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HomeMy WebLinkAbout06090146 Application City of Carmel/Clay Township Permit #: 0& tJqn ! 1jt.., COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings BUILDER of RECORD: NAME ?Jil- OTY STATE STREET ADDRESS J~~. S -3~'1-~7'-1 ZIP L.(~1...,'6 I BEST MffijDD OF CONTACT: t::.-N II... BUILDER'S EMAIL ADDRESS t'" ';;Jl->I""R.~ PROPERTY OWNER: NAME 1I-tE- FINE-! STREET ADDRESS \ ~ c.AR, CITY DIZ.. Sren-l.CO LA.R.H -l- STATE ( PHONE LOCATION &. PROJECT INFO: ADDRESS OF CONSTRUCJ10N E::. LAP..H lSGDi<... . Address of Shell Building (If different than Address of Construction) STATE COMMERCIAL DESIGN RELEASE #: IS12.S SCOPE(S) OF 0 FDN 0 STR ~ ARCH ri. MECH RELEASE: lJiI. ELEC 0 SPKLR OTHER(S): c WATER UTILITY PROVIDER: SEWER UTILITY PROVIDER: FAX SUITE # (If Applicable) ::D TAX MAP PARCEL #: \v-IO- ~ -OJ-OJ -OZJ\D. l!\ PLUM ..., SQUARE FOOTAGE: \2eD EST1MATED COST OF CONSTRUmON: (EXCLUDING LAND VALUE) ~ 2..5 I ")<?;i_1 C PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): ~i/A. # of Floors: Elevator or Ufl::: c;I YES .5( NO BLDG. CONSTRUmON TYPE: 1L OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT: PROJECT INFORMAnON: M COMMEROAL 0 NEW STRUCTURE Early Release \, Manufactured "II 'f" (Privately owned hospitals _O''''ADDITI:'oN Permit: Y -A-N Trusses: _Y ~N and medIcal officeS/centers ,-. rr;\'(',""- ,'-' ".". ,0~-L\Room(s) Lot Split: y'..1 N Sump Pump: _Y " ',N are commerdal) l"""' r:n'.' - -,- '_ .--,'\ ~ ,-',,'''-'-0 Porch ~ ---f:i-: o INSTITUTIONAI!:',r'._ :.. _,\N' '.\' ',":::', 0 Mezzanine or Deck Does any part of the property lie within a special Flood Op,Muruopal/PUbliC Bldg ~',' ~'/6 REMODEL \i H o S~pOI'\ Cd ;:::a\~' , \ r'i ~ ' NEW TENANT FINISH designation area: _Y -A-N - " 'i- - UN'i:>\\I>..t>E.D o Church o~ ,~':~,.:, ;,~' J \ II': , ',0 '-ACCESSORY BUILDING PLUMBING CONTRACTOR: , , FOUNDATION TYI'E:J(Check all wh,ch I \,.\", 0 DETACHED GARAGE C.,. ,n.~, D~' '....1 '.-Ail'. V.~I .=A!1<..'Ciw;l ,./ apply for the neW'cOnstruction area) -' , '1 ,~ 0 ATTACHED GARAGE . ~ .. ~0}:!:=!-;. tEfi. .b~~. .:: . ...v ur~' 'c.." h'" ~ ''liQ SLAB ell' 0 CRAWLSpAcE" 0 CELL TOWER (New)"..- . Plumber'sIndianaStateLicense#:... == o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE~.pL. c.. 10 r.() ... . .;.--__J (or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON . ,- -'- :>-74. - -, ...-j / , ***************************************************** 6"1t:OO A iJf). 00 /~~ 60 1$:' -i .6/~,,"~J:~ OFFICE USE ONLY: ************** * INSPECTIONS REQUIRED: Upper Footing Lower Footing Under Slab Rough In , ~et~r Base G Site Filing Fees: Base Inspections: Cert. of Occupancy: # Charged Re- Reviews Reviewedf S:Permits/Fo