HomeMy WebLinkAbout06120062 Application
C't .I'C lIC" 'T' h' Permit #: 'OCt I ~W~).
t Y oJ arme .ay .L owns tp I
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
SHIN 6
STREET ADDRESS:
/
1-/ ;J . PHONE: 3tJ - 8'71- t! JlJ'FAA
fvVVVL cJ::fAL /V~TE: 1/11
Pl.U M tftcelK PM1tJ~S PtOte:
f6 fA 5/ ~/A(TtrHom: l/1d is
ADDRESS OF CONSTRU~ON: H Au:- L 'DE-U-- 'j9 {31 ST Sum;:
BUILDER
OF
RECORD:
NAME:
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
STRE{;;OESSt-
LOCATION
&: PROJECT
INFO:
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECf, OR TENANT NAME:
klN6's GAAC€N
STATE COMMERCIAL I
DESIGN RELEASE #: 312-go,b
<;;11/tJ6 LlN
SCOPE(S) OF 0 FDN 0 STR 0 ARCH
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
WATER lJITlfTY
PROVIDER:
SEWER lIT1Lffi
PROVIDER:
PlAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WEll AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors:
Elevator or Uft:: Q YES ~ NO
BLDG. CONSTRUCTION TYPE:
TYPE OF CON RUCTION: TYPE OF IMPROVEMENT:
rsI COMME~lEf. ~ r:;:~ 0 NEW STRUCTURE
(PrivaSl:ii'l\'l.(l~a h'oSp<aJS ~I"II 0 ADDmON
officeslceil\l!ri-a~cl~ll" IvONSTRlo..J!oOm(s)
o INSTITUTIONAL Of S. , P',ance WIth all '{90 I/>QN
o ~/ilCiP'I')If:DCI~'Blcl!nd LoCal =reflDl'a~nlne or Deck
!llJ"/5l:I19Q.I_ OMMUt MODEL
o 'chLJl;e!t- CARM IJJTy E:~J.E~ANTFINISH
o M~~L ll-FAMIL V E: L / C LA vQ. ~Att!!sil6~ BUILDING
N,u!')ber of umts: II\/DIAN' c!JUIl'!tr4R1ERMARAGE
, . . A 0 ATTACHED'GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
ap~ly for the new construction area) 0 CELL TOWER CO'LOCATE
ii SLAB . .' . D. CRAWL SPACE 0 DEMOLmON
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_V_N)
ZIP L;to62...
BEST METHOD OF CONTACT:
FAA:
STATE/AI
ZIPtp6Yf!O
(If Applicable)
lot # and Subdivision: (If Applicable)
ZONING:
TAX MAP PARCEL #:
e3
OMECH
/,2.00
tJt)()
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release Y1
Permit: _y L-"'N
Lot Split: _V;;tlN
Manufactured
Trusses:
Sump Pump:
_V>>
_V12N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
)G-- lAAlAhcJ\od
PLUMBIN~CO;::;;lR: 1; tUrrl efIIIa-(1 -I-fJ.:jp
P7 ~ '.oJ' {It Plli/tYVh/lI.if '?'tit.
Plumber's Indiana State rcense #:. ~
~ C ~6t--lJ <'(0
Class I structure permits are subject to the Genera] 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 ame:ndme:nts,
adopte:d unde:r 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 funher certify tbat the construction will not be used or occupied until a Certifioue of Occup:mcy or Subst:uJcia} Completion has been
issued by the Department of Community Services, Carmel, Indiana.
~~
Signature of Owner or ~Zed Agent
Print
:;H /1'1 t, UN
p--ll.tlot
o.te
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ,5" J /9 00
Upper Footing Lower Footing ~nder ~ Base Inspections: 30f). C)'O
~ Cert. of Occupancy: , ()f)
Rough In Meter Base Final Site TOT ~~
OO(p
pproved: Dept. of Community SelVices
LP COMMEROAL Fee Received by: Date
~