HomeMy WebLinkAbout06070172 Application
City of Carmel/Clay Township Permit #: t!JftJ070 17~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory ~uildingS
BUILDER of NAME
RECORD:
PHONE
31 ~R'I:?-2'212-
-IS'1..3
em
STATE
-:I:"#
ZIP
~0..7Z-
I'.e.. CO nt
507-
3D
PROPERTY
OWNER:
NAME
12~
~tl^,J
CAr~
PHONE FAX
'7- 8'13 -2.2.IZ
"87-/5"1(3
/ve-
STATE
-;:/'1
ZIP
{,a,j'2.
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUCTION
2 0 L..J.e"s f
SUITE # (If Applicable)
J),.;l/.e-
Address of Shell Building (If different than Address of Construction)
200 - '2'18' West Privi!.-
Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
..e. AI.
ZONING:
~
TAX MAP PARCEL #:
l. 000003 2."fX)
STATE COMMEROAL
DESIGN RELEASE #:
3/ z.
C-.tr~
PE(S) OF 0 FDN 0 STR I)(" ARCH ~ MECH K PLUM
RELEASE: )€ ELEC 0 SPKLR 6THER(S):
SQUARE
FOOTAGE:
00
WATER UTIlllY
PROVIDER:
SEWER UTIlllY
PROVIDER:
CAr.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
ft1 t9 0
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Lift: 0 YES 1t NO
BLDG. CONSTRUCTION TYPE:
OCCUPANCY CLASSIACATION: R
TYPE OF CONSTRU ~t TYPE OF IMPROVEMENT:
1jJCOMMERCIAL 8U6;e,,;4.St"t; r::c 0 NEW STRUCTURE
(Privately owned hospitalS! 0.. '0."" 0 AoomON
d edl~ / te ,j'" ., ""0. 0
an m ~ 3s ceo . ~t '. r/://_, ',,J A I Room(s)
~reco , r r"lf-.~-'t(it,'] '"I:Jf:CO' " "SI.t5J Porch
,_J;..... ''\ (',',/1._. v(;/~; J
o IN "Jr-. (_ ~'t, ,,j! 1:1 ~i C/CMemolneorDeck
o MunidPa~/PIJil!ic,BI09.J!Y!/1 '( >OCi).(Z) '''!u:MOOEVU/v
o School '"11!~l,CC' ,'j j!'j/7,""'J(N~;'iENAo.rr.-< INISH
O '....1;. '~, '-v' "'~'
Church I~",' -,' C! ".D)(ACC;:~SORY BUILDING
FOUNDATION TYPE: (Check all Wl'Iid),.:j ^, '-", IQ- --OETACHEP,GARAGE
a~PIY r the new construction area) 'V"1 0 VAiTe.<;,t1eD'GARAGE
SLAB 0 CRAWL SPACE 0 CELL TrjW~ (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LQCATE-,
(or POST & PIER) WALKOUT:_Y_N ~,g~Cl"UfN'tn~\c~ '\r'\.i,
__-- _ r;:-- \ \.\1{ C....., \ '.
Class I structure pennits are'subject td Vr''iGe~aJ<Adi1iiirl~atlve RU1e;;;fth~ Stiie of Indiana (See 675 lAC 12) regarding expiration time frames for
- \ \\ \ ~'--" --~g and compl~AAg tb~struction,
I. the undersigned, agree that any constructiOn, 'ret! struction, enlargemen~,*locati~1'l1 or\a]teration of a structure, or any change in the use of land or structures
requested by this application will comply with\ ~, form I a h'fab19J1Un> of t)1~\~5-a~~\of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z~
289) and amendments, ,dopted under ,uthoritY: 91 r:~'\6-7 :Jnt G~"'I Assembly o~tJieSt* of Indi"", ",d ,II Acts amenru.tocy thereto. I further certify th.c only
kitchen, bath, and floor drains are connected to ~b~ s~ltary sewer. I further certify.wt the cQnstruction will not be used or occupied until a Certificate of
Occu Substantial pJetion has IljsS~L---~ Community jrvices. Carmel,Indiana.
---=::kl,~ K"rl" Y
~ p- ,
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y iN Trusses: _Y.lLN
Lot Split: _Y..)LN Sump Pump: _YK-N
Does any part of the property lie within a special Flood
designation area: _Y.lLN
PLUMBING CONTRACTOR:
CB med.o.n;c.J
Plumber's Indiana State License #:
Pc8~O 11.02
7-2t -u
Date
Upper Footing Lower Footing
Under Sl
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S: .s-Y1 do
~ rJr. _ '7 # Charged Re-
,.. VV"::> ReViews
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OFFICE USE ONLY: ****************
INSPECTIONS REQUIRED:
Reviewed/A roved: Dept. of Community Services
S:PermIts/FormS/lLP COMMEROAl