HomeMy WebLinkAbout06090094 Application
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City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
permit#:~9tt
BUILDER
OF
RECORD:
NAME: VI'S;OI1
Bv; Ideo L.L (
PHONE: 5"3 't- 1./'-l'r1
FAX:
STREET ADDRESS:
qSI E.
tf; Sf.
Svde ~ I/t)
CITY:
II1J. )5
BEST METHOD OF CONTACf: <<
rhQ t [,-sf.; h,v:""\
STATE:
JM
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
Se.+h_VI'sitJ>t@.sbL Idb"LHf
NAMEA/ohle "","4~" .r YI C
PHONE:
6 '31-?377
CITY:
Silo' r:'irJ{l :r nth IJ
N. t1,'(/~; Rd
STATE:
W
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUcrrON:
cr~73
SUITE #: (If Applicable)
10
Address of Shell Building: (If different than Address of Construction)
"'-
6UILDING, PROJECT, OR TENANT NAME: A'ohl In, IT V,5calto's
IV, e l'Oma" S S v S
STATE COMMERCIAL -:2,oa7Q SCOPE(S)OF 0 FDN 0 STR <<. ARCH
DESIGN RELEASE #: Jr1\.. I RELEASE: <Xl ELEC 0 SPKLR OTtfER(S):
Lot # and Subdivision: (If Applicable)
ry
-3
SQUARE
FOOTAGE:
;))51
TAX MAP PARCEL #:
WATER UTlUTf p.
PROVIDER: C a., r
SEWER UTILITY
PROVIDER:
c'l
ESTIMATED COST OF CONSTRumON:I/o'" oo,^
(EXCLUDING LAND VALUE) VI V
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WElL AND/OR SEPTIC PERMIT #'S W Applicable):
FOUNDATION TYPE: (Check all which
apply for the new construction area)
'tiJ SlAB 0 CRAWL SPACE
/0- POST &_BEAM _PIER 0
#ofFloors: ElevatororUft: Q YES ~NO BLDG. CONSTRucrrONTYPE: V-B OCCUPANCYCLASSIFICAT10N~
TYPE OF CONSTRUCTION: ('0:PE'Of'Xiili> ,OVEMENT: PROJECT INFORMATION:
~ COMMERCIAL c:t"'IR CO\'\5 r'g,;r>lEI'J)S'fu.UCTURE Early Release Manufactured
!!,Qylt~e.'!')~~SP;tals~~~d,'l''ldical a\\ q;' ADDmON Permit: _Y ~N Trusses:
Dtflce'sIcentE:l~ ~re'~9~merclal) r"'\ coe'.:;,;:)' ,QC~om(s)
o IN~ONAL:::~J,...~{..,> 8_\\0 LO".(;._..., cc-:r(~\iO,j--po, Lot Split: _Y ~N
L:J Municipal/Pu~11i: ~!~'\ U ~,\ \ \ i .~..;~~., '-~\.G;:J, S~~njne or Deck
o <rh~h\: C/,)"'" ,"'\ ,'(~UREMODEL
r.~"'lv v' . -\ I ,-,J' '-"
q) C;~u C~,_ crSi\V1).- ~ ~ NEW TENANT FINISH
o MU\ri:\-FJ\MILy.- \NU\P..\'<I""' 0 ACCESSORY BUILDING
Numt5el of units: 0 DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOUTION
BASEMENT (WALKOUT:_Y_N)
.1-1
Sump Pump:
_Y~N
_Y':><'N
FLOOD ZONE AREA OESIGNATIONfSl FOR THIS PROPERTY:
X U rz .sf1C;;to;d
,
...<
~', ,. .'
PlumberO'S I~iqa"t s:;te Licen~~#J/~'~:~L;J:~~\\\ <~;~
I V -, "b _./"',';"-'_ '"';~;;',>''' \'.\ \\\
,/' ,'~.:-. \......~':..,.... \\\ \\ \
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) reg~'di~g"~xpifa~iC;;; time frames(sr ning a1.a':"....... ')
completing construction. '.\ \\\ ~ ~ ._...-\
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in,..'tlie~sf of 1 structures regl,lested by _
this application will comply with, and conform to. all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana\'J993" -289) and ~endments, ____
adopted under authority of I.C 36,7 et seq, General Assembly of the State of Indiana, and all Acts aITIendatory thereto. I funher certuy~~ai:'.o~ly kitchen,j:lath;--and floor dr,ains-a;e
connected to the sanitary sewer. I funher certify that the construction will not be used or occupied until a Certi/ica.te of Occup;Wcy, o'r~~llbstantiiJ Comp/et:!f!p has been
iSSUed~C;;;Communityservim.c"melIndwu- ;ie/A.4 /t \~ ~~//iif:;IJ-C1'
Sign!E;; of OWner or Authorized Agent Priltt'/'- Date
PLUMBING CONTRACTOR:
B4-W
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: __ ~../J Filing Fees: {e'il. (a q
Upper Footing Lower Footing Gder Sla~ q, r Base Inspections: '30 tJ, C> 0
~ Cert. of Occupancy: /0 1, I) 0
Rough In Meter Base ~ Site Jd I 0 t7 I (]
TOTAL: iH ~ q 1) . (J) -\
Reviewed/Appr ~~ ...~ f1.1A)tl.d ~ / I )10 / Df:
S,P...mi~/Fo<m"ILP Fee Received . U I I Da e