HomeMy WebLinkAbout06080080 Application
CityofCarmel/ca Township . Permit#: fJ(p 01$00<00
COMMERCIAL or ~STITUTIONAL IMPROVEMENT mCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
I
FAX
SCOPE(S) OF 0 FDN 0 STR ARCH 0 MECH
RELEASE: """ ELEC 0 SPKLR OTHER(S):
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.
I, 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 certify that only
kitchen, bath, and floor drains at nected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyor Su . etion has been issued by the Department of Community Services, Cannel, Indiana.
~4/
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: ~ Filing Fees: 1,;2 '3 80
. . # Charged Re-
Upper Footing Lower Footing Under Slab ~ ?-"> Base Inspections: r). CJ 0 . 0 0 Reviews
C;-U9h..;7 Meter Base ~ Site Cert. of Occupancy: / 0 1 CJ 0
o SO
BUILDER of
RECORD:
OeLdcvc>x
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"v .:U..
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRUCTION
~
f
Address of Shell Building (If different than Address of Construction)
BUILDING PROJECT, OR TENANT NAME:
-t. ,.... ~ d'.<;
STATE COMMERCIAL
DESIGN RELEASE #:3 '20//'Y
WATER UTIlllY
PROVIDER: c:;:!pv"pt/i-
SEWER UTIlllY
PROVIDER: c!4P" /t::--
ptAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
# of Floors: /
BLDG. CONSTRUCTION TYPE:
Elevator or Lift: 0 YES
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
I3"COMME~ t:c 0 NEW STRUCTURE
~~~~~~,~'" 0 AD~m~~om(s)
are commeraal) h ('Orr \.',; 0_ 0 Porch
O IN9NA'''I' ')'" ~"'\/~ 0
... ,...;r; LJ~ L.) f.. ~ ,. 2' ^ '.: I It"'I Mezzanine or Deck
/lSIr\/~nicil!"l!Pu!'1'~BJd9,! ,ce; 'V'I, ~;,D!$l:MOl1EL
n'~ql \ r'U/11J'/ -1'C:!/0q'~NEWTENJ\NTFINISH
o Churchc'.;,'~,; ,.,,1, U!\it .\:('CJGf ACCESS\lRY BUILDING
FOUNDATION TYPE: (Check'/II':irvhifh ,j , .'~'Q DETACHEDGAAAGE
apply for the new construct:f9!'e~~.))-A i' ;::::OV'II\VAC;HED GARAGE
GY'SLAB 0 CRAWL SPACE L.LPi,CELLTOWER (New)
o POST & BEAM 0 BASEMENT 0 eEll!;TOWER CO-lOCATE
(or POST & PIER) WAlKOUT:_Y_N 0 DEMOLmON
g~
Print
PHONE
-
cm
STATE
ZIP
~Uc.,
BEST METHOD OF CONTACT:
, -Zz. <?9
PHONE
FAX
--
CITY
STATE ZIP
SUITE # (If Applfcable)
ZONING:
TAX MAP PARCEL #:
SQUARE 2'::?7A
FOOTAGE: ~ '""
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
61
OCCUPANCYCLASSIFICATlON: 8. 6_
PROJECT INFORMATION:
Early Releas_e ~ Manufactured ..---
Permit: Y"""-N Trusses: _Y _N
lot Split: _Y...L::N Sump Pump: _Y ~
Does any part of the property lie within a special Flood
designation area: _ Y ..L:N .
PLUMBING CONTRACTOR: --:'f3~1.i.f?J9,:~
~-
Plumber:s.Indiana State License #:
l
~.~. ."4t
I
"-.! ~::.,j
:ff~11 Jy6
Date
Additional Fees
TOTAL:
Review Approved: Dept. of Community S
S:Perm1t!ifForms/ILP COMMERCIAl