HomeMy WebLinkAbout06090052 Application
City of Cannell Clay Township Permit #: !Jig V1 0'05 C).,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory Buildings
BUILDER of NAME ,; PHONE FAX
RECORD: CfW/11;:Il... Co~'ST~ ON ~ICfS (Ale.. 574-5 57151~2-
crrY 1tf ZIP
~ ~'Dt:LS <{.lP
BEST METHOD OF CONTACT:
P 1-rt)L-Co"-l'S;t12.u::[. c.DM EM. \L
PROPERTY
OWNER:
PHONE
5,,\D Z'f-3D
FAX
5~t>2 2-9
STATE
ZIP
STREET ADDRESS
U~l ~ ME,.F2-IDI
crrY
~ :11'1 '2-0 CA-12.Jv\ EL
032-
LOCATION
&. PROJECT
INFO:
ADORESS OF CONSTRUCTION
1/ ~ N\ef!..I PI~
~
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
51)( Vise \ f'U t-J ES
lsJ5
STATE COMMERaAL
DESIGN REUEASE #: 3w
WATER UTILITY
PROVlOER: C I,""
SCOPE(S) OF 0 FDN 0 STR ~ ARCH
REUEASE: Jl\.ELEC 0 SPKLR 6liiER(S):
SEWER UTILITY
PROVIDER: C-Ill
PlAN COMMISSION / BZA / BPW OOCKET NUMBERS; AND/OR
COUNlY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Roars:
Elevator or Uft: 0 YES Ilt" NO
BLDG. CONSTRUCI10N TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
QrCOMMERO&I1=llC:1=D FOR Cm[Q,Tm~!:lml.. I RE
/ (prtvatelyb'..Med'hOsp1tals I LJ A nbN"""
and medl<:!lll(l1.~enters)mpiianC8 with all (r(9u 'R~bMlSj
are commercial) or State and Local CoclE!SJ Porch
o INSTITUTIONAL <' ~8 ~e or Deck
o Mu~jfubi'EBI&goMMUr~lt5 CREM8brr~-
o sp,~y OF CARMEL / q,~NEWTENlimllliNISH
o diUi"Ch 11\iD1ANAo ACCESSORY BUILDING
FOUNDATION TYPE: (Check all whlen' . 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
IS;YSLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOlITlON
SUITE # (If Applicable)
t>D
Lot # and SubdMslon (If Applicable)
ZONING:
lCf
TAX MAP PARCEL #:
ILPD"i 3500=0&' .DO I
,
o MEOi 0
ESTIMATED COST OF CONSTRUCI12;l:
(EXQ.UDlNG LAND VALUE) l:p LR 0 roo
I p.. ~ OCCUPANCY ClASSIFICATION: B I REM
PROJECT INFORMATION:
Early Release./ Manufactured /'
Permit: Y N Trusses: _Y ~N
Lot Split: Y ./N' "sump Pump: _Y ~
Does any part of the property I!!: within a special Flood
designation area: _Y~'
PLUMBING CONTRACTOR:
BELL- ?u.tMblt-J<=t
Plumber's Indiana State License #:
'8B B 00 ( t7 t./e
~
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 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 d . s are connected to the sanitary sewer. I further certify that the construction will not be used or occupied. until a Certificate of
. Ci rpJ . has been issued. by the Department of Community Services, Cannel, Indiana.
ell v1 tvli /(ev
nature of OW er or Authorized Agent Print
OFFICE USE ONLY: ***************************************** *******************************
INSPEcnONS REQUIRED: Filing Fees: TI ~ 6' 0 L
r) 0 K1 0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ^' f) , V Reviews
Meter Base ~ Site Cert, of Occupancy: 0, t9 0
o
proved: Dept. of COmmunity Services
LP COMMEROAl
Fee Received 5y:
9 ,8,O(P
Date
Addiuonal Fees