HomeMy WebLinkAbout06120028 Application
City of Carmel/Clay Township Permit #:J)(P I?fO)'8
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
'1ILL
'/
PHONE: 3/7.- '-143 ~07
FAX:
77t1 9'3 liCJ
BUILDER
OF
RECORD:
NAME:
em:
~t:L
STATE:
I~
ZIPl.t&Jf "2-
STREET AODRESS:
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME:CH ,-,"-Ur~l..-l '-c..
FAX:
/.-.I-..G
ffJdrl?;ATE -:I:1v ZIP: /f6-<tJ1
STREET ADDRESS: ~ vtJ ...
LOCATION
8< PROJECT
INFO:
SUITE #: (If Applicable)
Address of Shell BuUding: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ~1P-1. C"A/~JM""
, c.: 'c.... I...
SCOPE(S) OF 0 FDN 0 STR 0 ARCH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
o MECH
o PLUM
SQUARE
FOOTAGE:
gooo
U 000
tJ~* \.Vi ~
?l~ r
) ),
e (
4-C...' '
TO
CoAe
STATE CQMMEROAL
DESIGN RELEASE #:
WATER LmLITY
PROVIDER: CM/?''-
SEWER UTIUTY
PROVIDER:
C-.APHb L
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNn' WELL AND/OR SEPTIC PERMIT #'S (If Appncable):
FOUNDATION TYPE: (Check all which
apply for the new construction area)
I3AI9Z
TYPE OE;CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
QF(l3remOO FOR CONSTRUCi80~ STRUCTURE Early Release ..."
SUbj.i~V!felly,?,,"IP'19:pg1l'i!~~rymd!'l'!JgulaJI01\6Dm9N" Permit: _Y ...-.Z.~
tOrfi\:es cet1Lers are commerclaJ)C d e Ci:Y'Room(s) \AI
o INSTIllI:trtONAI!. and LoeB I ,0 eo ,.0 Porch Lot Split: _ Y ---r''' Sump Pump:
DEFS! (]'1urn,SiPjl/P.Ublii;JSlifgTY SERVICE~ Mezzanine or Deck ,
PF. ~ch",?l"v! ~I I rLA Y TOWjSjS~DEL Q)ipa.ro rbllFLOOD ZONE AREA DESIGNATIONCSl
CITY g C,,"rcll" --- ~ ID-1'lEw TENANT FINISH ,H;, "''3'
o MULTI-FAMILY INDiANA 0 ACCESSORY BUILDING- br$f.i.
Number"f "nits: _ 0 DETACHED GARAGE .,~.
o ATTACHED GARAGE I PLUM G CONTRACTOR; " " ."-,,
o CELL TOWER (New) '.', ;'
o CELL TOWER CO-LOCATE 'I ,
o SLAB 0 CRAWL SPACE 0 DEMOLITION ber's Indiana sta~ij~~nse #: 2006
o POST&_BEAM _PIER i\(. BASEMENT (WALKOUT:_Y_N) ':!! '\\.' DEe - 7
f\J 'l! \ \
class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardirig expirition.ti~-e ftam~s for beginning and
completing construction. . . ._
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 QZoning Ordinance of Carmel Indiana - 1993~ (Z~ 289) and amendments,
adopted under authority of r.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 funher nify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued by the Departm t of Communi ervices, Carmel, Indiana.
Manufactured
Trusses:
Y )ON
-y1N
I
FOR THIS PROPERTY:
# of Floors:
(
Elevator or Lift: 0 YES
Q NO
::~.- ~.
r.v/LLlM..
If- JI1 > JJ.I J/ Lt~'/
, , /
1'4 ~ /Id,
Date
Signature of Owner or A
'z Age
Print
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 135 ,00 '
1.,00 ,00
, 0
I-J""J...OO
Site
Base Inspections:
Cert, of Occupancy:
Upper Footing
Lower Footing
Under Slab
Date