HomeMy WebLinkAbout06080104 Application
City of Carmel/Clay Township Permit #:b(a O~ () IDH
COMMERCIAL'orTNSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLlG;ATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory/suildings
I
BUILDER of
RECORD:
NAME
~~ ~C~l..- ~-r:
STREET ADDRESS
2Z..(;;" \-J - M I u.- G.rr, - r:, "= . \
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
L-V\OFE-
crC-O 1f.
~<:;
PHONE
-311.
~LA\
531."19 \4
F~ I
311' 83,."924-
ZIP I
4C:.\ b ~
STATE
~\.:t:> \ I-t
BEST METHOD OF CONTACT:
+loJ-lE:
G
~\.- - I-l.e:r
'"*
NA
STREET ADDRESS
c;;.?~
. ~lc\...."""Pl2 .
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUCTION
~\ '5 v.J. CA1Z-~ --pp.. .
Address of Shelf Building (If different than Address of Construction)
--
BUILDING, PROJECT, OR TENANT NAME:
1'5,
"-IIE:P \ Co\ WE
STATE COMMERCIAL
DESIGN RELEASE #: 3Zs2" \.::$ +-
WATER UT1LTIY
PROVIDER: ~I.-
SCOPE(S) OF 0 FDN 0 STR pi( ARCH
RELEASE: ~ ELEC 0 SPKLR OlliER(S):
SEWER UT1LTIY
PROVIDER: d~L..-
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# QfAoors: 1,
Elevator or Lift: Q YES X NO
BUDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF. IMPROVEMENT:
~ COMMERCV\IcII=ASED fOR COi'~o..'i:~EQ:~!)Wc:ruRE
(p"vatelylQlk,~'1).o,s~~~I~nm pl;8 nC 8 Wit C:J' ":~j:lDmON
and medl@ulIljCi!S/cent.!I<' ._,,1 lOcal COucO Room(s)
arecommerdal} of State C;1">..) , . c~G:J'v'POrtii-..:J
o INSTITUTlON~QT (')E,,Q, OMM,UN,IT'i .'::0" iMffi4ni~fbr Deck
o MunlilpalfP\Jbl1t B~'R~Ar.:b I CUa'( Rer-iMEt
o ~ Or C \ ce, "",\~lI!!f NEWTENANTFINISH
o Church IN0\fo't '0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
.:iS1 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 DEMOLITION
PHONE
'3n. 9 ? 311l44-
F~
-31\ ,91-3, 9~
ZIP
4 (;,<7l3z...
CITY
STATE
II-!
ylE:L-
sum # (If Applicable)
12
ZONING:
SQUARE
FOOTAGE: I. 'l rlJrp
Lot # and Subdivision (If Applicable)
T~ MAP PARCEL #:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I \? ([)(]J (/'J -
I --- OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ,. v
Permit: _~N
Lot Split: _Y KN Sump Pump: _Y XN
Does any part of the property lie within a special Flood
designation area: _Y~N
PLUMBING CONTRACTOR:
Manufactured
Trusses: _y~ N
~ l v.- <;""fO~ FLU M~\)i Gr
Plumber's Indiana State License #:
'PC \ M (/>~)(I)(~4- b
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.
It 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 lC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cerrify 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 CertiFica.te of
OccuPJll!cy or Su . Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
~;p:>~\AS ..p. 'E UA6?'E.
Sigi atu of wne or Authorized Agent r: '3 _ Print
(J, ()
~
Date
\ I
OFFICEUSEONLY:*******~*************!!************************************************
INSPECTIONS REQUIRED:"" Filing Fees: /71 (; , /)1) .
. 0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: 7() 0 , 0 Reviews
~9 Meter Base @ Site Cert. of Occupancy: 'tJ ;.5: ~ f) 0
Review IAPproved: Dept. of Community Servic
s:Permits/ rms[ILP COMMERaAl