HomeMy WebLinkAbout06080088 Application
CityofCarmellC/ay Township Permit#: tJfOTJg[)O<6'6
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAME PHONE
C.?\p f'fl)J..--- CDN,:::,116)C\\ON S~\c..es INL-
STREET ADDRESS
QS 'BAD tl2- '0'\2--
PROPERTY
OWNER:
BUILDER'S EMAlL ADDRESS
'SM \ LL-\:::-\2-
NAME
Q..B 12-ICtiw.:o
C- eNs
STREET ADDRESS
10 '-1-0 I N
cm
ME-12-\ D\A..~ Sr '5-ns 335
LOCATION
&: PROJECT
INFO:
ADDRESS OF CONSTRUCI10N
Kl.
N
Address of Shell Building (If different than Address of Construction)
------
BUILDING, PROJECT, OR TENANT NAME:
"^ ND6E~
STATE COMMERCIAl.
DESIGN RELEASE #: ;?'2-DOlp
WATER UTlLI1Y
PROVIDER: c.ARW\ E L
SCOPE(S) OF 0 FDN 0 STR 'lS(" ARCH
RELEASE: 'I( ELEC 0 SPKLR OTHER(S):
SEWER UTlLI1Y
PROVIDER:
m\2-ME L
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: c;I YES ;l NO
BLDG. CONSTRUCI10N TYPE: EXST. 'Sf!L-'
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
CSY COMMEROAL 0 NEW STRUCTURE
/' R~~ned hospttals 0 ADDmON
SU~Oirwe<~~te,rs.C'"","P 8 Room(s)
o O~~~~;~~~~ld~~~.~,i/';~:~:~;'~;'~E~OD~~nine or De<k
CJ....., ,hOQJOMMU!lI':',. ~,c:.,s, ~ NEW TENANT FINISH
, r OF~\!!'l!J~A!:1 ,"; ',. ,C;'C,CiVt,€J'cACCESSORY BUILDING
FOUNDATION TYPE':' '(E:Iiii:k,aILwhich, ,',' 'O::DETACHED GARAGE
apply for the new conS#'!lctionar1ia) I V'Nt'J O'fiATTACHED GARAGE
~"""'I/-'l\:/l "
~LAB 0 CRAWL SPACE 0 CELL TOWER (Ney;t
~ POST & BEAM 0 BASEMENT __'- Q::::CELLcTo,W~R.CQ::~9I:i^TE
(or POST & PIER) WALKOUT:' --y-;c ~N{c,q:. 'D~MOLf'l()N" !, \ 'i
;-:--, ......---:::- \, n, -, J '. _____ \ \ \ \ '..
FAX
S{~-5l\~
srjN
ZIP
EM -f\ \ L
PHONE
S
33D
FAX
S-r3-2-3"3 I
ItJDPL-S
srATE
IN
ZIP
Lf-L.t, L'7 0
SUITE # (If Applicable)
3\D
lot # and Subdivision (If Applicable)
~
ZONING:
TAX MAP PARCEL #:
1[P 131\DD =Oll.C::O
o MECH 'R' PLUM SQUARE
FOOTAGE: ID250
ESTIMATED cosr OF CONSTRUCI10N: -=t SO
(EXCLUDING lAND VALUE) / / D
'B f'FM
N:
Early Release Manufactured /
Permit: Y ~ Trusses: ~Y ~N
Lot Split: _y..JLN Sump Pump: _Y.JLN
Does any part of the property lie within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
J,I\CCVR...bY
Mf=:GH-Af\J \Cf\L
Plumber's Indiana State License #:
CP C6 1051 LfD LP
,\ '\ c.._-' ._.._ .." i'l \'1
Class I structure permits are su~j~ct'to the General Administrative R~C;;S onp.e State of Indiana (See 675 IAC 12) regarding expiration time frames for
; ~i L) ) \ ~~ and '~ompl~ting construction.
I. the undersigned, agree that any construc0.on, recOj\SffPctipn~nl~ent, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will compl}/,witll, and tlblliOCm ~o, all applicable la~s 6f the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adopted under a'uthori~ of LC. 36~7 et seq, GeneraL~ssembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are conne_~t~d'tb:t~t;..~anitary sewer.- I fUrther certify that the construction will not be used or occupied until a Certificate of
Occu cx ubstantial Completion has been issued by the Department of COmnlunity Services, Carmel, Indiana.
'L.___.-- ---..----.~"'-\4b\V\~OY\
Signa re of Owner or Authorized Agent Print
Ble5/0 (.0
Date
OFFICEUSEONLY:**********************************************************~*************
INSPECTIONS REQUIRED: Filing Fees: ?- A :3 0 ~ .5 0
. . '7' t9 () () 0 # Charged Re.
Upper Footing Lower FootIng Under Slab Base Inspections: ' "" Reviews
~~ Meter Base ~ Site Cert, of Occupancy: 0 tJ
S 0
~ 111~_~),..^.1l A"t21'JOO(,
Reviewed/Ap roved: Dept. of Community SelVices ( tel
S:PermIt:s/FormS/ILP COMMERCIAL