HomeMy WebLinkAbout06110082 Application
City of Carmel/Clay Township Permit#: VCa If OO~;Z
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
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BUILDER of
RECORD:
PHONE
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FAX
~0 -2070
CITY
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STATE
PROPERTY
OWNER:
NAME
BEST M 00 OF CONTACT: ~
/ c;,'/U, CGVVl c- -rrJt#LL
PHONE FAX
STATE
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ZIP
LOCATION
8< PROJECT
INFO:
AODRESS OF CONSTRUCT10N
;)..\ S-- leb:? SJ-.ree,f-
SUITE # (If Applicable)
Address of Shell Building (if different than Address of Construction)
BUIUDING, PROJECT, OR TENANT NAME:
ZONING:
STATE COMMERCIAL
DESIGN RELEASE #:
FDN l!l1 STR ~ ARCH )CMECH ~PLUM
EC c?'"SPKLR 6-rl'iER(S): /'J
SQUARE
FOOTAGE:
~o").1
WATER UTILITY SEWER UTILITY,' . __H.'_ . - ..c.:" ,'-EST1MA'iEO'CQST'OF CONSTRUCT10N:
PROVIDER: PROVIDER: C T;~=~!B: ~ \~ tJ(~~_UP!~~ffN,D\YALUE) 6)Q'~
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR : ! I j } I i 1\ \ I
COUNTY WELL AND/OR SEPTIC PE~IT,#,'S'(IfAPpllcable): il' ~ i: 1
# of Floors: '1 _atoi~ult:: Q YES '" NO BUDG, CONhi. crlON TYPE:
..c...O' '.:~ r llf''lj
TYPE OF CON ON:S,?r.",. TYPE OF IMPROJcEMENT:
P'>~ J
COMME~'1P,,,;,;rr: .:,~ IJ!j NEW STR CTURE
(Privatel _ ~~d,@si!l!OlsO 0 ADDmON
and m GalofflcffS/cffilek- 0 Room(s)
are com.QW!rdal)~: ~~ ,;- 0 Porch
o INSTITU'fr!9N~ t'~ :-.: _ _.. d' 0 Mezzanine or Deck
0" Muoidpalf~u_tilic ,~Idg:.:: 0 REMODEL
o !!<=f:1o~I' 't:; ~::! ,~; 0 NEW TENANT FINISH
o ~urQ'1:~ ~ i:-! L) 0 ACCESSORY BUILDING
FOUNDATION TYPE~(;;Ch,_. al! ~ch 0 DETACHED GARAGE
apply for the nlllilJC\!j1. olurea) 0 ATTACHED GARAGE
UJ 0"'" ""'-
~ SLABU) 015 IJC~"- L SPACE 0 CELL TOWER (New) Plumber's Indiana Sta Icense #:
o POST & ~tii r::J0l MENT 0 CELL TOWER CO-LOCATE Q q I tJ r:J CJ ~q 7
(orPOST&~~ :, Y N 0 DEMOLmON - - r -- ~-
Class I s~ pe . ~ubject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for
1i . beginning and completing construction.
I. the undersigned, agree thaMy,4construction, 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 Carmel 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 Su ti ompJeti n been issued by the Department of Community Services, Cannel, Indiana.
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Print
UPANCY CLASSIFICATION:
'INFI RMA N:
Eady.ReIease_ . Manufactured 'I.r
Permit: _Y N Trusses: ~Y LN
Lot Split: ~Y.j:.N Sump Pump: ~Y XN
Does any part of the prope~ lie within a special Flood
designation area: _Y EN
PLUMBING CONTRA OR: I
IO-~-OtC.
Date
,
OFFICEUSEONLY:********************************************~*****~'********************
" PECTIONS REQUIRED' f/J Filing Fees: / 7 .~,fr, /3
. '. \~\ u / Iil() 00 # Charged Re-
Upper Footing Lower Footing nder Slab '\ - Base Inspections: UJ V ' Reviews
cFr~~ /07000
- - / 3 AddiMnal Fees
.
Review Approved: Dept. of Community Services
S:PermltsfFormstILP COMMEROAL
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