HomeMy WebLinkAbout06110087 Application
City of Carmel/Clay Township Permit#: ()CiJ OOOR7
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory Buildings
BUILDER of NAME PHONE FAX
RECORD: 11 .. (",000 ~11- 1308- 1
STREET ADDRESS CITY STATE ZIP tfh ztfo ~- .-
(.,00 E'. q 114 IN 11 '" 2. .,
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
""'....... ONIf
PROPERTY PHONE FAX
OWNER: r~)o"o~ Go. - 151 - "1$"00
ESTIMATED COST OF CONSTRU910N:
(EXCLUDING LAND VALUE) "t; , I.. M
1'1~", 4""....., Hio" 0(, O"f 0"'2.5
Va.r;?/>-o.<~r O~OS'OO(I V - ObOSvO 1'1 V
G. CONSTRucrrON 1YPE: OCCUPANCY CLASSIFICATION:
LOCATION
8l PROJECT
INFO:
ADDRESS OF CONSTRucrrON
15"06. q{,TII \T/'lff
Address of Shell Building (If different than Address of Construction)
S/kitV'€
BUILDING, PROJECT, OR TENANT NAME:
It'\rAi~,,,~ IhSLAr,.",t< /...;
STATE COMMERCIAL
DESIGN RELEASE #: '3 '2 \ l" S
WATER lJTlLITY
PROVIDER: c..l><I2.MeL
SEWER lJTlLITY
PROVIDER:
c..-l!z.wp
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars:
TYPE OF CONSTRUCTION: r,~(',\m I< PROVEMENT:
III COMMERSAkc,EO ~f)'i'> ~~'~;\'-'" a,\" NEW STRUCTURE
(~~OSp'J~e.n~-' ~\Cv~'t:I. f\1)O~N
alB'rn&lLCjl!,~il;'fO!riteg(1d \j)~v,:",:, Sf.n\j t':t~(S)
a~~~S\e\e ,^'UN\" :tJ'@'jlOich
o IN51fr\mONA~' Pi fif<0\;J\\ C\Jl':'f 10 0 Mezzanine or Deck
o ~'V U ~~~\..I 0 REMODEL
o .,1t:'pQI.,F cPO: \ INQ\P-'NJ'I- 0 NEW TENANT FINISH
c::r;t\,Jr~ ~ ACCESSORY BUILDING
FOUNDATION'fYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
o SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM ~ BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PiER) .WALKOUT:_YLN 0 DEMOUllON
CITY
STATE
""A
SUITE # (If Applicable)
N.
ZIP
02-1110
roN
Lot # and Subdivision (If Applicable)
N A
ZONING:
lie..
TAX MAP PARCEL #:
o ARCH
OTHER(S):
'PA1f.a !
PLUM
SQUARE
FOOTAGE:
.
PROJECT INFORMATION:
Early Release Manufactured
Permit: _y L-N Trusses: _Y ~N
Lot Split: _y LN Sump Pump: ~Y_N
Does any part of the property lie within a special Flood
designation area: _ Y X N
PLUMBING CONTRACTOR:
~if'\,h.or... fll\.o(d-.~....; ~( I (I'c...
Plumber's Indiana State License #:
G- p e. 8 (.0 l'f I 'Z.
Class I structur~ pe~tS< 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 "Zoning Ordinance of Cannel Indiana - 199r (Z'
289) and am ents, adopted under authority of LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, , an floor drains are connected the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu cyor ubst tial Completion h n issued by the Department of Community Services, Cannel, Indiana.
8l...~IN~ J. PAl'I\...-
ONLY:************************************************************************
. CTIONS REQUIRED: t /l ,Filing Fees: '3 flR/ 7, b 3
.' .' .'. \"'.r U Fl 1"\ /'I # Charged Re-
Upper Footing 'ng Under Slab ,~\y Base Inspections: .,0 (/ . u 1:;/ ReViews
Rough In Meter Bas.;T(' Cert. of Occupancy: / t77. 0 0
TOB.:;7~ 4i- ~^'I. 03
~~~~~ ,"
Fee Received by: '
Print
No. 0 D
Review Approved: Dept. o.Community Services (Date)
S:PermIts/FormS/ILP COMMEROAl
I'Ll) /2_-0010
Da
Additional Fees