HomeMy WebLinkAbout06070090 Application
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City of Carmel/Clay Township Permit #: (J(j{)i7D09D
I
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAME
r-~f {olv5'liWt-r: or-'. Uc..
'tWill;' LI/,4N11i ;yr
BUILDER'S EMAIL ADDRESS
'1\~1(""41" @ I't/C>. C."'"
NAME
f:,fs j"),V8U I LLC-
SlREET ADDRESS
'$/0 [?AS;""'--
PROPERTY
OWNER:
{" '1[J. )1!I.eE-
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRumON
?z'i {"tV 6~ ESS/PNI1L (JU/P.
Address of Shell BuildIng (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
IU>-70,ve
PH9!jE
(3/7) 5":11- ?z 9 I
FAX
.PI 1) .f'l.f-h~l
CITY
. 'A,z1'<?L
STATE
IN
&01'2
ZIP
BEST METHOD OF CONTACT:
?r1) 7"1z- 6011
PHONE
31'1 5'15'- +P7l.
CITY
/1111>/'/'/1"1/ ,?L,(
STATE
III
ZIP
sum # (If Applicable)
(}O
Lot # and Subdivision (If Applicable)
ZONING:
...,TAX'MAP,PARcE!.-#:.,.N. ;.,)V;/~ ~
g /':"~'>/-'(,.tJfI.320t2(2lt2b{g.{V~ ~
r/ PLUM ~~~~E: 5 I :5 ()
. I
ESTIMATED COST OF CONSTRUmON: t
(EXCLUDING LAND VALUE) 118, (,Z5', !?t2
STATE COMMERCIAL
DESIGN RELEASE #:
:5/551rJ
SCOPE(S) OF j 0 FDN 0 STR r/ ARCH ~ MECH
RELEASE: 00 ELfC 0 SPKLR OTHER(S):
# of Floo,,: BLOG \ ~UcnON 1Yl'E:
TYPE OF CONSTRUCTION: C EIO' ENT:
(la. COMMERCIAL ,,<;1"0 rO? 8>N\~3,\NlWSTRUCT1.lRE
(PI1vately C!I>1fe\t.lfos'iltt;rs otn\,,,anc c~cAtl.QmlillCf.~
and medldl'~~nIA!& D 3,\\0 \.0 'f'{ ~ 'k<iO!Ilf\'MI?
are commetc/9l)"- 0\ statv \of1'Jl1j\'-l1 .fi':Q~'J>i,\d,;:J
o INSlTTUl10NAL ("\1- CO \ I ~'I tJ Mezzanine or Deck
o Munid~Biic-6I\j$Jp..?Mt:.\.. ' REMODEL
o School ~ Or v W~OI NEW TENANT FINISH
o ChUrdJl,\ \ ' 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
0' 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 DEM0UT10N
**********************************~*****************
Filing Fees: sr 77 . '1
"7 "., 0 0 () # Charged Re.
Base Inspections: .z>;J' Reviews
Cert. of Occupancy: )0 7, 0'iJ
dP. / /8' ~ 1 II Additional Fees
.)00(, TOTA~:). ~..,v 17, 'i;' /1. /I .t1
Fee ReceiV~ 1f 1vle /, 0 ~
WATER UTILITY
PROVIDER: (/lttlUt:7.- W J1bL
SEWER UTILITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
I. the undersigned, agree that any construction, reconstruc
OFFICE USE ONLY: ****************
INSPECTIONS REQUIRED:
Reviewed/App ved: Dept. of Community services
S:Permlts/FormS/ILP COMMERCIAL
{'7W.D
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release./ Manufactured j
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-.LN
PLUMBING CONTRACTOR:
1/1101 -{- /Zt.6ifZL f/.1~cJlAA!lCAL
Plumber's Indiana State License #:
fc../ooooo/s
~/; 8 /06
Date /