HomeMy WebLinkAbout06090121 Application
City of Carmel/Clay Township
COMMERCIAL or lNSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
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BUILDER of
RECORD:
NAME PHONE
(efYl n.ef . ell l-rhaLte- f<.eatfula an 'ltrfi{l()!J
STREET ADDRESS ,A. CITY . I STATE
. lip, 3+-. ~1a..M 0 15 IN
ZlP
PROPERTY
OWNER:
Iu --f!1p ( 0
LOCATION
& PROJECT
INFO:
BUILDING, PROJECT, OR TE~NAME: .
PN- fY1 MMrJ,sf' ..5
Sf ATE COMMERCIAL
DESIGN RElEASE #: 8J.O'lba
WATER lfTILI1Y C\J-./ of
PROVIDER: cO}
SCOPE(S) OF P FDN 0 STR
RElEASE: ryf' ELEC 0 SPKlR
13-&
..-'MECH
TAX MAP PARCEL #:
/(0-/3-1/ v4--18- cd. I
c0LUM SQUARE
FOOTAGE: 3 Co (P 0
SEWER lfTILI1Y
PROVIDER:
ESTIMATED COST'OF CONSTRUCI10N:
(EXQUDlNG lAND VALUE) q, a ;;(~ q q 2'5. !?!!.
PLAN COMMISSION / BZA / BPW COCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars: Elevator or Un:: 0 YE~ li7'No.
. BLDG. CONSTRUCI10N TYPE: OCCUPANCY CLASSIFICATION: E
TYPE OF CONsTRUCTION:f: : TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCiAL \ \ r ~ _':C. . .' 0 \ i NEW STRUCTURE 0';;;';. Early Release / Manufactured /
(Pnvately o~ hosp.als q; i ADDmON <"\ \c,'\\ "", Permit: _y =2 Trusses: Y V N
and medical offlceS/cel\~ 2" 2006 ' I' lID RoOm(s) . \\0' -r-
arecomrriero~l)\ btr"J ~:l :~\,\porch' ~,~\V- Lot Split: _Y N Sump Pump: _V..LN
o INSTITU110NAlJ I ~(O ...'. ..oS . .. .
O M' II I 11/' P bl Bid r: , "d M~~nlne or Deck,-,~' Does any part of the prop~e wlthm a speCIal Flood
u,mapa~~_',__ 9--..--:c:T' "REMODEL'''''; <\'1\ ',-0.\~ .
o ScI)ool <:,,-Sv 0"'NEW'TENANTFINISH'~0:::> Cleslgnationarea: _Y N
o Church ..:\ ",r c"\ -'" ,. ,j
, ~"'-"'--\\O -~GJ "~ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE:-CCh,;ck all ~~l9!'C 0\ ';',vO -)'OETACHED GARAGE VYl I. e /L.. I.. L On
apply for the new construction area) 'O\- B:., ,,!\lJACH~l:!.&f\RAGE w ec..ntUJ I etl. L.-tIT1TYt?ttT 1 rj Je.Wlo,.s
& SLAB 0 CRAWL SP~?\ (1fl0C~I,L.i:r'pWER (New) Plumber's Indiana State License #:
tJ POST & BEAM 0 BASEMENT) ~ 0<;; 'CJ cai:'fowER CO.LOCATE vN (p oOfr.;.
(or POST & PIER) WALKOUT: r~Y:,.......N 0 DEMOLmON I 0 :s-
GIY1
....' . :.
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, 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 Carmellncliana - 1993W (z-
289) and amendments, adopted under authOrity of IC 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 CertiFica.te of
Occu cy or Substanti ompJetio as been issued by the Department of Community Services, Carmel, Indiana.
Ke.ev,.t\ }Jo...ch
Print
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OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: e Filing Fees: -3 7 <6 . 'IV
. . 0 ./}JJ # Charged Re.
~ng Lower Footln Under Slab tf rzq Base Inspections: 0 . D1) Reviews
ough In Meter Base Final Site Cert. of Occupancy: f). 00
'h'6
Approved: Dept. of Community Services
S/ILP COMMERCJAL
o
Additional Fees