HomeMy WebLinkAbout06100173 Application
City of Carmel/Clay Township Permit #: 0&)'0;0 t7:5
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
o ARCH
OTHER(S):
(IIA" ,I E5T1MATED COST OF CONSTRUcn~
,......., (EXCLUDING LAND VALUE) ~ ~
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
NAME
1/,\
LOCATION
8r. PROJECT
INFO:
SEWER lITlLITY
PROVlOER:
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator o~ ~~ ~J~ r-R ~O f".' ~ J3LDG..C~N~~qllt TYPE:
TYPE OF CONSTRUCTION':CLLI;\'~' ",', ":,, ,TYPE OF IMPROVEMENT: c,s
;;'UbJ8C: 1u ,,,,,i',,' ," , ,
;zf COMMERCIAL of :,;:~:VJ :;CiD,,(',NEW'STRUCI1!~r' __'\
(Privately owned hospitals 0 -- C" .,-' r. l'G ~ 'ADomON j (\1, '-, )
and medical officeS/tentersT ,\- ,\J i." I'" \..... , ":0 ~ ,ROo~(s) : . ~ ._! \ D
O arecommerdal) C1TY OF CAFiI\!:~:L / C(J)\'ipdrd,..~lIl\~,J\ III
INSl1TUTIONAL ' , n \ ^ N0 Mezzanine or Deck
o Munidpal/Public Bldg I NEJ I"REMODEL
o School 0 NEW TENANT FINISH
o Church }?f ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATIACHED GARAGE
-0"'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 DEMOLfTlON
PJfiOf) Lf.
t/J
1
OCCUPANCY ClASSIFICATION:
PROJECT INFORMATION:
Early Release ~,'., Manufactured j
Permit: _y, N Trusses: _Y N
Lot Split: _Y "N Sump Pump: _Y
Does any part of t1ie prope~ within a special Flood
designation area: _Y_N
PLR~G ~~~c;: ?lu~};/'3J
Plumber's Indiana State License #:
8/tJos 20.s-
*********************************************************
I ~o a, fo~
, 00.00
J '0'(, () ()
:;r..f..
OFFICE USE ONLY: *************
INSPECTIONS REQUIRED:
Upper Footing
~
(!;
ItJ~\
Filing Fees:
Base Inspections:
Cert of Occupan
# Charged Re-
Reviews
Meter Base
Site
O.j; 1. 0"
Reviewed/A proved: Dept of Community Services (Dale)
S:Permits/Fonn LP COMMERCIAL
ItJ- 'Z?... rJ
Date
Additional Fees