HomeMy WebLinkAbout06090164 Application
City of Carmel/Clay Township Permit #: f)(qOCfDllii
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of NAME
RECORD:
~
o.-J LLc.
PROPERTY
OWNER:
-rH HIler
-p,,/2..-rNtsL-S Tv..r<:>1 LL c....
LOCATION
8r. PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
e,-,,,,,,
mY
STATE
Olhr/ A-P"u So. /N
BEST MEIliOD OF CONTACT:
gO 7;0-5875
ZlP
y~:z
<::>
Cc-~
6 b5=
FAX
{~17 8YG-bSII
STATE
o
mY
1/ (?<.-,
SUITE # (If Applicable)
s-5
2--
tl,c,c/.?C
SCOPE(S) OF 0 FDN 0 STR ~RCH ~ECH ft PLUM
RELEASE: ;r'ELEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
279
STATE COMMERCIAL
DESIGN RELEASE #: :?2.
WATER umLITY
PROVIDER:
-=
SEWER umLITY
PROVIDER: ~
~
ez-
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
ESTIMATED COST OF CONSTRUCTION:
(EXClUDING LAND VALUE)
Elevator or Uft: c;:I YES
"
TYPE F STRUCTION: NS _>' '",C'u VEMENT:
COMMERCIAL co'""' 1=0\'\ CO IlI\ 2SO:)"JNEW STRUCTURE
(Prlv.!!~~tltiSi>ttals~\\O"C8 '1J Cd<:D~SADPlU9~
andiriOilIi:ar61v-~<;l'nters' d LOC2-\ ",;:\?,'I13)J]pq(llfl;)
areCl!(ll~OIiiIjI \ C\2-l8 2-(" ,\"-\I'f-l;)U \Q~~h\
o INSTITtfI10NAL 0 "{""leI,N\v' ^,-{ 10tj MezzanlneorDeck
o MU~'lI/~b1iC-Blcfg^q__1 CI_r'tJ YEMODEL
DO ~ Or Ci"BN,....,n\f\~~I\)a""'NEWTENANTANISH
P\~ \ N v 0 ACCESSORY BUILDING
FOUNDATION r'rl'E: '(Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
.x:( 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
OCCUPANCY CLASSIFICATION: E
PROJECT INFORMATION:
Early Release / Manufactured , /
Pennit: _Y LN Trusses: _Y;L-N
Lot Split: _Y -L-N Sump Pump: _Y-"LN
Does any part of the property lie within a special Flood
designation area: _Y ~N
PLUMBING CONTRACTOR:
1?~Fk6r;;- e1&. -rl! IWI-<.. / ;t!;;t:.fi~/CAft..;? 00,
~,_... , ,,:;. ~ ;. '. \.
Plumber's Indiana State Ucense,#:;'-:\':[f \::>~'\\ \\\
C P 3!? 2, OODi,1i~ -\;'~>'c..::>/ '\'\ \'\\
C~'~-" \ >':;, -~":;>.., " \ \ \ \ \
dass I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 I4C-.U),~ding expirati~ ~fl.amJ f~l) \.
beginning and completing construction. \\\)! \ rot:O 'l. j \
I. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or ~ny~hange in~ 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 "ZoniJ?'g~p~~ance of CarmeJ Indian; - 1993'" Cs.../
289) and amendments, adopted under authority of J.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts ~~n4a:tory th_~reto.'" I further cert!fy.that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be use'd'oio~upfed until a Certificate of
Occg:; SubstAntial Completion has been issued by the Department of Community Services, Carmel, Indiana. \ /_..../~~ ~
/. ~-~ ~_L C:SMO \-/""....- ~ U',hb
Signature of Owner or Authorized Agent Print D~ /
OFFICE USE ONLY: **************************************** ********************************
INSPECTIONS REQUIRED: ~\I\O Filing Fees: 'B ( 3 . {p (
. , 1'\ ,., If) 0 00 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ~, Reviews
Meter Base ~ Site Cert. of Occupancy: / {J 7 . 0 0
. ~ /170,&1
/O-d -ufo
Additional Fees