HomeMy WebLinkAbout06090105 Application
City of Carmel/Clay Township Permit #: Or.;, (), ~ 0 me:
,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLI<I:ATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory:Buildings
BUILDER of NAME PHONE ,. 't "'3,,# <:P1l a FAX 1.:r Olc....~asa.'l
RECORD: ""~M,..,-r c~ iV')'Pf... or...,J c".. ,Nc.. I
,
STREET ADDRESS CITY srATE ZIP
\ I o::}- 13...a,,"S"4-r.. "PII-w'f 1Wi:>,o4-A/APO... ~ r,.! ..,(,~oi
BUILDER'S EMAlL ADDRESS BEsr METl10D OF CONTACT: ,
'Do" IE f2. 6<: ,<- c:E """'_.T (<>"'~T. <:.,"" eM 4.1.. I
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PROPERTY NAME PHONE I. '+" ~"il~- ~S"I (,., FAX T'~ $8' Gl.:- 'f If.;l~
OWNER: -S'C 1/, Nc.!3...t-r' C 44-"" ~ .... th>t?rr4-<- ,
STREET ADORESS CITY srATE ZIP i
13$00 N. ~rz'-P'JUI -Fr. C4-4M"'1.. ,oJ 'i<pc:>3~
LOCATION ADDRESS OF CONSTRUCTION SUITE # (If Applicable)
&. PROJECT 13"~ ,./. ....e.e,l>,+^/' ~T.
INFO: Address of Shell Building (If different than Address of Constr:Z~f. J I Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TE/~ NAME: ~"" . j.,.' ZONING: TAX MAP PARCEL #:
~o l\-~1> ~OO..... ~ 'T~"S"'f C~..J<- ~~(# ''lO''(J.~OOOOOO (OoCil.
srATE COMMERCIAL SCOPE(S) OF o FDN oSTR ~ ARCH ~ MECH I!'r' PLUM I SQUARE
DESIGN RELEASE #: 3ao'-l3'f RELEASE: ]ii( ELEC o SPKLR OTHER(S): FOOTAGE: '3 "3 '80
WATER UTILITY ~ SEWER UTILITY I ESTIMATED cosr OF CONSTRUCTION:
PROVIDER: PROVIDER: C4~""~t- (EXCLUDING lAND VALUE) it:; $"0, 000
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR ,.;/A-
COUNTY WELL AND/OR SEf'flC PERMIT #'S (If Applicable):
# of Roars: I Elevator or Uft: 0 YES R- NO I BLDG. CONSTRUCTION TYPE: 1/-1'2: S i' IL I OCCUPANCY CLASSIFICATION: a:. 1Z~
-, -~~-
TYPE OF CONSTRUCTION: ,TYPE'OFIMPROVEMENT:
~ ....f"'-\..-...- ~,(,\\~
,CJ COMMEROAL (',~~S \ [j)<;'NEW STRUCTURE
(Privately owned hO$l:JtaIS\ C, ) \ . ~"I ? I:, ~..-; 0 ADOmON
and medical nffices/cenrerS l r " . \ \ "," Cl ~ ,\ rciO Ream(s)
~";T;v ~f\~ 11,'- ""',,'.... LV
are co~rgal) ..........,\:S 'p . n( 2 \ ~ , : 'r ," G\ J.,ftDrch
o IN=>"H....ONAlCO" n' ., " ,,..,,,~'
~J.JJ.n,...~.\.v T)~.\~' -,....,:f\\ '-. ~:~\~\U Mezzanine or Deck
y\}tl,UI11clpaI/Eublic Bldg 'I')" ",I g REMODEL
G Schoolo' '\' CO"';'; I C,-". 0 NEWTENANTFINISH
o ~~~~ 0 ~ !'5:>'\-J".;;''--~\~\'i.p.. 0 ACCESSORY BUILDING
FOUNDATION T.YPE: ~c;:':,lian whlj:h' 0 DETACHED GARAGE
apply for the ~:-cio ' ction arlia) 0 ATTACHED GARAGE
S SLAB 0 CRAWL SPACE 0 CEll TOWER (New)
o POST & BEAM 0 BASEMENT 0 CEll TOWER CO-LOCATE
(or POST & PIER) WALKOUT,_Y_N 0 DEMOUTION
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y ~N Trusses: _Y >< N
Lot Split: _Y-,)s:::N Sump Pump: _Y KN
Does any part of the property lie within a special Flood
designation area: _Y ~N
PLUMBING CONTRACTOR:
~ "U...I.., II' 4JV -t- "j>Oo/l.E.
Plumber's Indiana State License#: :>. :"i >:>\\ \,<\,
'<i ,/ \\\ \ \
c.-p '&1 0031"ilO..<< ',>'" \\\ \1;\
.' .t" " '\ 1 \ '..
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 67~'l~i:: l~j~;~arding expiralji(:m~~ fram~fo; \
beginning and completing construction. , '.\ \\ \ 0 L.. \) r'/~ \
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, ~r>~~y~~h,ange ir6"n\ use of land..DI' structures ///
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "ZoniJ;lg ()r{#nance of Carmel Indiana - 1993:'(Z~
289) and amendments, adopted under authority of J.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts~en'datory thereto,""f furthercertif{that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be us'ea dr'occupied until a Certificate of
~cy o1ubstJmtial C7f'fle~on 1r been issued by the Deparonent of Community Services, Carmel, Indiana. \~) . ,/ ..//'/
\..2----"'"\.. t<.. ~ 17AN'~"" 1l-. O....e>~c..1L- \ // ~;J.O/"fD
Signature of Owner or Authorized Agent Print .. D'
OFFICEUSEONLY:************************************************************************
INSPECfiONS REQUIRED: .lJ Filing Fees: i ~g ... ~,V ~
. ~A-. 0 r;"{7\ # Charged Re-
Upper Footing Lower Footing Under Slab '\ i/J~ Base Inspections: .. 'U\J Reviews
~g~ Meter Base ~ Site Cert~. of Occupancy: ~"'I ~ ~ 0 ~11 Additional Fees
0f4 TO L :~//. .r::( ~ ?:Ii oW i
Reviewe / Approved, Depl. of Community SelVices Fee Re ed by:
S:PermIts/ mS/ILP COMMERQAL