HomeMy WebLinkAbout06110078 Application
Permit #: e(gIID07~
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
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SUITE #: (If Applicable)
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
SCOPE(S)OF 0 FDN 0 STR """",,ARCH rMECH ~LUM
RELEASE: ~LEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
WATER UTIlITY
PROVIDER:
SEWER UTIUTY
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Roors:
Elevator or Uft:: Q YES ~
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial} 0 Roomes)
o INSTITUTIONAL 0 Porch
o Municipal/Public Bldg / 0 Mezzanine or Deck
o School Ilil' REMODEL
o Church Cl . ~~~ANT FINISH
o MU\.Il;F,AI:IIJ.~Eb FOR CONSTt:tlJlActct~l;RY BUILDING
NurlTQir~. 'th 114e90llJllGIA6D GARAGE
f::ubiect to compliance WI a
FOUNDATION"TYPE: 6fSf5\:Ei'!1~lllb:;al co~sATTACHEDE~~~;~
apPIYfOrth. enew.co~~~~NITY $~ERCO-LOCATE
B'5LA~ DE~FCA~m:ePf~LAY q:o~CN
o posRTY BEAM c-:--!JWblYS;WllASEMENT (WALKOUT:_Y_N)
ESTIMATED COST OF CONSTRUcrrON:
(EXCLUDING LAND VALUE) /'. t:r>4' 6>... ~
OCCUPANCY ClASSIFICATION:
PROJECT INFORMATION:
Early Release Manufactured ~
Permit: _Y _N Trusses: Y
Lot Split: _Y _N Sump Pump: _N
FLOOD ZONE AREA DESIGNATIONrSl FOR T IS PROPERTY:
~ )o-(jf7Snif)qd
PLU.!i1!!ING CONTRA~: , I
1 fJ /yu/))!1H~ ~JlfJ...,2~'t-?4Jd1
Plumber's Indiana State license #:
PJ ;aJ~
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning land
completing construction. I
I, the undersigned. agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested'by
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993~ (Z~289) and amendmen~.
adopted under authority 0 .36-7 et seq, General Assembly of tate 0 iana, and all Acts amendatory thereto. I funher cenify that only kitchen, bath, and floor drilif1s are
connected t s nher certify that the c struction will n be used or occupied until1\ Certifjt;;ll'f ~Occupa.nCY or Substantiu Completion has been
''';"00 th ''YSt'ViotSC. I. i~cJ ~ """I<J~ 1..'S'f3~i.of~~"$'<j}. I
. (:' R, 11-/5'- 0("
r Authorized Agent Print Date
OFFICE USE ONLY: ********************** ******~.******.***********~J!l_(*~**** ;~****~*_**
INSPEcnONS REQUIRED: FIling Fees. ~ "7-7' 13 . .
Lower Footing Under Slab Base Inspections: ? 00 , ()()
~ Cert. of Occupancy: / 07, eo
~ Site~ Tl: : ~ ~73
00" -e'ewed by: ~ /1- ).. 7 -Dadte (A
'lAp roved: Depl.ofCommunityServices __ _ ~
''!'sIILP COMMERCIAL