HomeMy WebLinkAbout06080070 Application
City of Carmel/Clay Township Permit #: OIR0800?/J
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, lit Accessory Buildings
BUILDER of NAME FAX 21T -f-oJ'-
RECORD: D lA.t. '- <J+
L,
BUILDER'S EMAlL ADDRESS BEST MffiiOD OF CONTACT:
c....lo LO
PROPERTY NAME FAX 011--
OWNER: b -<Co-- l~ kP OOG oi?"-(,,~'17-
STREET ADDRESS STATE ZIP
00 L cr "t:.'V '-t-~d- 0
LOCATION ADDRESS OF CONSTRUCTlON SUITE # (If Applicable)
&. PROJECT ,;) ::,---0 [. 7 (., -G, 0t- S-h QOd--
INFO: Address of Shell Building (If different than Address of Constructlon) Lot # and SubdMslon (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
'\=. (:.-b
STATE COMMEROAL
DESIGN RElEASE #:
SCOPE(S) OF 0 FDN 0 STR
RELEASE: A:.. ELEC 0 SPKLR
SEWER lITlU1Y
PROVIDER:
WATER lITlU1Y
PROVIDER:
PLAN COMMISSION / BZA / B DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or Uft: c;I YES \A;r\NC)}'; _ BlDG. CONSTRUCTION TYPE:
.-\ "-J . r J
{ \ '. ' .\.:;, ~\'"
TYPE OF CONSTRUCTION: r0.'::\:.1 II ,",',1YPE OF IMPROVEMENT:
~ ..... .J"; > q ,...
CO~;~W~~\~~I~""'~\:': ~o0~S\,gC~~~~CTURE
t'l,""g.medl~!'!f"COsIce~ters\-O. ,\1'{ \): . ~\'''O Room(s)
pilf~ ""'l!Imerd~}.IJ.\C '; ~.r,\.) \., ' 1\ [" I V · 0 Porch
o l"!STfl1JTIONAt rn\J, \ (I.r 0 Mezzanme or Deck
o ~4"I~PaI/Pu!iII~'B,!99 ~p. WI REMODEL
~<C.Sd\"9l C~W ~\)\f:' ~ NEWTENANTFlNISH
~Q1i[l.11 \ 0 ACCESSORY BUILDING
FOuNDAndMmE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATrACHED GARAGE
r7( SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
B POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOlJT:_Y_N 0 DEMOUTION
ZONllj Go
I"{ ARCH cD( MECH
OTHER(S):
TAX MAP PARCEL #:
(" -13- /i-o
~PLUM SQUARE
FOOTAGE: ~
ESTIMATED COST OF CONSTRUcrrON:
(EXCLUDING LAND VALUE)
- uul.Oo').
S-o
~i?50C)
OCCUPANCY CLASSIFICATION: B
Early Release \/ Manufactured y
Permit: _Y -4-N Trusses: _Y 4--N
Lot Split: _Y.....;.)LN Sump Pump: _Y 4-N
Does any part of the property lie within a special Flood
V. I
designation area: _ Y --A;:-N I
PLUMBING CONTRACTOR:
\'< lr-~ha-.ff
Plumber's Indiana State Lice~e #:
I 0 0, S- 6 ~ d C>C:..A
Qass I structure pennits 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 cenify that the construction will not be used or occupied until a Certificate of
Occupancy or Subsomtial Comp~ 'on has been issued by the Departtnent of Commumty SeIVlC,\' ere!, indIana.
~rJ~ C. .:t:::to r-,.-Q ;vJe, g-tt- O(n
~~erm~~ ~~ ~
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: IJ. Filing Fees: feq /,50
. IV tJA ~ # Charged Re-
Upper Footing Lower Footing Under Slab tb \ \1 Base Inspections: u . UV Reviews
~ MeterBase ~ Site '\ Cert, of Occupancy:
TOTAL:
{,
Fee Received by:
Additional Fees