HomeMy WebLinkAbout06080074 Application
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City of Carmel/ Clay Township Permit #: 0 & 0 ?/()() 'n
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLI<I:A TION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & AccessorylBuildings
BUILDER of
RECORD:
NAME
c..; A: \ AL'ic;;T L
PHONE
"3r7-S'7Cj-'lS'5
FAX
.311....S,G.-ts5
"$. ,
It-J
l-iS
STATE
IN
ZIP
4"'220
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
C'l' E'1a (i2. t:.h."TAw
'\-OlU)
BEST MffiiOD OF CONTACT:
,Lot--'! p~
PHONE
~7
FAX
STREET ADDRESS
10(,,'50
f-{ IQ.U406N rc:'
CITY STATE
iOI.):S;Jl'1 ,~ iN
sum # (If Applicable)
ZIP
4(0671
LOCATION
80: PROJECT
INFO:
ADDRESS OF CONSTRumON
$ A HE.
Address of Shell Building (If different than Address of Construction)
Lot # and Subdivision (If Applicable)
CEE
~'Ui~
SCOPE(S) OF )!: FDN -,( STR )( ARCH
RELEASE: ~ ELEC 0 SPKLR OTHER(S):
SEWER lmLITY Cl...A,....1Cl.CL.$o.\1
PROVIDER:
'r,(' MECH
SQUARE
FOOTAGE: 10,981
ZONING:
TAX MAP PARCEL #:
STATE COMMEROAL
DESIGN RELEASE #: '5l ~ 780
WATER lmLITY
PROVIDER: CA~a..
ESTIMATED COST OF CONSTRUqrON:
(EXCLUDING LAND VALUE) ~ €:GO ceo
L...S ~
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR ~ 0 .3 0 0 ;;tS
COUN'TY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Lift:: 0 YES )I' NO
BLDG. CONSTRumON TYPE:
OCCUPANCY CLASSIFICATION: "5 - \ A.p
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y ----"'LN Trusses: _Y X-N
Lot Split: _Y.J5..-N Sump Pump: -Y-X-N
Does any part of the property lie within a special Flood
designation area: Y 'I< N
PLUMBING CONTRACToR: B4 ~.,?. ~
TYPE OF CONSTRUCTION: TYP 0 P OVEMENT:
0( COMMEROAL , "'1::,"';'\'\US} \ . ~' STRUCTURE
(Prlvatelyowned~s~ GOI. ..\\ rs~.(A:DO ON
ancl.DlO\l[qlj ~es/centers -8 '1'/1\\1 '^ _ 0 Room(s)
~~1!}C01l\P\\an\ t>ca\ Goo8_~... \f\(EDsPorch
o INJLWJ",,_.At \;.\: \e ane) ''i ~\, ,~> tf -,~none or Deck
d Munidp8lf1'tlblil'.BI~gr,JN\ \ "'\0'\REMOO'Et
D~IC:CU\"" "'d'
~' \ I C'u"{ NEWTENANTANISH
cO ur rABMr>- . 0 ACCESSORY BUILDING
FOUNDATlO~\I\"'E0 CllI!ck allll'tiB'h':\NI\ 0 DETACHED GAAl\GE
apply for the ew construction area) 0 ATTACHED GARAGE
'1)i. SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCI\TE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
Plumbers Indiana State License #:
Class 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 Cannel Indiana - 1993" (Z~
289) and amendments, aEo ted 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 fl d s are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy 0 Su . Comple' n has been issued by the Department of Community Services, Cannel, Indiana.
H lr I \61?L.- ~l<,c_ ~t:::;i< ~ -11- D'-"
Signature of Owner or AuthoriZed Agent Print Date
OFFICEUSEONLY:************************************************************************
PECTIONS REQUIRED: C, Filing Fees: -;.;117&, 5'..3 :
.~'>. ~ /DO. #ChargedRe-
Upper Footin!l/ Lower Footing Under Slab 1123 Base Inspections: lt2 . 00 Reviews
Meter Base Cert. of Occupancy: 10 0 0
TO;rAL: 3/'83.. 53
CYI-
Additional Fees
Fee Received by: