HomeMy WebLinkAbout06080105 Application
"
City of Carmell Clay Township
COMMER.CIAL or INSTITUTIONAL IMPR.OVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &, Accessory Buildings
Permit #:
/~
f)& o8()1tJ5
BUILDER of
RECORD:
PHONE
lL-(.,.,.-
FAX
5l3-
CITY
~
STATE
rJ
ZIP
;)
BUILDER'S EMAIL ADDRESS
PROPERlY
O,arN[R-
~
NAME
BEST METHOD OF CONTACT:
-/;051
PHONE
FAX
&n- z
STREET ADORESS
CITY
ZIP
LItX:J
LOCATION
&. PROJECT
INFO:
AOORESS OF CONSTRUCTION
STATE COMMEROAL
OESIGN RELEASE #: 119 ~"
WATER UTILITY
PROVIDER:
SCOPE(S) OF L 0 FDN 0 STR
RELEASE: It( ELEe 0 SPKLR
SUITE # (If Applicable)
1.~S
Lot # and Subdlvlslon (If Applicable)
Lv
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
D (
.{ MECH
TAX MAP PARCEL #:
17 U LS~O{/0()OO 19 ?.J'
d PLUM
SEWER UTILITY
PROVlOER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUOING LANO VALUE) $ '2, S 000
PLAN COMMISSION / BZA / BPW DOCkET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or Uf'c: [) YES BLDG, CONSTRUCTION TYPE:( ",.ftY CUPANCY CLASSIFICATION: 13
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
r:i COMMEROAL 0 NEW STRUCTURE Early Release ~ Manufactured V-
(Prlme~\lWQeA~~I4!sOR CONSTI~JQ\P"omd>N Permit: _Y _N Trusses: _Y ~N
ancHriedlc:inbt:fiafSl nters I 0 Boom(s) y, - ~
a~~f9al)J compliance with a!l rG~Ju ~d)nporch lot Split: _Y ~N Sump Pump: _Y ~N
o IN~odIU .N~~'f 98t13f1Jld LOG:: coo.~.~'e. s, .9 _~ Mezzanine or Deck Does any part of the property lie within a special Flood
Mumapal1~ublic_ lag " " "TV c., 'REMODa V'l
OD$di01i OF- CUf'Jii\IUi"J, oJ., .i'U:W~1lW$l'ITFINISH designation area: _Y ~N
I#l.n6lJuI"'\1= CAR iv1 EL / CLAY Gi "AcCESsORY BUILDING PLUMBING CONTRACTOR:
FOUNDATIO'N'r'YPE;nCheck allll"~'ANA 0 DETACHED GARAGE I _ ~ ,t I
apply for the new construction IIrei)' 0 ATTACHED GARAGE ~~ ~ "",~..J\ r\u """"t, ....tI
I2l' SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana State License #:
/6 POST&BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE '-J::j: / q ~/J 001-
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON . _ S L- \L/
0' ,-:,-...
Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 6?~.IAc:~qf!:~g~~gI.~_~a~ ~Gn'e frames for
beginning and completing construction. " ( ~ II :
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struch.;re, or any change in the use oflaP~ or:structu~s
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, an:d~h~ "Zon~.QrdipaI1fe ~<f{1pnel Irfii~ - 1993"; (Z'
289) and dments, adopted under authority of I.e. 36,7 et seq, General Assembly of the State of Indiana, and all ActNoah\1ndltoty diutib. I further,cerrlly that only
kitchen, ba and floor drains are connected t sanitary se I further certify that the construction'~ ~ot be used or occupied until aiC~cate of
Geeupan TSubs_ 'amp/eCion nissuedbytheDep entofComm -tyServices,C~el;Indiana. J~,J~i"
~
,
*********************************************
Filing Fees: 1ft; r (g . ~ 0 ;
!"') Of} 0 0 # Chaiged Re-
Base Inspections: ' ,^, Reviews
Cert. of OC..C. upa cy: : I. ~ 0 7 . & 0 AdditioL Fees
T01i~!:_; ~h{!J eJ.3 , (pO
Fee Received by:
OFFICE USE ONLY: *
INSPECTIONS
Upper Footing Lower Footing
e~~ Meter Base Site
Review Approved: Dept. of Community Services (Date)
S:PermIts/FormS/ILP COMMEROAL