HomeMy WebLinkAbout06090018 Application
Permit #: O~oq 00(55
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-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:
NAME:S t l-r S ,d
'l...LE.L.. CXfvrv
STREET ADDRESS:
qq;z Q'OIt7H CA/tt7oL.
BUILDER'S EMAIL ADDRESS:
bhVlk..@'St-.:cl ~q
NAME:
13::zt.-L. e51cS <:!PeV';(DLQ
STREET ADDRESS:
'IIo~ /IV 9(.,,-1<- S7Att:;1
ADDRESS OF CONSTRucrrON:
'13/0 W, '...... 37,U!l'::7
Address of Shell Building: (If different than Address of Construction)
PHONE:
317 l/~3. "00>
FAX:
317. '1f;l3~ (,300
cm:
.::z;,v~
STATE:
..z;.V
ZIP:
7'",a 0
BEST METHOD OF CONTACT:
E/1t.-f:Z L ~ 3/7. '7"-<.3 / c:.;.ot;;.
PHONE:
30. ~7;J.., 331S'"
cm rr7d; 5
c~.. _. ...._ I
FAX:
317. 337, DSYo
STATE:
~
ZIP:
~"'8':
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING:
ta.L.L eS'1CS fJU:U-O:LJ& k;rvDll/f1-:IVN
STATE COMMERCIAL 3 .- SCDPE(S) OF 0 FDN 0 STR 0 ARCH
DESIGN RELEASE #: /1 -J;J.8 RELEASE: V'ELEC 0 SPKLR OTHER(S):
I1l"'MECH
TAX MAP PARCEL #:
/7/307000005"000
SQUARE rlo
FOOTAGE: 7. 050 SF
WATER UTIlITY
PROVIDER:
SEWER UTILnY
PROVIDER:
Q..-1 \2AV 17
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: ,
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ~ '100 ~OO
PROJECf INFORMATION:
Early Release ./:
Permit: Y N
Lot Split: Y %"
Elevator or Uft: Q YES
BLDG. CONSTRUCTlONTYPE: t - B Sf,( OCCUPANCYCLASSIFlCATlON:
TYPE OF CONSTRUCfION: TYPE OF IMPROVEMENT:
c!i' COMMERCIAL 0. .-NEWSTRUCTURE
(Privately owned hospitals and medicaJc-rdJ\4DDm0N
offices/centers are comm~oal)':'O:'< ) . "I \8t..~0EJ\'-' Room(s)
0. INSTTIUllO,NAt.-:0 ~u\"\ cG ,,'.lD " 85 0. ror<h
q.,~unidpaI/PubhC ~Idg~' c,.1 C~_C\OJGMetia)l\ne or Deck
0.-- St~~oIt to CO- - \ -o,d Ll' "-'1M)\::REMODEL'r\\t'
o.S-o:h\\l'ch 01 st'o.te c lIi~\"'~ ,,"I \ ,0.", ~TE~ANT FINISH
0. MUlll,FAMILY Of GO~ I Oj~ ACCESSORY BUILDING
Numbe15~ili: ~\'J\f\-. ",pfl DETACHED GARAGE
_..eJ 01" vI" ",,'DIp., 0. ATTACHED GARAGE
FOUNDATION tJr'"' cc~ec~ all wnicn 0. CELL TOWER (New)
apply for the new constructIon area) 0. CELL TOWER CO,LOCATE
f5i{ SLAB 0 CRAWL SPACE 0. DEMOUTION
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
Manufactured
Trusses:
Sump Pump:
_Y VN
_Y XN
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
PLUMBING CONTRACfOR:
LEAr::H AN/) /<<A.:;~ ; f>=Jl.E.K. .&owAl
Plumber's Indiana State License #:
?/7Soooo
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 Cannel 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 dri:tins are
connected to the sanitary sewe~,,'Ifurther certify that the construction will not be used or occupied until a Certilica.te of Occupancy or Substantia} Completion has been
i"z:;e;tmentofCommunitySe<Yim.cnmeI"/4<e77 h1 t7'c:NJ<. 9'-S"-Oc,
Sig.ato... .f OWn",., ~ ..ent Print Da.. I
OFFICE USE ONLY: ********************************************************~***************
INSPECTIONS REQUIRED: 0\1'd> Filing Fees: ~ eo'). . 5 tJ I
01" Base Inspections: "3 G>eJ, OD
Upper Footing Lower Footin Under Slab
~ . Cert. of Occupancy: 1$ LJ7 ~ 00
~ MeterBase . Final_ Site ),H 0 . !;D
~I TOTAL:
\llMt1.~ S~. G..~
ReviewedjAppr ved: Dept of Community Services (Date)
S:Permits!forms/ILP COMMEROAL
l
Date