pennlts/FormS/IlP COMMEROAL
Fee Received by:
d