HomeMy WebLinkAbout06120068 Application
~
~'\
'5\1
"-i
~/
'!~y}~~~~' '
City of Carmel/Clay Township Permit #: OW[?vOCXe'5
COMMERCIAL/INSTlTUTlONAfMUL TI-F AMll. Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures;A1.i~ions, Remodels, Tenant Finishes, & Accessory Buildings) :
BUILDI~R~.ECTST~\\AME: bC:::K)~n ZONING: TAX MAP PARCEL #:
STATE COMMERCIAL SCOPE(S) OF 0 FDN 0 STR r$. ARCH 'I- MECH 1f.. PLUM SQUARE
DESIGN RELEASE #: :> z. "2.. <i. DC) RELEASE: '1- mc 0 SPKLR OTHER(S): FOOTAGE: '3'3 b D S 'FT"
-= .. \.
SEWERUT1UTY~"""U. ,\.u....-&""'.. S
PROVIDER: .J.J?' '. 5e- c--
~o'r~W
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
os\- Co t1~-\-i~ O~ONE: 3\1- 5'i'tj:'1~ FAX: 317-5tl'f :;';'5'5'~
(0 s+'-- s -\-t- e.e...-\- :L~<:r. o.no..pO ,.\ ~ STAlE::r..N ZIP: 4 b no
BEST METHOD OF CONTACT: '" 0 n -e.
3\1"7- ;).. '6\- O,;l.7'-t
PHONE:
3\'1-8I.fb-'7bCO
.%1 Cm-l:\ e.\ STAT'"
-'S \ V(l/)'\ 0.... st.
<',.-.:
e~-\-o. \
STREET AODRESS:
.:s\f5~ E.
BUILDER'S EMAIl ADDRESS:
Mt"\o..r~ ~ @
;g~1'd ~()
\r;~~DDRES\ .H
s+CH.' I . <:ClI-1
i.4 ~S l.U:..
ADDRESS OF CONSTRUCTION:
\1.)'\~5 N ."Pen
Address of Shell Building: (If different than Address of Construction)
PlA COMMISSION I aZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: \ Elevator or Uft: 0 YES ~ NO BLDG. CONSTRUCTION TYPE: ~I OCCUPANCY OASSIFICATlON:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
"f/J COMMEROAL . p~~l\OI(tEi\ffiUC1URE Early Release V Manufactured
(PrlVatelyownedhO~~\s..iH~~1R[j)lJAb'ot'rlON Permit: _Y....n..N Trusses:
O Jl~~~ <\OO!(!iI!ICl9') . h all legll\a'(\gn~Oom(S) Lot Split: _Y V N Sump Pump:
I~'I:"- liance Wit 0 Porch ..A...
cE;lb\l!lootd/lalrPtilJilc ~\'l~:)cal Codes. szzanlne or Deck
Li SchooJi State 801 \\'1' SifJRY>..
CU:PI"I'I\r: COMM\-lN ~\W NT FINISH
o MUffi:IlAMIiY r ,t>.Rl'ASL I CLA'< 'tJ" ACCESSORY BUILDING
~~t5>.. IND\f>.Nf>. g ~~~~~~g ~~~~
FOUNDATION TYPE: (Chec~ an which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
1jR SLAB 0 CRAWL SPACE 0 DEMOunON
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
SU
Lot # and Su
ESTIMATED COST OF CONSTRUCTION: t:l ()
(EXCLUDING LAND VALUE) \ '1:' c::;:::f).
){....Y _N
_y)LN
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
""" C. u.rch.l ""ec..IrI ()./l" c..oJ
\
Plumber's Indiana State License #:
-pc. ~\D5'1L\olo
Class I structure permits are subject to the General Administrative Rules of the Sute 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 uZoning Ordinance of Carmel Indiana - 1993" (Z-289) and amendments.
adopted under authority of J.e. 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 that the construction will not be used or occupied until a Certificate of Occupancy or Subsomtial Completion has been
~''''Ued by th, Ilep utofCommuni'y5<rvi'<s.Catmtl. Indiana.
.M-.\...- ^\j.(.E:" /V\Pr~ I I, !Or
S;.nature ~0Wn'" or Au ~.ent Print ~ ' .
r-'< .,.,. -} ,.. 1 L___
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: \ 1\1-<\ Filing Fees: 1;z..{ , ~ 0
Upper Footing ~~ Base Inspections: ?pO. ~O
~t- Cert. of Occupancy: /07100
TO L: <a,