HomeMy WebLinkAbout06090059 Application
City of Carmell Clay Township Permit #: () ~tl1 0 ~tt)1
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
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STATE
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BUILDER of
RECORD:
NAME 1---.
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PHONE
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CITY
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STREET ADDRESS
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BUILDER'S EMAlL ADDRESS
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PROPERTY
OWNER:
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STREET ADDRESS
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LOCATION
8r. PROJECT
INFO:
ADDRESS OF CONSTRUCTION
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Address of Shell BuJldlng (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
STATE COMMERCIAL
DESIGN RELEASE #:
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SCOPE(S) OF 0 FDN 0 STR
RELEASE:.. ij:VELEC 0 SPKLR
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SEWER lJTI
PROVIDER:
PLAN COMMISSION I BZA I PW DOCKET NUMBERS; ANolOR
COUNTY WELL ANoIoR SEPTIC PERMIT #'S (If Applicable):
# of Floors: S- Elevator or lift:
YES Q NO
BLDG, CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE e;~W'EMENT:
~ COMMERCIAL C01'65\ ,S]WCTURE
, (PrlvateIyOWI).4,t~'Il!t~Tl;fOB J "'1!;TIr2AoomON
and 01 ~lomcesttenre~\p\\ance VJ\'.', cod8SD R9,DDf!l1 (5)
, are CO ,*,~)~t to CO. '''',(\ Loccl ,,,:\~\CPOidi'
9l. IN lNA( 01 stale ,.. ,,,,~\'1-'{ ~.,:,. q ~~~\ile or Deck
o Municipal/P'/')'~ ~ \'It \\I. U' .,' &:;r\REM~brr' '
o ~l! P 1" ,'J',t:L I C~: Ill. NEW TENANT FINISH
o ~'fI1t Or C1':8. . 'f','\'~pt] ACCESSORY BUILDING
FOUNDATION !.:' (Check all whic\h"1. 0 \ 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
o SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOlff:_Y_N 0 DEMOLITlON
00
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BEST METHOD OF CONTACT:
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CITY
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STATE
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SUITE # (If Applicable)
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ZONING: G G:,
ARCH tl'MECH
oTHER(S):
o 7
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release X Manufactured ,1/
Permit: _Y __N Trusses: _Y ~N
Lot Split: _Y ~N Sump Pump: _Y.+-N
Does any part of the property lie within a special Flood
designation area: _Y ~
PLUMBING CONTRACTOR:
K;(t.~
Plumber's Indiana State License #:
I 6 G, S ,<- @l_ f?- 0 c.Ae
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 drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificllte of
or Substantial Comp/eti ''11 has been issued by the Department of Community Services, Cannel, Indiana.
. - '" 1 0 tV '-( ('~ 4,-. rA ""J
orized Ag Print
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: '3 J ~ J . /i; if ;
. . ,.,/'I # Charged Re-
tlng Lower Footing der Slab Base Inspections: 1--{) () I t)fV Revi~s
Site Cert. of Occupancy: 0 i
Q (}, f. L1 Additiom,l Fees
,tOTAL' 00 lR'r
5\JDd,;
9 -({-o<.
Date
.s
(Da e)
Fee Received by:
Reviewed/Ap roved: Oept of CommunitY Services
S:Permits/FormS/ LP COMMERCIAL