HomeMy WebLinkAbout06080127 Application
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City of Carmel/Clay Township Permit #: OMJ'lO/~ r:7
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD:
NAME It-
l'Ol1:r
STREET ADDRESS
5333
t)U\LDE-l<-S
, Bu T>1 s,-.
BUILDER'S EMAlL ADDRESS
J
PROPERTY
OWNER:
NAME
<Sw $5
STREET ADDRESS
5:
~.
'01
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRumON. . 1
S- IN, 10& r>(
Address of Shell Building (If different than Address of Construction)
WATER UTILITY
PROVIDER:
BUILDING, PROJECT, OR TENANT NAME: \...
D/?, f-
STATE COMMEROAL
DESIGN RELEASE #:
SCOPE(S) OF 0 FDN 0 STR
RELEASE: ~ ELEC 0 SPKLR
PHONE
FAX
672- L/l81
mY STATE
t-J 0 I AJMOL
BEST METHOD OF CONTACT:
.s. COM EMfl:I/..- t.. PHONE-
PHONE
'01 (,- ~27{)
mY
INtlkJ
,
I
~
ZONING,. I
--...:' a - '5'
u 171307 DO 1'/ CO 1,0()2.
1<j/.. ARCH )If MECH ~ PLUM t5QUl\REJ:1- I
OTHER(S): ~~ II-J$ ,
ESTIMATED COST OF CONSTRumON:t\ ,0 000
(EXCLUDING LAND VALUE) I
SEWER UTILITY
PROVIDER:
c
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/ORSEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: 0 YES 1l( NO
BLDG, CONSTRUmON TYPE: ~)(. ~\
OCCUPANCY CLASSIFICATION: B I \<.EJ\'\
TYPE OF CONSTRUCTION: TYPE OF IMPROVEM~"'l
I'i COMMEROAL 8,:)'NEWiS/RUcWR(;,s
/' (Privately owned hO;Q\laI> ^SEO fOR b .~!l'IONj\J,"\'
and medical offictfS(~ III ,\'\ance W.. Q (RQQfTl{s)
are commerdal) Sub'leet \0 eO P nd U)c,i,OO"I'Ol'Ch' I\CES
O INS111lJ110NAL Sta'B ,)" , '" ,""
of .' \ l'\!\-C7 ':MezZcinlneor,Q~
o Municipal/Public BIQgOF COM\'oO'\.'BfMODEl-O'"'~\\l::>1 ,
o School DE P \ '!) \:',;l8l: 'NWTENANT FINISH
o Church ,...,"1'1 OF CAB "@ McGESSORY BUILDING
FOUNDATION TYPE: (Ch'etl<'all which 1NtJ" 'DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
gSLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO.LOCATE
(or POST & PIERj WALKOUT:_Y_N 0 DEMOUTlON
PROJECT INFORMATION: I
~:~~i~~lea~y j N :~~,:~red Y./ N
Lot Split: _Y .IN Sump Pump: _Y v'iN
Does any part of the property lie within a special FI~
designation area: _y.::L..N
PLUMBING CONTRACTOR:
MC.CU.fZ.D[ ME:.c.liftN\UtL.
Plumber's Indiana State LIcense #:
PCPl I 0,",7"1 Oc"
, __-~f'1\.
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 67511\C 12) re&it~e*a~iOle frames' for
beginning and completing construction. i \ \ \ \ ~------
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any ~h~nkf ln the use of land or structui;es
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Oh:ti~~ e of Ca~l Iwliana -19937 (Z'
289) and amendments, adopted under authority of LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts am~+ therA",,,fuAher certify tpat only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used\9r\ 0 ~ ,pied until a Certificate of
Occu ~rSubstanti ompletion has ~nissued hythe Department of Community rvices, Cannel, Indiana. I U \l __ !
~ JM f3/23/0(d
Print ~ 7
OFFICEUSEONLY:************************************************************************
INSPECfiONS REQUIRED: Filing Fees: 5"" 5" (P. 6-3 ,
"7 /'1 n # Charged Re.
Upper Footing Lower Footing Under Slab Base Inspections: t?" tJ I j , (/ 0 Reviews
e Meter Base ~ Site Cert. of Occupancy: / () 7 " 0 ()
~ .jJr ql. "?"< Additional Fees
, TOTAL: if () 'fI ). () )
\ Reviewedl
~ \ S:PermIts/Form
roved: Dept. of Community Services
LP COMMERCIAL
Fee Received by: