HomeMy WebLinkAbout06110039 Application
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City ofCarmellClay Township Permit #: DfoJ/tY03cr
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
DU/"'\~!E
-trIA ~ _L. P
~ -':0,' S1v-e-<e..+- P- I Q.p-:
PROPERTY
OWNER:
e..,
STREET ADDRESS
\ 1 ~ l P-e.
C\ "-
LOCATION
8< PROJECT
INFO:
ADDRESS OF CO~UCTION
I 'C Jr' e. (\J\ Q n. .
Address of Shell Building (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAf1E'l
. . . 0\ 'K..CL
STATE COMMERClAl31 ~
DESIGN RELEASE #: I \ 'Is \ ~
WATER UTIlITY n_
PROVIDER: ~
J-
SCOPE(S) OF ~ FDN ~ MCH
RELEASE: j>( ELEC 0 SPKLR OlliER(S):
PLAN COMMISSION I BZA I BPW CKET NUMBERS; ANDIOR
COUNlY WELL ANOIOR SEPTIC PERMIT #'5 (If Applicable):
SEWER UTIlITY C.
PROVIDER: L CL
0{~
\Su 8 - G,
FAX :l1"1--
g<() - (.,
Zl" I
\..{r.., a- '10
mY
OUb
STATE
a;n;
~ \.
BEST MElHOD OF COr<TACT:
cc-l {, La:> rY\.
~G--'
FAX
<2?.;L
g ~~ # (I~~p~eable~
Lot # and SubdMslon (If Ilcable)
ZONING:
TAX MAP PARCEL #:
I (" -D7 . S - o. --de. .
,e( PLUM SQUARE
FOOTAGE: c;. /. S I
EST1MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
ss
# of Aoors:
Elevator or Uft: Q YES l:;I NO
BLDG. CONSTRUCTION lYPE: \,:<0, <:*\'.
OCCUPANCY CLASSIFICATION: \) 'i<-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
M' COMMEROAL ..o.UCTIJRE
'\ (Prtvate~ owned I R CONSTIt9' N. .'
antJlle4l~~~ 'tn ~1\,r~gU\ ',~oorii(S)' -
~"'dlmi'iie I) ornp\\ance-W'_-"\'" O. Pc~
to C .' codes. ,u"
o IN '.<::.I,\(, !\~d Local " .~- E.~nine or De<:k
o MunidPal/puDm:~I!\IlMUN\T'( ,~RI OI1OJ.o '
O~ OF-C' ^:ym ,::mlfNTFINISH
~~~ r.ARMEL I CLf>.' '. :Cf ACCESSORY BUILDING
FOUNDATlO ;:\..(Ch~'d(all 'I'ft1ic11ANA 0 DETACHED GARAGE
apply for the new construction al'e1/J'" 0 ATTACHED GARAGE
Ol::.sLAB ' 0 CRAWL SPACE 0 CELL TOWER (New)
(5 - PoST & BEAM 0 BASEMENT 0 CELL TOWER CD-lOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTlON
PROJECT INFORMATION:
Early Release X Manufactured y
Permit: _Y _N Trusses: _Y -=::.J-N
Lot Split: _Y ~ Sump Pump: _Y-4:N
Does any part of the property Jle within a special Flood
deSignation area: _Y ~
PLUMBING ~ONTt~OR:
K ''''5--,rrJ
Plumber's Indiana State Ucense #:
C. p ~~tv 0/ 'ff..J-.
Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
beginning and completing consttuction.
It the undersigned, agree that any consauction, 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 amendments, adopted under authority of LC. 36,7 et seq. General Assembly of the State of Indiana, and all Acts amendatolJ' thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constIUction will not be used or occupied until a CertiBate of
Occ~bstanri'" Com~n issued b: the Dep~ent of Community $ernees. Carmel. Indiana.
~ ~M ~~ } ()rJ~'" ~J."rJG- /1-3-o~
Signature of Owner or ~rlzed Agent Print . Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: dJ A_Filing Fees: ~ :3 :3, f)~
,ri-" 00 # Charged Re-
Upper Footing Lower Footing Under Slab ~\ \( Base Inspections: ~ b D , Reviews
~g~ MeterBase ~ Site Cert. Of~~rn~~ _~,_
TO.!!!-; . ".
N~ 10 200{. /~-'-------
Reviewedf proved: Dept. of Community Services (Date) Fee Rof""eel'by:
S:Permits/FormsIILPCOMMERQAl z,r"