HomeMy WebLinkAbout06120070 Application
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C't .I'C llc't '1' h' Permit #: ()~/2 OD7lJ
t Y oJ arme ,ay .J. owns tp i
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
West Cll~
7>-,'ve.. LLc.-
STREET ADDRESS:
ZCI~ lJ<i;I CArmel Dr/lie
ADDRESS OF CONSTRUCTION:
8 Cued- Carrn-d !>r;ve-
Address of Shell Building: (If different than Address of Construction)
8 Wesr U.r m.a-t l>riVrL-
PHONE:
FAX:
9f7 - '!)Y3
8 ]- 22/Z
CITY:
STATE:
r. -:E#
BEST METHOD OF CONTACT:
CdR - ,>07- f?730
ZIP:
t {,0..?2-
PHONE:
gYS'-2Z/2
FAX:
Sg7- ~ '3
CITY:
Ca rr>1
STATE:
7N
ZIP:
46032.....
SUITE #: (If Applicable)
F
lot # and Subdivision: (If Applicable)
~.lb~I,,>'.j 76 f'C' --, cvQ Ir.>:>
BUILDING, PROJECT, OR TENANT NAME:
Ji~ ~O JlOhIIe.r'
STATE COMMERCIAL
DESIGN RELEASE #: :?2Z$'30
"2' TAX MAP PARCEL #:
", .-J !W'1,-]6'-CO,-oZ-CD3.bO?"
SCOPE(S) OF 0 FDN 0 STR ~ ARCH '~MECH ~ PLUM SQUARE
RELEASE: ~ ELEC 0 SPKLR OTHER(S): FOOTAGE: :1 7 7~ yf.
ESITMATED COST OF CONSTRUcno~:
(EXCLUDING lAND VALUE) ,~
-"000
WATER lfTIllTY SEWER UTILITY
PROVIDER: C:.rrhd (!) PROVIDER: Ca...~ (?)
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: I Elevator or lift: Q YES Pl NO BLDG, CONSTRumON TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
1)0 COMMERCIAL 0 NEW STRUCTURE Early Release
~,,",~O@I'jl;!Iti'?d.il1t'~i>al 0 ADDmON Permit: _Y ~N
~rrpesr~~teI's-are COrlUT..erc'aJ~NSTR UCT~NROOm{S)
o I 1 .gflO~A[;O"'pLance w,th ~II reg I t Porch Lot Split: _Y.l5:...N
o MurnCIRctltP~bl!~l~d<.!bcal C~d(J' u a SMezzanlne or Deck
OOP~'a'l': en, )'" '1 I ''EJ REMODEL
",..,q ,ctllJr~j1, U,,' ,VJU '0 'TV S~11@W3ENANTFINISH
o "1'l~LfI!j;Al<1IU1'\Ri\!jEL / CLAY r2Ni>A.~WRY BUILDING
Number of Units: ~ ' N '-t5 '~l!i'A\!:HED GARAGE
"'UIA.A 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new constructIon area) 0 CELL TOWER CO-LOCATE
L)!:i SLAB 0 CRAWL SPACE 0 DEMOLITION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y-x"N)
Manufactured
Trusses:
_ylN
_Y.JS....N
Sump Pump:
PLUMBING CONTRACTOR:
C B /J1I?f.J.c,,,;ca/
Plumber's Indiana State License #:
fC.8~9otU>2
Class I structure 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.
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 ~Zoning Ordinance of Carmel Indiana - 1993~ (Z- 289) and amendments,
adopted under authority of l.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 urther certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued by t partment of munity Services, Carmel, Indiana.
~h", S.
Print
Site
ReviewedjA prov ept. of Community Services
S:permitsJFormsllLP COMMERCIAL
Fee Received by:
k,r6.1IC
f
1'2.- 11-06
Date
II