HomeMy WebLinkAbout06090055 Application
City of CarmeVClay Township Permit #: ()~, D 0 '0 0 f; 5
COMMERCIAIjINSTITUTIONAljMULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) i
I
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
C-cNSTl2ucnO>J M&-M r
PHONE:
u~ /...L<:..
CITY:
{J~ L
O.o.JL-/NE. leo"",
;!1€1ZCflANT'S
STREET ADDRESS:
o c. //t/ 'I::!- sr
ADDRESS OF CONSTRUCTION:
21 ~ 2. A ,E4J'r
STATE COMMERCIAL
DESIGN RElEASE #'32 OOC} L
Address of Shell Building: (If djfferent than Address of Construction)
.4fC/le;../M-r 5 J ~ ,f).IYP IF. /lb de.pr.
BUILDING, PROJECT, OR TENANT NAME: ZONING:
WDODlkcV-::'€ 'bAY S';7A-
WATER lITIlllY
PROVIDER:
vM.ME'-
//""r;!,. ,Sr.
e~EL
2IP"\ - o'>lh,
CIlY:
'( JVt:>?L ~
STATE:
IN
ZIP:
4-<0202.-
BEST METHOD OF CONTACT:
/!ELL ?~E: ~I'l- - -:+1'-1- ~<J-;;4
FAX:
STATE:
J"v
ZIP:
~t,,()3Z
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
.N/4
Z9
TAX MAP PARCEL #:
Ii- - "'-.31- 01> -~O -P/3"
~ PLUM SQUARE C "/ I
FOOTAGE: V fl'...-
i
vb,)
SCOPE(S) OF 0 FDN IX! STR ~ ARCH
RELEASE: ~ ElEC 0 SPKLR OTHER(S):
SEWER UTIlITY
PROVIDER:
{!,A71!;,e=L
PLAN COMMISSION I BZA I BPW OOCKET NUMBERS; ANDIOR
COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF Applicable):
# of Floors:
Elevator or Uft: Q YES
#/,4
'e NO
BLDG. CONSTRUCTION TYPE:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDffiON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
(8- NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOllTION
BASEMENT (WALKOUT:_Y_N)
TYPE OF CONSTRUCTION:
18 COMMERCIAL
(Privately owned hospitals and medical
offices/centers are commercial)
o INSTITUTIONAL
o Municipal/Public Bldg
o School
o Church
o MULT1-FAMIL Y
Number of units:
FOUNDATION TYPE: (Check all which
apply for the new construction area)
IB' SLAB 0 CRAWL SPACE
o POST &_BEAM _PIER 0
IX" MECH
ESTIMATED COST OF CONSTRUCTION: .1J
(EXCLUDING LAND VALUE) ~ 'i ~ 0 oD '"
, I
I
I
I
I
_Y..KeN
_Y.k.N
I
FLOOD ZONE AREA DESIGNATlON(Sl FOR THIS PROP,ERTY:
OCCUPANCY ClASSIFICATION:
PROJECT INFORMATION:
Early Release
Permit: _Y _N
Lot Split: _Y.x..N
Manufactured
Trusses:
Sump Pump:
PLUMBING CONTRACTOR:
1(1-e~~FF 'PLuhi'!,IN(;s-
Plumber's Indiana State License #:
7c. 10lD -532-
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
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 -h993"
(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 further ~ertify
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 Cbtifi.rote
fl/-Oc~ Substan' Co ion has b n issued by the Department of Community Services, Carmel, Indiana. I
OFFICE USE ONLY: *
Upper Footing
INSPEcnONS REQUIRED:
Lower Footing
*************************************************************
1:2..'3"6, a9
Base Inspections: ?-.tJCJ .. 0 0
Cert, of Occupancy: / () 7, () CJ
"'* ;--.~/<J,I510/7-;t
OOft ~'if/~
Filing Fees:
Under Slab