HomeMy WebLinkAbout06120098 Application
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City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
Permit #:,{}6 /.:z 00 PF
LOCATION
& PROJECT
INFO:
PHONE:
..j>/7-~
I.s:
FAX:
BUILDER
OF
RECORD:
- 33 '5""r
STATE:
PROPERTY
OWNER:
SUITE #: If Applicable)
Lot # and Subdivision: (If Applicable)
BUILDIN PROJECT, OR TENANT NAME:
~. -/ d'
TAX MAP PARCEl #:
STATE CDMMEROAL " .' SCOPE(S) OF 0 FDN 0 STR ., ARCH
OESIGN RELEASE #: 3L.'3o It;;' RELEASE:" ELEC 0 SPKLR OTHER(S):
WATER lmLITY /7 d SEWER UTILITY /?
PROVIDER: ~.rt?~ PROVIDER: l-.::v--/1-,~
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
. MECH
., PLUM
SQUARE /~~
FOOTAGE: ;;> ~C)
SCJ 000
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
# of Floors:
IS
Elevator or Lift: Q YES f#!!!! NO BLDG. CONSTRUcnON TYPE: ~ _ OCCUPANCY CLASSIFICATION:
-T.YPE OF IMPROVEMENT: PROJECT INFORMATION:
..," \' ',' i;' l.'
COMMERCIAL ,,\ ~:.__ >.:__-,,___'___Cl-NE\'iSTRUCTURE
(Privately owned hospitals and medical 0 ADOmON
officesjcente~ 'are~commercial) 0; Room(s)
o INSTTTUTlON~H-\ \ \ m::c 2 7 2006 D! p'qrfh
o MUnlClpal/p.\ubIlC BPdg- [] l.-Mezzanlne or Deck
o School,: U \_\ \ , ~REMOQEL \
o Church l..._..----"'-., NEW TENANT ANISH
o MULTl-FAMI)~E[E'i\\Se.!}:fOR CgNmms!fitfttJl~ING
Number OfURlls.... ~_~_..-;-- _ Dj;JA~] ~iU~E
"'q~PDmp"ar,ce 'Iti1.A'ITAtH' 'G'A~IlE
FOUNDATION TYPE: _ (Chec~llIll:Wlll(;/land L~I g,l'i!~WER (New)
apply for the new c'l!leu'ftl~f!"~ M M U !mTIEgfIjJ,\\IIj~OCATE
ti--SLAB crtv ~\!\~{I9,!:L / eLA'\F~v'?~SHIP
o POST&_BEAM _PIER 4N[!}{Wi~jj(H (WALKOUT:_V_N)
P
Early Release ~
Permit: Y N
-~
Lot Split: _V_N
Manufactured
Trusses:
Sump Pump:
_Vv("
_v.0
FLOOD ZONE AREA DESIGNATlONCSl FOR THIS PROPERTY:
><-
PLUMBING COpCTOR: ~ /
~6 0,-, ~ t?f '
Plumber's Indiana State License #: '
19'-/&(/080
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 Cannel Indiana - I993~ (Z- 289) and amendments,
adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, , all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be u ed or occUPiedQn - "ficate of Occupancy or Substantia] Compte" ~ h", bee
byt entof mty efVlC . a .
o .~ L2- 2-b 06
Sig ture of OW or Authonz Agent Print Date
OFFICE USE ON Y:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 573. 10
Upper Footing Lower Footing Undet Slab Base Inspections: :;z. 0 0 · 00
~ ce~, ofOccupan: _/~tJ7.. ~O
Meter Base ~ Site ~
(Date) 7 T TAL~, ~~
Fee ecelved by:
teviewedj pproved: Dept. of Community Services
'~rmits/FormslILP COMMERCIAL
\
Date