HomeMy WebLinkAbout06100070 Application
BUILDER
OF
RECORD:
PROPERlY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carme// Clay Township Permit #:~ /00() 70
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
NAME: .:TMN ~/lAl,se-.s
.T l,y ;1JeL~
PHONE:
3f7~ ~d-~-3J.-3't$
FAX:
"3 f7- eLl q -5 '7 S-S-
STREET ADDRESS:
1/ 057 -;)..Q){p ftu_156>V I/IL~ /2-f)
CITY:
.p1. :5>/7/-$-1ls
STATE:
LV
ZIP:
4(,0 "f$8
BUILDER'S EMAIL ADDRESS: Sf METHOD OF CONTACT:
'1"-1"""\50'" DI e.s j"'...-)t 0;;. CUI-( '517) ).;;1.3-0-;2-3<8
- ~) ~
Dv~ 12:z:i\<- ~P04.411.,J l3'7 ec.'6-6ca:> 3rOgoe. - "-no
STREET ADDRESS:
000 ~,<1" TJ'} Sf"
CITY:
I MII-PO u-s
STATE:
;r;0.
ZIP:
, i;,;v.iD
(yO
ADDRESS OF CONSTRUCTION:
SUITE #: (If Applicable)
CJeQ3 .<J,/>'f/c;l-IGIW @ ~U- .IoU
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
/.iJG~"'~&.f1C-~P~
~- SO+OP S
~6'~
BUILDING, PROJECT, OR TENANT NAME:
5uP'i1UAJTS
ZONING:
{1-3
TAX MAP PARCEL #:
17 -/3 - 07 -60-00 -o~q ,000
SCOPE(S) OF 0 FDN 0 STR i)I. ARCH . MECH ~ PLUM
RELEASE: ~ ELEC 0 SPKlR OTHER(S):
SQUARE
FOOTAGE: /6W~F,
STATE COMMEROAL
OESIGN RELEASE #: 3:JocJ. 00
WATER UTILITY
PROVIDER:
T04f.v~P
ESTIMATED COST OF CONSTRU5J10N:
(EXCLUDING LAND VALUE) q "7 5) ~9
SEWER UTILITY
PROVIDER: C.
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Roors: Elevator or Uft: 0 YES xr NO BUDG, CONSTRUmON TYPE1f.-6 jP/l, OCCUPANCY CLASSIFICATION: 8 I2'iEM
TYPE OF CONSTRUCTION: TY E OF I ROVEMENT: PROJECT INFORMATION:
'lln COMMERCIAL G)G'NEW _ UCTURE Early Release h
(' (Pnvately owned hospitals anA'e'l'~:rI"'O . Aj?pITWN Permit: _ Y ~N
offices/centersa~CQfflfnl?cial) .~" ,~\\ lGtdU1 0 Roomes) V^I
o IN~~,l?"\,.J r::;;"fI'.;e"i-:\,~,~()(;s" P..-:'!qrch Lot Split: _Y-(""'"
~~iq~lf.~t)llC ~;I,~~ \..OCi)\ V;~ (' r;. p'.Jr9't:-~~nine or Deck
ra\\S,aWot j ,,1,,10 ""," ,'\ '\,{I\ Q:~RE,MQ9E1i\' FLOOD ZONE AREA DESIGNATlONfSl FOR THIS PROPERTY:
d- ChurclY ... ....,CAJ\\\J\ ,J _,I r,~N~ TENANT FINISH '/1 l J J
o MUL"Rt.~I~YOI'- V ..,\__\...I C,,," 0 ACCESSORY BUILDING ,IV (J/J? <) n,;:1/'1fLa
Numller'of U)lj\5: C. 1\,1'\,<, ,- Dlp..\.).!\ 0 DETACHED GARAGE
W\t;! u' IN. 0 ATTACHED GARAGE PLUMBING CONTRACTOR:
FOUNDATlO E: (Chec~ all which 0 CELL TOWER (New) -\ ~........... ilL u .c-S~~
apply for the new construction area) 0 CELL TOWER CO-LOCATE _ ~~ r
~LAB 0 CRAWL SPACE 0 DEMOLITION
tiJ- POST &_BEAM _PIER 0 BASEMENT (WALKOLJT:_Y_N)
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 MZoning Ordinance of Carmel Indiana - 1993M (Z- 289) and amendments,
adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I funher cenify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I funher certify that the construction will not be used or occupied until a CertifiOl.te of Occupancy or Substantial Completion has been
. e ~epartJ:!lent of Community Services, Carmel, Indiana.
f.r"
Manufactured
Trusses:
_y~
_Y~N
Sump Pump:
T. THOk:k-S
Plumber's Indiana State License #:
O!OCIi:.q
"
'B2..""" 'K<:>00
lc~(."a{.
Print
oate
OFFICE USE ONLY: ************************************************************************
Filing Fees: ....5"" <:;;: '7. {J I?
INSPECTIONS REQUIRED: g.
Upper Footing Lower Footing Under Slab Base Inspections: 7- (/0 , 00
~ Cert, of Occupancy: Cfl 0
Meter Base ~ Site
~'i' , 00
OcX'lO 00(,
Reviewed pproved: Dept. of Community Services (Date)
S:Permlts/FClf S/ILP COMMEROAl
"