HomeMy WebLinkAbout06120075 Application
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\. 1/' Permit #: ~/. J., 'n^75"
-tty ofCarme Clay Townshtp ~
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
tf1f'\TClL- (pI\1S'f(2lX_\\of-l
STREET ADDRESS:
9i3o is..v~R. VR.lvE.
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
Z'ELL 'E R
12.EFlL-Ty'
STREET ADDRESS:
l\lRL\ N. v"\.EiZlD.~ ~T.
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
II tll rJ. M~R.lDI
PHONE: FAX:
311 57'-1 -5'-/<(8 3n 574- EHt2
CTIY: STATE: ZIP:
IIJD II'+/J I\-PtLl5 I~ loz..8'O
BEST METHOO OF CONTACT:
PH(3~~) 5'60 - .;2'-/2. 1 FAX:
311 5~o-.;?<-f~'1
STATE: ZIP:
,/IJ.
(If Applicable)
BUILDING, PROJECT, OR TENANT NAME: 11- It ?f.Ngj TAX MAP PARCEL #:
I<\[' ..)0.'[" ?,~ I' 'Il" KfSTl2.00W)
STATE COMMERCIAL SCOPE(S) OF 0 FDN 0 STR 'b6 ARCH ~ MECH )IV PLUM SQUARE Q
DESIGN RELEASE #: 3,;l:;l. ~~s- RELEASE: ~ ELEC 0 SPKLR 6THER(S): FOOTAGE: l\3,
WATER UTILITY
PROVIDER: CJ}t.vVli: L-
SEWER lJTILITY
PROVIDER: ~M fA-.
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: ~
Elevator or lift: ~ YES 0 NO
BLDG. CQNSTRUcnON TYPE:
TYPE OF CONSTRUCTION: P OVEMENT:
t(J. COMMEROAL r-nHCC;\Y\'- .P:3.INI'W'STRuCTURE
(Plivately owned,b'l"':'l?ls.and m.eqi~\ le~ ADDmON
~fflC c~\eJfJ1reco~m~sa')!h\'codes. dQSRoOm(S)
o ()i'I~L.,~,\:M?J 'eoci1-\;, c'i'Y\\!\O '~ch
..k!~",clpaYR~blic'Bid~\\,,\\ i~V.~ '~\'-Dt'MezzanineorDeck
\'SCh'1JiIS,."" ~\li~v :\ \'( . \j REMODEL
o c::!:\UreRI' (,0,.:: \.. I \__ ,f NEW TENANT FINISH
o M~I~ r p.'(J'\~n' f',NP- 0 ACCESSORY BUILDING
Nu ()).,tS!'~"v' 0 DETACHED GARAGE
r,X . 0 ATTACHED GARAGE
FOUNDATIlllIi TYPE: (Chec~ all which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
o SlAB 0 CRAWL SPACE 0 DEMOUTION
~ POST&LBEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
ESTIMATED COST OF CONSTRumON: *'"
(EXCLUDING LAND VALUE) ~g 000
./," . '"
f2wl
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release Y V1
Permit: t);j
Lot Split: Y ~
Manufactured
Trusses:
Sump Pump:
_y~~
_Y~N
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
Bn.L-'1\..lJNr>i1J(", ~HvlC-E5 I Ak1C.
Plumber's Indiana State License #:
''is'1? '? 00(, Lj C2
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, reconstructio ,.on, 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 a . a Ie laws of the State of In a, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z- 289) and amendments,
adopted under authoritY of I.c. 36-7 et seq, Gene ssembly of the State of Indiana, and Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I fUMer cer. that the construction will not be used occupied until a Certificate of Occupancy or Substantia} Completion has been
<vi"". cannd.IndH\i 12/24/0G.
Print Date .
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Meter BaseG Site
Filing Fees:
Base Inspections:
Cert. of Occupa cy:
2f)C4
Reviewed/ Ap roved: ept. of Community Services
S:PermitsjForms{ILP COMMERCIAL
Date