HomeMy WebLinkAbout06110017 Application
City of Carmel/Clay Township Permit #:~7
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
PHONE: FAX:
LLL. tfNB
cm: STATE: ZIP:
:Hv N 17
BEST METHOD OF CONTACT:
t:t'l7 '1tJ-.5l375 ~
PHONE: FAX:
L/L.. 17 Brg-65&'b
STATE: ZIP:
BUILDER NAME:
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SUITE #: (If Applicable)
~O
ADDRESS OF CONSTRUCTION:
Address of Shell Building: (If different than Address of Construction)
Bu't-P,^, e-{
ZONING:
rv
TAX MAP PARCEL #:
STATE COMMERCIAL SCOPE(S) OF 0 FDN 0 STR ~ ARCH ...e4'iECH
DESIGN RELEASE #: RELEASE: ~ ElEC 0 SPKlR OTHER(S):
WATER lfTILITY SEWER lfTIlITY
PROVIDER: PROVIDER: CA-.e111
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNn WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or lift: Q YES BLDG. CONSTRUCTION TYPE: Ey-s-r- OCCUPANCY CLASSIFICATION: ;B
TYPE OF CONSTR CTION: ,.~'UC. F I ROVEMENT: PROJECT INFORMATION:
COMMERCIAL l~'O'~:" \0<;>0\1> 0 lIEW STRUCTURE Early Release X Manufactured
(pnvateIY~W 5 ~1si8o;meg~. ~~ON Permit: _Y _N Trusses:
offices/ceo 'c2rnmeft'Ja@:,~ ," <>.'\!~ Room(s) Y
o IN51U1:J1:ID 1!\J1j,\i.~~\' 'S~\ '. ,,\~'O 0 Porch Lot Split: _ Y ~N Sump Pump:
~\)~m"?I<1~~"'.~I&~frS~~~,t;i~i:)'l' 0 Mezzanine or Deck
~"'. \~~ 'I!\.~,';:'~~v\' \Y," 0 REMODEL FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
_C,\}'O .~ c~.or,l/ \ 9.. . j7(' NEW TENANT FINISH AI III
CT MULT1~~t' R:..'(-l~~~- ~~~~ /CJ ACCESSORY BUILDING ' 'Iff
!:I.,~ 0 .~ ~ 0 DETACHED GARAGE PLUMBING CONTRACTOR:
\). DO ATTACHED GARAGE '01 'A
FOUNDA E: (Check all which r. CELL TOWER (New) IVI
apply fo.. e new construction area) 0 CELL TOWER CO-LOCATE ,
4LAB 0 CRAWL SPACE 0 DEMOLITION Plumber's Indiana State License #:
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) tV /A
I
class I structure permits are subject to the General Admin!strative 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 ,:onstruction, 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 confonn 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 Subs(:;l]Jtia} Completion has been
issued y the Department of Community Services, Carmel, Indiana.
o PLUM
SQUARE
FOOTAGE:
2/6LfP
7~ 1M3
ESTIMATED COST OF CONSTRUCTlON:.H
(EXCLUDING LAND VALUE) H'
_Y AN
_Y X-N
tg'~
Print
/i'1-~&'
b. /
Signature of OWner or Authorized Age~t
Cu5Ar/t?
OFFICE USE ONLY: ****************************~.***** **********17***;;*****(;7**************
INSPECTIONS REQUIRED' Filing Fees: fj' , te
, Base Inspections: '^tJf) ~ 00
o 7. () 0
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Date
(Date)