HomeMy WebLinkAbout06080073 Application
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City of Carmel/Clay Township Permit #: I
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLIC!.\TION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
I
I
I
FAX
3J7fi~{,.67'iO
ZIP
tf(Pd3(.,
BUILDER of
RECORD:
PHONE
3)'7'8)..3. S7?JO
NAME SeoH HevtdeJX;tf71
STREET ADDRESS
70;;'7 ~+ iMS Dr
h~f{Allt(J {.(/J11
Ctnp.
STREET ADDRESS / ~ {' 1-
UOO [. q{; .:>.
ADDRESS OF CON~U,CTION _ n.
(q TV. jIv) j(JVIi
OTY
:f",,,(:D.M4 ~l;'5
:r^.T\'
V'{\!
PROPERTY
OWNER:
BEST METHOD OF COm-ACT: f!1FPt.(
PHONE
€Ot. (P'-l7t
~ cm
J-VlQ;CU1tl. 0115
BUILDING, ~ROJECT, OR TENA"f AME: (" n", CM. f. 5
I .~'
STATE COMMERCIAL 11/if.1U SCOPE(S)OF 0 FDN 0 STR d ARCH ,..,;',. MECH PiS
DESIGN RELEASE #: .::b( UUvI -, RELEASE: ()<( ELEC 0 SPKLR '6THER(S): V'-
WATER lI11Lm . /, SEWER lI11Lm/ ___~
PROVIDER: (Q.MV\tl.. PROVIDER: ~ cre.."J1>
LOCATION
&. PROJECT
INFO:
RJ
Address of Shell Building (If different than Address of Construction)
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUtfTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
Elevator or Uft: Q YES ~o
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMMERCIAL ell ip,\~STRUcruRE
(Privately owned hO~,s.::\ cO \,\Si , \ -Q\:;@lilBlON
~and m~~I~~ _ tEars .~ V'J"i'n (1\\ fe',,_\ 0 Room(s)
rnrnel'Cial)O',rr~ h:0.C"", \ C'ill>:'':.; O(""Porch
o IN ,\..h....9NAl v,~~, \ L)2,(;. '''-'-'l'J\COJClMezzan,neorDeck
- Mumqp~I/PUblic Bldg., 'r ~ \-\~' ~~,'q,;, RI:~Ei?
o Sg.!I"r.f CO\JII\"')'~I ,~( ~~EWTENANTFINISH
cnlO1u,ct\-' r- q~^Ell <..,,-1 0 ACCESSORY BUILOING
FOUNDATI~W@~ all J!ll:~iI;~,',,"!\ 0 DETACHED GARAGE
apply for th construction area) 0 ATTACHED GARAGE
~ 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 DEMOL1TION
FAX
got, 107M
STATE ZIP
IN Lf~J~{)
sum # (If Applicable)
)(.,0
{ fROOrjJ
ESTIMATED COST OF CONSl]j.UCTION:
(EXCLUDING lAND VALUE) If J 7, Q 00
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release V Manufactured l/
Permit: _Y ~N Trusses: _Y ~N
LotSplit: _Y~N Sump Pump: _YXN
Does any part of the property lie within a special Flood
designation area: _ Y 25!..N
PLUMBING CONTRACTOR: i3Lt-1i2..eH.~
Plumber's Indiana State License #:
Class I structure pennits 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 Cannel Indiana -1993", (Z'
289) and amendments, adopted under authority ofle. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify 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 Certificate of
OccupanCYOrSUbS_~nissued hythe Departm;';~/:uni(f;6::rel'Indiana. &/11 /() 1;-
~AUthOriZed Agent Print Da,. /
OFFICEUSEONLY:*******************************************************~**********~*****
INSPECTIONS REQUIRED: (b Filing Fees: S g 7. 'CJ ~
.. \ t1 ...., Jtl AI I'\A"\ # Charged Re-
Upper FootIng Lower Footing Under Slab t{j r, Base Inspections: rv C/ . VV Reviews
eter Base ~al.-J Site Cert. of Occupancy: /, 7 V 0
100
TOTAL:
00Ic
Approved: Dept. of Community Services
rms/ILP COMMERQAL
Fee R
Additional Fees