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HomeMy WebLinkAbout06100211 Application -\ "~- , . I l .... ! \ , -' " ~,...- ," , "/~J?!A..lO!':""/ Permit #: tJfoIDO~V City of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) , ? BUILDER'S EMAIL ADDRESS: G- " ~oSJVI.6S3. ~ fv\A--t L. . Qj) """- NAME: f\Lr t+ A,<:;; lG...ThA- YH-l k~<::; C, ~EL ~~ ~6-'-- # of Floors: 2- Elevator or Lift: 0 YES ~ BLDG. CONSTRUCTlON TYPE: ~b ~ OCCUPANCY ClASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: ...-.~ ,_"\"\ll\"" 0/ COMMEROAL t:;JdJ~_STRU01i~ (Privately owned hospitals and medicalr,CCD'J ADDmONI~\O officesjcenters are commerda5.\...."\ '-, "J'\I\\ 3\'0' --'Room(s) O '-:"~'" c'" '.c INSlTTUTION!'U_,_", - _ 'r. ;"n " ',0' UG"'Porch-CS O M 1';"'>--1/" bl' 'Bld"\' 4 l~)C.(,.J -' ~ \l\ ,-I \..-- - unlclpa r:i"L" Ie. 9 sf\l.) L .~_'..;. g;:k~ Mezzanine or\Oeck o Scho'OrjU\V 01 SUJW ; ,.',r.'.j[j\~..REMODEL'-JN';:>\ . . o Church Of CO""" rli1'\..NEWTENANT FINISH o MULTI-FAMIL'()t:.l'1 CP-\'\N\S\.. 0' \ t:CCESSORY BUILDING Number of units:_, r\I" \,,\Q'0;ol'DETACHED GARAGE C\ \ . - , \ ' 0 ATTACHED GARAGE FOUNDATION TYPE: (Check all whIch 0 CELL TOWER (New) apply for the new construction area) 0 CELL TOWER CO-LOCATE o SLAB 0 CRAWLSPACE 0 DEMOLmON / o POST&_BEAM _PIER ~BASEMENT (WALKOUT:_yA) BUILDER OF RECORD: NAMEFQc ~~oP~ lJ~~bQ STREET ADDRESS: PROPERTY OWNER: STREET 4D[0 LOCATION & PROJECT INFO: ADDRESS OF CON -liO Address of Shell B]\ld~g: (If different than Address of Construction) 7/0 I~~ <S::. ~fIL. STAl'E COMMERCIAL DESIGN RELEASE #: 3 Vlz 1 WATER lJTIUTI PROVIDER: ~~ SEWER lJTILITY PROVIDER: CJ...,A.- PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable): PHONE: CCiG- SSW FAX: '84'B <8%36 _CITY:~ ~- ZIP: BEST METHOD OF CONTACf: PHONE: FAX: ~s . y:; I \ ~ ~ ZIP: 4-<aG:, 2... SUITE #: (If Applicable) A # and subdiVI~(If APpucable)C iIC 'ILA<-E~C ZONING: TAX MAP PARCEL #: (g 007..300/000 SQUARE , A 1\ FOOTAGE: 2~uO lV\3 o ARCH OTHER(S): B"'MECH ESTlMATED COST OF CONSTRU'1l.0N:__ (EXCLUDING LAND VALUE) lit ":::0 CltlO ~(c.€- Sfi' Early Release 'vi Permit: _Y ~N Lot Split: _ Y -XN Manufactured Trusses: -y~ _Y~N Sump Pump: FLOOD ZONE AREA DESIGNATlON1Sl FOR THIS PROPERTY: )(- u., nS hctJ cd.. PLUMBING CONTRACTOR: ll, ~o.~1:)NS ~- Plumber's Indiana State license #: l)C?IOOOO\O l c. C_ Co;,M~~ J 0/3 \ jrxp Oate Upper oting Lower Footing Under Slab ~ MeterBase ~ Site Filing Fees: Base Inspections: Cert~f Occupa : TO~-: L. 001, Fee Received by: Date Reviewed/Ap roved: Dept. of Community Services S:Permits/FormslH! COMMERCIAL