HomeMy WebLinkAbout06110038 Application
City of Carmel/Clay Township Permit #: 0 (ojU D03~
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
PROPERTY
OWNER:
N~
FAX:
BUILDER
OF
RECORD:
STREET ADDRESS:
00 2'
G,-t>..
s+
106
STATE:
7:;/V
ZIP:
,+~d
BUILDER'S EMAIL ADDRESS:
~
FAX:
LOCATION
&. PROJECT
INFO:
c...
Address of Shell Building: (If different than Address of Con
BUILDING, PROJECT, OR TENANT NAME: n
~~ _ . "t\Cc "J....
STATE COMM AL SCOPE(S) OF CY\1'DN
DESIGN RELEASE #: :] ;;) I J. '" RELEASE: ~ELEC
WATER UTIlITY n \ I" r:7JA ~_ _II SEWER UTILITY
PROVIDER: ~~ PROVIDER:
ZONING:
s- 00-61-DO(,.
0'<( STR c1- ARCH "'--MECH G\ PLUM
o SPKLR OTHER(S):
SQUARE
FOOTAGE: '-to tfJ:}-
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
EsnMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
s-s---
# of Floors: ~ Elevator or Uft: YES Q NO BLDG. CONSTRUcnON TYPE: ;~ bW-- OCCUPANCY CLASSIFICATION: \:, -" t
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCIAL 0 NEW STRUCTURE Early Release L--""""
I~ (Privately owned hospitals and medical 0 ADDmON Permit: _Y _N
offices/centers are commercial) 0 Raam(s) --
o INSTITUTlON_!:A~~D c:;J..~9'1'Jl... Lot Split: _Y _N Sump Pump:
o Munici 1I!:'llrtf!t" FOR <;:ON~lllIo&nllQftIj,ck
o Schooi .0 act to complian~willl~ulations FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
o Church of State and cgc<flll!?ti~NT FINISH
o MULTI-FAMILYDEPT OF COMM41II~~E;,li~Y llillWJWG
Numberofu~ - t~:rll 6i!r~Hflj'&l\~
.. 'I yOt- CARMEL ,ti;I..AYA~IP
FOUNDATION TYPE: (Chec~ all which I M-I &ELL TOWER (New)
apply for the new construction area) NO In "CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLfTlON
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
Manufactured
Trusses:
------
_Y_N
_Y~
PLUMBING CONTRACTOR:
K '''-5 L-,{',v
Plumber's Indiana State License #:
C p l?\?(,,()I~I.L
Class I strucrure permits 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.
l, 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 amendments,
adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
i y the e eot of Community Se . ces, Carmel. Indiana.
7
print! 0 rJYe.....
~ "J ,N6--
II-J -o{,
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: 2; t{l-' Filing Fees: 7 Cf if 5', O~ ,
Upper Footing Lower Footing Under Slab ~ Base Inspections: '" 0 0 100
:-----... ~ .-:==='\ Cert. of Occupancy: /07. DO
~~' Meter Base ~ Site 8 J. 7'J. , ll8
~\o-J..-...Q NoV.IO,zo()(, t' ~ 1
IproVed: Dept. of Community Services (Date) <><.
.;IlL? COMMEROAL