HomeMy WebLinkAbout06080101 Application
City of Carmel/ Clay Township Permit #:~I
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, l!t Accessory'Buildings
BUILDER of
RECORD:
NAME
C J M Ct>/J-t
STREET ADDRESS 11-..
'1-1'4 G. 89 -
I i-Jc,
PHDNE
~ l1 ' 1"t;v-Z ='U' 0
FAX
3Ff'GJo-Z%Z
PROPERTY
OWNER~
LOCATION
&. PROJECT
INFO:
mY
liJ1?/ANA
STATE ZIP
L,~ LN b%b
BEST METHOD OF CONTACT: C$u.. f"J.\-oIJ e'
'=>~ 7'"'f52-. 1-2"'1-=5
W1
PHONE
FAX
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ADDRESS OF CONSTRUCTION
SUITE # (If Applicable)
STATE COMMERCIAL
DESIGN RELEASE #: -3w116
SCOPE(S) OF
RElEASE:
ZONING:
Address of Shell Building (If different than Address of Construction)
,:2 tJO /oJ L 1:l? IAJJ '2-fJ 0
BUILDING, PROJECT, OR TENANT NAME:
L 17t4--L <7 '7 C L-tJI t..
WATER UTlLTIY SEWER UTlLTIY
PROVIDER: CA L PROVIDER: 4l2--vf,t7L-
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S ([f Applicable):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ;e, S ~O 000
# of Floors: Elevator or Ufl: E;l YES J1 NO BLDG. CONSTRUCTION TYPE: r'.Jt ~ OCCUPANCY CLASSIFICATION: B
PE OF CONSTRUCTION: ~~,~ IMPROVEMENT: PROJECT INFORMATION:
COMMEROAL ,,\c,-fGI.lI.'o.\ol'l,1;W STRUCTURE Early Release Vl Manufactured \t
(Privately owned h~t~"CO\ ",'..\\ (c:ydB' ADDmON Permit: _Y -.fJLN Trusses: _Y ~N
and med~~oter!; ,'N".C, ,. ,". P Room(s) . \11 -v;-
~'a[) "'\\Gn'~c, celie". "rrCl Porch LotSpht: _Y -P-LN Sump Pump: _Y h.,N
o ONAL9\1\i) -', '~-l":o....\J;"~;" rh.
S"'"\\]M' .... 'VP cb-,."'B":,'- ".,'j~{ '",,::, ,'. ,,:S:I\ ..."ezzanlne or Deck Does any part of the prop:llie within a special Flood
W' umc,IP.a U IC , ~g '. "'< . . . .~..' \''REMODEL . .
o SchOOlr: CO\\j\",,~: cU:~{ \ ...,NEWTENANTANISH designation area: _Y N
'1ll1i,lt~~brlt..!\t.\..1 ,::"\1\ 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
o D TI hulecl<' '1U wIlii;n' 0 DETACHED GARAGE t:::1 /:'._A. , C
apply for constructlon\lIiea) 0 ATTACHED GARAGE Gr~t;;lJlJ 1 UI~8/1JlS- L/A7!;?V/(..A:-'
~ SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana state License #:
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO.LOCATE I 0 / A-.:;3 /".
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON ""'+ ~
IL-
Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration tllne 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 structu~
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 - 1993j (Z'
289) and amendments, adopted'~er,authority of LC. 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~ drains arf connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Ceni/icate of
Occupan or Su tandal ~rnp14 don has been issued by the Department of Community Services, Cannel, Indiana.
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Print ~ t
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / ~ ;)..9. 6f5
. . # Charged Re.
Upper Footing Lower FootIng Under Slab Base Inspections: ;).0 0 '" 8 t) Reviews
Meter Bas~ Site Cert, of Occupancy: )07. 0 eJ
/6 5g
~ dly D
/Approved: Dept. of Community Services
mS/lLP COMMERCJAL
2.\ 0l.CXl0
ate)
Fee