HomeMy WebLinkAbout06070173 Application
City of Carmel/Clay Township Permit #: ()roD7{)17~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
.0' COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals 0 ADOmON
and medical offices/centers 0 Room(s)
rr~reJ;qmm~~al) 0 Porch
o ,IN51lTtiJIOf'J~1-F08 r.nNSTRUC~ 0 Mezzanine or Deck
~.,. J;;k1Mumnnalllp,u,b, he Ellag M'MOOEL
,,, ,.~\\'jll 'i.',.,,...,O w th I' 'R!:
o S"h991 ....:~.' a, regul'l!iPrt\lEWTENANTFINISH
[\;:.9,- f:h\!r'"ff(~ :JI)(' LOCJI Codes. 0 ACCESSORy-BlJi[D[NG
FOUNDATIO~TYPE::_(thel:k'a!II\iy.hi"" 2~',r:,9 ,fG,H !,~+(fAi;E,
apply.fOr th.. new constnJEtion areal _ ~ " ~AnHEO'G.n." \
2J SLAB ",-" W" q',~~wr~tE'i;o, ,,'ri 'iBliltTOWER T~" \\
o POST&BEAM d"Ii!A!;EM'OO.\ 0~--D CELL TOWERG L TE
(or POST &. PIER) WALKOUT:\\\ }Yr\-N 0 OEM N \\
Class I structure pennits are subj~~ the G Aamimstrativ~ of th State of Indiana (See 675 lAC 12) regarding expiration time frames for
\\\ \\\ ~dc~mple. construction.
I, the undersigned, agree that any consrtuc,tion, \rec~ction, enlargement, reI . n, or alteration of a structure, or any change in the use of land or structures
requested by this application will compli\~ith,:rlrd conform to, a~plieab-re'la"ws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 199r (Z~
289) and amendments, adopted under authority of I.e. 36~I..~5ttt, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor d ins are connect&i~.the.~ sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu cy or Su . Completion ha'sbeen issued by the Department of Conunwrity Services, Cannel, Indiana.
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Print
OFFICE USE ONLY: * ********* * ** * ***** *** *** ******* ********** *** * ******* * *** ********** *****
INSPECTIONS REQUIRED: Filing Fees: I If 3 ~. 8'8
- - . "l() 0 00 # Charged Re-
Upper FootIng Lower FootIng Under Slab Base Inspections: (Iv. Reviews
~ Meter Base ~ Site Cert. of Occupancy: { OI9 00 . .
~ '-='~ :Z;' a. it LA~ -~,-
~4, 1zt~ g);;)lJb
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
BUILDING, PROJECT,.-?R TENANT NAME:
j "
STATE COMMEROAL
DESIGN RELEASE #: 3
WATER lJTIlITY
PROVIDER:
o STR a ARD-l
o SPKLR OTHER(S):
SCOPE(S) OF 0 FDN
RELEASE: .ill ELEC
SEWER lJTIlITY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: 0 YES -4 NO
BLDG. CONSTRUCTION TYPE:
Lot # and Subdivision (If Applicable)
ZONING:
TAX MAP PARCEL #:
0., MED-l
ESTIMATED COST OF CONSTRUcrIQN:
(EXa.UDING lAND VALUE) /
[) 0 Q ()
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ~ _ Manufactured V
Permit: Y -NN Trusses: _Y..6...::....N
Lot Split: Y.)(LN Sump Pump: _Y~N
Does any part of the property lie within a special Flood
designation area: _Y_N
PLUMBING CONTRACTOR:
fhllcJ,d
T.
,
(Jo.(J
PlumbW Indiana State Licen~:
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Date