HomeMy WebLinkAbout06080037 Application
City ofCarme//Clay Township Permit #:~
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. AccessoryiBuildings
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edeor. (lei
BUILDER of
RECORD:
NAME S
PROPERTY
OWNER:
LOCATION
&: PROJECT
INFO:
STREET ADDRESS
770 3P:9 A \J~
ADDRESS OF CONSTRUCTION
/ :5 1<Ar-lGf! l "r
Address of Shell Building (If different than Address of construction)
817- 03bO FAX817_ 03bcl
STATE
""TN (;tJ3
CITY
Art!.m EL
BEST METHOD OF CONTACf: ~Lf- ()b57
PHONE 6'87-0355
FAX (118 -;;(bt,S
ZI~ 6 O:s;<
3 ~f:f,
CITY
STATE
Tr-J
Me-c.
Lot # and Subdivision (If Applicable)
BUILDING PROJECT, OR TENANT NAME:D TAX MAP PARCEL #:
EDc..ot2. 0 feN 0 FF:
STATE COMMERCIAL Le'1,e" SCOPE(S) OF 0 FDN 0 STR II ARCH -,MECH .. PLUM SQUARE
DESIGN RELEASE #: N A A7'1A<.f.l RElEASE: sI ELEC 0 SPKlR OTHER(S): FOOTAGE: S 7(,,4
WATER UTIIJlY f\
PROVIDER: ,-AR/(JEL
SEWER UTIIJlY
PROVIDER: CA/2JnE:L
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
ESTIMATED COST OF CONSTRUCTION: $ 1St:, 7ciBb o.
(EXCLUDING LAND VALUE) -
}
# ofFloars:
Elevator or Uft: Q YES ,s, NO
BLDG. CONSTRUCTION lYPE: I 1- B- SP~ OCCUPANCY CLASSIFICATION: B
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
ro:;t; 1("......,-,. ,~-T"'>""'"'\~.I
"" COMM~IASi=D ,FOP, CC',:;' dOc'NEW STRUCTURE
(Pi#an#y~cWi\~nosl-1ltaIS.". () 'Jifl '~'I .CJ.uADOmoN
arldrrledlCBl!:offic&Ii'.::c,eers':.!nc.~ \r I 0."'.- ,OJ 0
. ~, , ! r'r,c.'-.lC' Room(s)
arecommerde!) State ana UY~;:;i.V,:'_Fj~.O~~orch
o IN~dJr.:-. O)'l~"c rn""~v'1: iNn"{ ~~:::i'1Vl:D"MezzanineorDeck
'Munld~I1PllbUdll~!J ' ':,' ,^'.' T\'=lV ~EMQQEI?
PloTSl:t@lI' CAFl fv1 U_ Ii" L,cd e;<! 'NEW TENANT FINISH
b' Church IN IJ L0,1JA 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check al wliich 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
f!5J SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
'0 POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOunON
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y -2LN Trusses: _Y LN
Lot Split: _Y $..N Sump Pump: _Y LN
Does any part of the property lie within a special Flood
designation area: _ y.1:...N
PLUMBING CONTRACTOR: eON f\N.!:'.f)I..S"d..,J
y><c~L ll7al~AAI~oK J "INL
Plumber's Indiana State license #:
PI 00J J 0b
Class I structure permits are subject to the General Administrative 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 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 Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.c. 36;7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu cy, Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
&.0' /!JICf~Aa D. (J'b!?/\ [d-Lf-Ob
Sign ture f Owner or Authorized Agent
Print
Date
OFFICEUSEONLY:********************************************************* *************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base c9 Site
Filing Fees:
# Charged Re-
Base Inspections: Reviews
Cert. of Occupancy:
Additional Fees
TOTAL:
~G-~~ 1L1:7ttll~^~
Fee Receiv : ~- 'l h7l ~
Approved: Dept. of Community Services
S/ILP COMMERCIAL