HomeMy WebLinkAbout06090006 Application
City of Carmel/Clay Township Permit #: lJfJ;rflo(1){P
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME
l
((IN';
PHONE
:5'7 -'{] 8-G,5co
FAX au
317 - t/'1 8 -fcS 1/
PROPERTY
OWNER:
STREET ADDRESS
..:JI ?/i'''JAI
BUILDER'S EMAIL ADDRESS
beLls.",
NAME
STATE
tJ
ZIP
6280
I1d
'f'
~s
o LL- ~
PHONE
317 -lNiJ -IPSO(;>
FAX
317"'0
STREET ADDRESS
40 I P ~ NN>Y L v.+.,v r tf 'PIC'-J
CITY STATE
!\lj)(ANkT'vU5 N
ZIP
l/ 2 &0
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUCTION
301 ?6JI/A.{syC Vhv (A
SUITE # (If Applicable)
300
Address of Shell Building (If different than Address of Construction)
Lot # and Subdivision (If Applicable)
t:1Z tOJb~\ (oI?P
TAX MAP PARCEL #:
BUILDING, PROJECT, OR TENANT NAME:
?!osE (YIe ~ ,..IN Ie" .r I CV/t7J S
ZONING:
STATE COMMERCIAL
DESIGN RELEASE #: 3;1.0456
WATER UTILITY
PROVIDER:
SCOPE(S) OF 0 FDN 0 STR .a- AROi ..e-MEOi 0
RELEASE: z<'LEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
9073
SEWER UTILITY
PROVIDER: C.TP-W0
ESTIMATED COST OF CONSlJPCTION:
(EXCLUDING LAND VALUEl-If 50 000
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUmY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I Elevator or Ufl: c;I YES BUDG. CONSTRUCTION TYPE: /1-8 51' OCCUPANCY CLASSIFICATION:B /ZI?
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
,J;a'" COMMEROAL 0 NEW STRUCTURE Early Release ~ Manufactured /'
(Pnvatelyowned hospttals ONsffi' Aoprl'lCiM Permit: _Y _N Trusses: _Y ~N
andm~qlfi~rS-OR C ' , " u'[J;'RPf!lT1(S) ~ J
areco\tVbl:fdaI)"c.>'-"". :1"1 all reo'O' \"Gp" h Lot Split: _Y _N Sump Pump: _Y ~N
o '" omr1\ance 'J.i " ,~ ore
INSTITUl'IO .",[9~U to ? ~. . (I' ocal COOes.O Mezzanine or Deck Does any part of the property lie within a special Flood
Mumapal!~.bIij:i,61dg.11 ,. Oc:REMOOEES
o schooJ...T OF cor.Jit'JiUN!T'!..ei""'NEWJj;N~INISH designation area: _Y ,/ N
o cllJiiIi' f'~Dr '.'-\ I CV<[]T~CCESSaRY'IlUILDING PLUMBING CONTRACTOR:
FOUNDATION ~1'fl{{g\e""lI1fWhid1- 0 DETACHED GARAGE '
apply for the new construction are\illDIANA 0 ATTACHED GARAGE CI"Tlo"RPRISI: ~E<.:7J?/,*L ,. MIoL/M>\IIV<. CD.
.Ef SLAB 0 CRAWL SPACE 0 CELL TOWER (New) Plumber's Indiana State License #:
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION C P303ooo/'''l
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.
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 I.e. 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 Of occupied until a Certificate of
Oecu eyorSu ti Completion has been [...ued by 1:he Deporttn'75:::::k...unity S~d, Indiana.
51 ature of Owner or Authorized Agent Print
qh }y.
Date /
OFFICEUSEONLY:************************************************************************
INSPEcnONSREQUIRED: () Filing Fees: 1,OOw. . ?of-]
.. \ \~ "7- CI () 0 # Charged Re-
Lower FootIng Under Slab l\ \' Base Inspections: V 4 0 Reviews
Meter Base ~ Site Cert, of Occupancy: If) '1 ' 00
3,'!J7
Upper
Reviewed! pproved: Dept. of Community Services
S:PefmIts/Fo s/ILP COMMERQAL