HomeMy WebLinkAbout06090147 Application
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City of Carmel/Clay Township Permit #: If)f,:/!}90/17
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
I:
PHONE
JerV1CeJ
em'
3SY.6.z7
I I BEST METHOD OF CONTACT:
T.r lJ...Crtol\. co",
PHONE
3/7 - 8'1'1-:1993
eo I (/'lei 0 ,....em' ~"'V~)
e/ [jf'L~e
BUILDER of
RECORD:
NAME
fJH.f"l
STREET ADDRESS
I"] jfYJllU
Cl.J-c.
PROPERTY
OWNER:
/;,..c:.u..
LOCATION
8< PROJECT
INFO:
E~r
BUIip\NG, PROJECT, OR TE~E:
(""'ere. .Jel
STATE COMMERCIAL
DESIGN RELEASE #: 3:2 / ^ / /
FAX
317']S'}6J..'~
STATE
/~
ZIP
1./62.79
E~ (J1a,)
FAX
yy. '1(,7-3
ZIP
~6 07.z
Is,
STATE
/#
sum # (If Applicable)
SCOPE(S) OF 0 FDN 0 STR k ARCH ~ MECH )( PLUM
RELEASE: " ELEC 0 SPKlR OTHER(S):
WATER UTILITY /? I SEWER UTILITY
PROVIDER: L 0. r rn el PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (I' Applicable):
~ I r>\eJ
# of Roars: I
Elevator or Uft:: 0 YES ~ NO
BLDG. CONSTRUCT10N TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
1""\\\\)\\........
'J&1. COMMEROAL :-.'8\ 'NEW STRUcmJRE
(Privately owned hOSPJ!a)~ D fen CO". :9o\\ADO"iiioN-
andmedlc:!p~ces,.;~ters \ ~".';.,..":}.\N\c _ riEl. Roo!l'l(s)::
arecommeroal)~~_ ~0 cOfllP k .' ('.c;;.\ GovQ~_\Pb~>_"
O INSTITUTlON^'f oct \.. _ f rId '..- . C' -'\. \\0
.../~_')10 ,,: C::j_;~\,8 (....,. "",,;{I'"''I' ~)ElMezzanine,orDeck
o MunicipaI/PublicBlflg~{"."j,,\'r,j\ b ',REMODEt:w'
o Schoo~.-n\ 0\- "'_~, ,.,'\ i CTa\NEWTENANTFINISH
o Church.' "'. ._c: (' A\"" ,.-':.:' '0\ ACCESSORY BUILDING
FOUNDATION TYPEc(GI1eckJan'v;;hich \\.:.u"'-'b DETACHED GARAGE
~I! Iv. or the new construction area) 0 ATTACHED GARAGE
SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
POST & BEAM 0 BAsEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLITION
SQUARE
FOOTAGE: J. '1, 00,
ESTIMATED COST OF CONSTRUCT10N:
(EXCLUDING LAND VALUE)
6s /{
OCCUPANCY CLASSIFICATION:
INFORMATION: -t
Early Release '" Manufactured ""'"
Permit: Y ~N Trusses: _Y ~N
Lot Split: Y XN Sump Pump: _Y ~
Does any part of the property lie within a special Flood
designation area: _Y ~N
PLUMBING CONTRACTOR:
mSeu-~J7 lfJee/..
Plumber's Indiana state License #:
Pc a/O~7</06
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 I.e. 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 CertiliCllte of
;;:;;ZtJi:Z7ni=edbytbe DePartmen/}1~1Seo/::1mn.. 9. ;Z 7- Q-6
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 7 3 9, 0 CJ
"7 0 () 0 # Charged Re-
ting Lower Footing Under Slab Base Inspections: ^ f) , Reviews
Meter BasC ~ Site Cert. of Occupancy: / f) 7. ()~
JCJ
Reviewed proved: Dept. of Community Serv
S:Perm/tslFonns/ILP COMMEROAL