HomeMy WebLinkAbout06070093 Application
City of Carmel/Clay Township Permit #: 0007fJ073
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLI€ATlON
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, llr. Accessory Buildings
CITY
STATE
7N
FAX 81 -oJG:2
ZIP
'6092
G Lj -oct)" 7
BUILDER of
RECORD:
8/7 -036 ()
{
BEST MEmOD OF CONTACT:
Cornlll' PHONE
-- \ /-
.
ZONING:
51 \-A~.nq
7~
FAX
~.
LOCATION
&. PROJECT
INFO:
Address of Shell Building (If different than Address of COnstruction)
TAX MAP PARCEL #:
T
STATE COMMEROAL 3/
DESIGN RELEASE #:
WATER llTIUTY C
PROVIDER: AI21l EI..
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/DR
COUN1Y WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
SCOPE(S) OF 0 FDN 0 STR \if ARCH
RELEASE: '~EUEC 0 SPKLR OTI1ER(S):
o MEOi 0
~g~E: / 7Q'l
ESTIMATED COST OF CONSTRUCTION: . 1.' 01 5 / '1 0 cJ
(EXCLUDING LAND VALUE) T lO\ (0 '>( -
# of Aoors:
Elevator or Uft: 0 YES J(I NO
~Ih
TYPE OF CONSTRUCTION: ON"., VE NT:
Q( COMMGI\lEUlf.ASEO fOR C wi\\1lllOe'!lEW'stROCTURE
CPrIv,j@Iv"Oy.>n~~I'!~~'\l\lanGe I C&Je1\DDmON
and n8<!J~AI'.1fit Cl'ntelB and Loca, QCll<GnCs)
are commercial) 0 ::,t3 MUN\\'>( EERq 8'1!f\1o
o INmorw,. nE, COM Y 10\lm-..l+lOita'nine or Deck
o ~l>>dPal/puC~~,EL I CLAD REMODEL
00 ~~Or INDIANA 1& NEWTENANTFINISH
'diurch 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
~' SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
Early Release Manufactured V
Permit: _Y _N <. Trusses: _Y ~N
Lot Split: _Y ~N Sump Pump: _Y LN
Does any part of the property lie within a special Flood
designation area: _Y 'f.. N
PLUMBING CONTRACTOR: I2()N AN.f:';~cPJ
<2 'f,C~L fOe:CHANI(AL JNC
.
Plumber's I~iana State License #:
r/O(,;,;;2./&G
dass 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 - 1993" (Z-
289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, floor drains are connected to the sanitary sewer. I further certify that the constroction will not be used or occupied until a Certificate of
Occu tantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
-.1f)JUIA(::l.. D. 6'l:':eYt 7-/9-0(,
Sign Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
~:h.0 Meter Base ~ Site
Filing Fees: ~
'\J ~ # Charged Re-
Base Inspections: y If; ~. A J- Reviews
Cert. of Occupancy: ~~__~y _
Additional Fees
TOTA~:
~OI~OV d~ 17. t.,~/(~
Fee Rece by: ,/7-1&105
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