HomeMy WebLinkAbout06070185 Application
City of Carmell Clay Township Permit #: rHe 0 7 () / 1:l)"
COMMER.CIAL or INSTITUTIONAL IMPR.OVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME 'r--.
L.)"'-~e.
STREET ADDRESS
00 ~
c
/1-
gafS-&; 00
FAX 11-
6'0 r-G 1-
PROPERTY NAQ u- "'-G__J~ LP
OWNER:
STREET ADDRESS
00 L , C)~~ ~
LOCATION ADDRESS OF CONSTRUCTlON
& PROJECT ~ So ['
INFO:
CITY STATE
~e.-+ ,';+-e _ I Qo ~.
BEST METHOD OF CONTACT:
2: --''Y'..o...~
FAX ~ Ir-
o '? CJ ;Y - G 7--9 1--
ZIP
STATE
00
;? 0 I
SUITE # (If Applicable)
is
Lot # and SubdMslon (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
1= . "- -h,.JF
STATE COMMERCIAL
DESIGN RELEASE #:
ZONING:
-001. QO'
o
c.~
SCOPE(S) OF 0 FDN 0 STR
RELEASE: .P{ ELEC 0 SPKLR
SEWER UTIlITY
PROVIDER:
E
elf' ARCH ~ MECH
6THER(S):
e c)
WATER UTIlITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
4s-o
PLAN COMMISSION I BZA I BPW OOCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTiC PERMIT #'5 (If Applicable):
# of Floors: S- Elevator or Un:: YES 0 NO
BLDG. CONSTRUCTlON TYPE:
OCCUPANCY CLASSIFICATION: i3
PROJECT INFORMATION:
Early Release,\' Manufactured V
Permit: _Y -4-N Trusses: _Y A-N
Lot Split: _Y-XN Sump Pump: _Y1N
Does any part of the property lie within a special Flood
designation area: _Y A-N
PLUMBING CONTRACTOR:
1<. iri<:-kn-r+-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
rlt'i'~ Fn 0 NEW STRUCTURE
"sUb.lilfl\(a!& :Q!!inel!. ~~ONSJAUciiO .!\DDmON
'anam~~6lIlf.S/~.vith If" IV 0 Room(s)
cDlii are oomOlill!lll!) and Local CS , . ::9uiatlons 0 Porch
~~"^" _ Odb,. ~ 0 Mezzanine or Deck
CITY.Q- -i'tu~'1tipaltl'ubllC'Bl~9'{ SERVI . REMODEL
'eJ SdldaM EL / CLAy NEW TENANT FINISH
o Church I~, TOW I/l1:CESSORY BUILDING
FOUNDATION TYPE: (CfiLtIA.hMhiCh 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
l:Q 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 DEMOLmON
Plumber's Indiana State License #:
10 to S-:s,;) ROc.f-\
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 Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority of r.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 or Substantial Completion h been issued by the Department of Community Services, Carmel, Indiana.
. - ~rJ~cz.. ~oL'v,j
Signature of Owner or A orized Agent Print
')-- dcr- a&'
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: I '3 !J g . ~ q
--? 0 0 00 # Charged Re-
Upper F g Lower Footing nder Slab Base Inspections: ,... , Reviews
Cert of Occupancy: /07 . 00
IJIffi T.~f~
Fee Rece ed by:
Meter Base
Site
Additional Fees
Reviewed/Appro ed: Dept of Community Services
S:PermIts/Forms/ILP MMEROAl