HomeMy WebLinkAbout06080195 Application
Permit #: 8&010116
City of Carmel! Clay Township
CO:MMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings).
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
PHONE:
7;.1"1 _
FAX:
~c-
STATE:
#/
BEST METHOD OF CONTACT:
(
PHONE:
317 ;
FAX:
SCOPE(S) OF 0 FDN 0 STR " ARCH 61 MECH
RELEASE: . ELEC 0 SPKLR OTHER(S):
WATER lITILITY
PROVIDER:
SEWER UTILITY
PROVIDER:
SQUARE '/
FOOTAGE: 3. t 2-
ESTIMATED COST OF CONSTRUCTION: ,/........./1 ",.,.,...
(EXCLUDING LAND VALUE) ,/'?v v"",-,
,
., NO BLDG. CONSTRUCTION TYPE: / / _ 8 OCCUPANCY CLASSIFICATION:
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
.. NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEM0LTT10N
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:
/
Elevator or Uft: 0 YES
TYPE OF CONSTRUCTION:
lIP COMMERCIAL
(Privately owned hospitals and medical
offices/centers are commercial)
o INSlTTUllONAL
o Municipal/Public Bldg
o School
o Church
o MULTI-fAMILY
Number of units: _
FOUNDATION TYPE: (Check all which
apply for the new construction area)
. SLAB 0 CRAWL SPACE
o POST & _BEAM _PIER 0
BASEMENT (WALKOUT:_Y_N)
.. PLUM
Early Release v
Permit: _Y ~N
Lot Split: _Y $N
Manufactured
Trusses:
)( Y _N
_y)LN
Sump Pump:
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
X - U I15J-'VVJ'.lLc(
rh~,
PLUMBING CONTRACTOR: i'
~ ,/fe/{o')
Plumber's Indiana State License #:
tq 1 c9 tJ CJ >?' 0
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 11) 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 confonn to, all applicable laws of the State of Indiana, and the MZoning Ordinance of Cannel Indiana - 1993~ (Z- 289) and amendments,
adopted under authority of r.c. 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 t 'tary sewer. I f certify that the construction will not be ust or occupied until a Certificate of Occupancy or Substantial Completion has been
.ssue eDep nt ommunicy mi, r"m,' Tndiono ~JA<:.d1S(J, U-/~ 0 0
Print
OFFICEUSEO LV: ************************************************************************
INSPECTIONS REQUIR . ~ Filing Fees: <g 'B q, ~
a..V)-Base Inspections: '"'2 000 00
Cert. of Occupancy: 10 7, ()V
:~~~>9-t3~
Upper Footing
Lower Footing
C"o~g~Meter Bas
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms,lILP COMMERCIAL
(Date)