HomeMy WebLinkAbout06090082 Application
Z~\
.. \
( , ; . i
\. 1<; . .." ;/
",f~~1.A~!l.J:/-'
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)'
Permit #: ~01oog^
PROPI;RTY
OWNER:
BEST METHOD OF CONTACT:
BUILDER
OF
RECORD:
LOCATION
& PROJECT
INFO:
R-ffie.Lr b1.
cOWu~J\~~V
~.~-
\"3S""
STATE:
N
NAME: M~pco
v...
SUITE #: (If Appllcable)
IDS"
Address of Shell Bulldlng: (If different than Address of Construction)
lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: 15 ZONING:
STATE COMMERCIAL ,?2.\~?' SCOPE(S) OF o FDN o STR o ARCH
DESIGN RELEASE #: RELEASE: 0 ELEC o SPKLR OTHER(S):
WATER UTILITY tJ fA SEWER lfTILITY N1J1J
PROVIDER: PROVIDER:
TAX MAP PARCEL #$
1\r0C! 31" C{)-OIJ,.-
~~~E: 3 czt/D
# of Floors:
OCCUPANCY CLASSIFICATION:
I
I
13
PLAN COMMISSION / aZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'$ (If Applicable):
BLDG. CONSTRUCTION TYPE:
..\
TYPE OF CONSTRUCTION: TYPE OF. iMPROVEMENT:
'M COMMERCIAL 0 CO,\,!-S 2;69N'EW~ucruRE
^ (Privately owned.hosprta~and medical:! 0. Q"cADDmOr+
offlc~s~~~&:are\d>rn~~~al)~t; ';.J-\\ COU\.~:~~'lTI="R~Tfi)
o INsm:nmO~{\h cO~r 0\,0 \.c--;; ->( S'(' 0," POtent'
9;\..M4fiidPal~P,ybtiC'Bld9W\0N\\ ". I -, ,J'{G\ ~Mezzanlne or Deck
o School (j . CO\'J', O.JCJ ' REMODEL
o Cburdi Or- W\,.\..I ,,~ NEWTENANTFINISH
o MUll1-IiAMiLY~t' Cl\t\ \~D\I\~'O ACCESSORY BUILDING
Numbt~(lmits' _ 0 DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Che~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLITION
o POST&_BEAM _PIER 0 BASEMENT (WALKOlJT:_Y~N)
Elevator or Uft:: Q YES
- is Srr-
PROJECT INFORMATION:
Early Release /,
Permit: _Y ~
Lot Split: _Y_N
Manufactured
Trusses:
Sump Pump:
I
:~
FLOOD ZONE AREA XIGNATIONISl
FOR THIS PROPERTY:
PLUMBI~NTRACTOR:
C {~t.A1
Plumber's Indiana stlt:e License #: {,
PC g'/057 ~?P
Class I structure permits are subjeet 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 I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funher cenify that only kitchen, bath. and floor drains are
conneeted to the sanitary wer. I further certify that the construction will not be used or occupied until a Certificate of Occu cy or Substantial Completion has been
'"uod tho Dop 0 t 01 Community "'<Vi"'. Omn". Indiaua. m /;r; lob
Print ~ t/
Upper Footing Lower Footing Under Slab
Meter Base ~ Site
Reviewed! proved Dept. of Community Services
S:PermltsfForm ILP COMMEROAL
Date