HomeMy WebLinkAbout06080014 Application
City of Carmel/Clay Township Permit #: O&2()'ij 00/1
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
-t 16 Drd
OCCUPANCY CLASSIFICATION: 13. ~ / S-
PROJECT INFORMATION:
Early Release v Manufactured
Permit: _Y --F-N Trusses: _Y ~N
Lot Split: _Y....k-N Sump Pump: _Y.A-N
Does any part of the property lie within a special Flood
designation area: _ Y X N
PLUMBING CONTRACTOR: /1 / ---.I
7A4.lK. .J. p'P/<.d. L l>A.--:fpRC/.. "--'
I /
Plumber's Indiana State License #:
C? /0/1 1)bD 33
BUILDER of
RECORD:
NA
'{)WAlINe,
7/~DOESStv. 9 {, +t S /
STATE
'~J /A!
miOD OF CONTACT: -r:::.
/€L
PROPERTY
OWNER:
PHONE
FAX
LOCATION
&. PROJECT
INFO:
AD ESS OF CONSTRUCTION
~/8 W.
mY STATE
/,u.!>htlN"I d~U /A.I
sum # (If Applicable)
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT
~A:. E/f'
STATE COMMEROAL :2../ to
DESIGN REUEASE #; ./ (J
WATER UTIUTY /?
PROVIDER: t...A.t..", ~ L.
:~ aA77~f?
/ ,I SCOPE(S) 01\ )J. FDN 'Iii( STR
~,.- REUEASE: ~ ELEC cfSPKLR
ZONING:
li( ARCH \( MECH \(' PLUM
OTHER(S):
SQUARE
FOOTAGE:
SEWER UTIUTY
PROVIDER: (?-fkwO
ESTIMATED COST OF CONSTR'fCTION:
(EXCLUOING LAND VALUE) .,.;?
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I
Elevator or Lift: 0 YES X NO
TYPE OF CONSTRUCTION: TYPE 0 MP lfEMENT:
M COMMEROAL '-QR CONS~~.' l~l,ICTURE
"\ (pnv~"".cQ.r 'th,'iT1,o."nITiOrit'
1~l c ':>\l'l.{':;..:..JI~
and ... ~l"t(f'C'~,p\l2.rlG",,;"\ C0c18S,D R~om(s)
a..cotOOI..!li, ""d I,C".'^ OC~o@
o INSTITUTIONAL 01 State ,,,, :J"\I"f'Y SEPo' J':'~!\!", eorDeck
O ~' 'm>lII>nhUc''''''''^'' r, \ I' , , ,",
ruCI~I' 'v' ~~i'l~~':" ,~\{!Jr'SEMOgEt
o S Ixi! CAe".t,;,\ I Cl-i '0 NEWTENANTFINISH
o ~rI{rfiOr: ""-~D\ANAO ACCESSORY BUILDING
FOUNDATION E: (Check all wh\tJ\ 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
1:8:. 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 DEMOUTJON
H ~ A./'lf:
ZIP 'b:z..t;p
l CaO
O 0....
Oil -
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time hames 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 Cannel Indiana - 1993" (Z-
289) and amendments, adopte nder authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen bath, and or e co ted to he sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate
u r om ti niSSUedbYtheDeparif1,,~;uniWces/fi;~~~~/<.-
Print Date
~
~
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9?/3S.00
C,V~-Z(]
/tJ ,0
Filing Fees:
Base Inspections:
Reviewed proved: Dept of Community Service
S:Permits/Forri\s!ILP COMMEROAl
Fee Received by:
# Charged Re-
Reviews
Additional Fees