HomeMy WebLinkAbout06070150 Application
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City of Carmel/Clay Township Permit #: ()(J>70/50
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATIOl\
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Building!
BUILDER of
RECORD:
NAME
~I"'\
STREET ADDRESS
{Ok &i
.5
PROPERTY
OWNER:
,-I:. ~oo
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION
BUILDING, PROJEcr, OR TENANT NAME:
~i~
STATE COMMERCIAL
DESIGN RELEASE #:
CITY
PHONE
(It>'8
STATE
ZIP
9!.(,33
tcJ.l
.:l:.'D
mY
(1,
VI
PHONE
(511
STATE
ZIP
Z-t.lu "'\..:
,....
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Lot # and Subdivision (If Applicable)
SCOPE(S) OF C) FDN CJ 5TR 0 ARCH G MECH
RELEASE: U ELEC CJ SPKLR OTHER(S):
WATER UTILITY ~
PROVIDER:
SEWER UTILITY
PROVIDER:
Tt..R 1Wk.
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Lift:
YES c;I NO
BLDG, CONSTRUmON TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals 0 ADDmON
and medIcal offices/centers 0 R~",\
"ecommerclal) ;!Gr\:AU'"
o INSTITUTIONAL FOR CONS Jn~ffil,'~@~ Deck
o MUnll'Ul!t~~~ M't
o Schca"-. t to compliance WeffNAN']:f,lN!,SH
o chur@ljb\ec ~and LO ~($~<l'RMIltJilti'Ir:l(>
FOUNDATION TYPE: (Check ,,"\~j}, M M U \ DE'r'hQ;.~QI~~l-'
apply for the new co~ . ()feA; 1~L.Pil'r~'GARAGE
0"SLAB ~1(S~\3MEL CELL TOWER (New)
o POST & BEAM BAsEMENT 11'10\ JltELL TOWER CO~LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON
EsnMATED COST OF CONSTRUmON:
(EXCLUDING lAND VALUE) $l.
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ./ Manufactured ./
Permit: _ Y -L-N Trusses: Y ./ N
lot Split: ,~yLN Sump Pump: _y=z-
Does any part of the properwlie within a special Flood
designation area: ~y Lw .
PLUMBING CONTRACTOR:
EJc.J~,zJ5 F 1ec.l.1!.;c.IO.\ 01- fJ..tJ,AY\;( 'AL
Plumber's Indiana State License #:
PC \ DE. 00 l7 L
Class J structure permits are subject to the General Admjnistrative 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 hmd or structures
requested by this application will comply with, and conf~aPP-llf..<1ble laws of the St<1te of Indiana, and the ~Zoning Ordinance of Carmel Indiana - J99r (z-
289) and amendments, adopted under authority 0 ~7 et seq, Genera embly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected t c sanitary sewer. r further ce ify that the construction will not be used or occupied untit a Certificate of
OCCUp<lllcyor Substantiu] Completion as been issued by the Department of mmunity Services, Cannel, Indiana.
TOTAL:
Reviewed! proved: Dept. of Community Services
S:Permit5/form5/ILP COMMERCIAL
Fee Received by:
? 111.4{o
Date
# Charged Re-
Reviews