HomeMy WebLinkAbout06120108 Application
City of Carmel/Clay Township Permit #: t)c" 1;)..0 I D~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMll.. Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
MEIl.\blA-U ~UILb~.XI\L
PHONE:
'111."3:3'1.0141
FAX:
:m ""1-31'8
BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
1'10'30 S'PIl.I"" ""'U- ~
CITY:
We:s """I L::LD
STATE:
=rJ
ZIP:
"'''01<+
BUILDER'S EMAIL ADDRESS:
t!...Uuc.X... ?Iu"'e-e., e...- l'=.1'IA\L .c.:.""
BEST METHOD OF CONTACf:
;11\- 3:3D\-OIY'
PROPERTY
OWNER:
NAME:
~""\~ ~\L~
PHONE:
1\J~~T1'Ie'"t.JO . /..J....L 11..0- 41..'\- 30&.3
FAX:
STATE COMMERCIAL
DESIGN RELEASE #: u/\..
SCOPE(S) OF 0 FDN 0 STR
RELEASE: 0 ELEC 0 SPKLR
CITY:
C-A-
STATE:
Ci.. '2. 5.5
ZIP:
STREET ADDRESS:
"P.o. Tho.< \~II?S. 1'A..\I"\ tlESEt:r
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRUCITON:
1041.0 U. t'\\~II.""\J \m. L.I.r./.'I.e-L
~.
'io
Address of Shell Building: (If different than Address of Construction)
'S/'.t'\~
BUILDING, PROJEcr, OR TENANT NAME:
-r-t'\b6ILG
I,ll..
WATER lfTIllTY
PROVIDER:
SEWER lJTIllTY
PROVIDER:
ESTIMATED COST OF CONSTRUmON:
(EXCLUDING LAND VALUE)
-
2'.~0
FOUNDATION TYPE: (Check all which
apply for the new construction area)
GYSLAB 0 CRAWL SPACE
o POST & _BEAM _PIER 0
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUI'ITY WELL AND/OR SEPTIC PF!&rn~~I"l~~:
# of Floo,,: \ Elevato i\I~C!;JtcrE!SG , . ,dl1c , v;~\'fiJf!~ I' OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTIONbEPT 0' "" ~F-I_OVEM~T: PROJECT INFORMATION:
~ COMMEROAL ('\ITv FC061MMWi6ifMIOOImtICES EarlyReleaSe
(Pnvately owned h'M~iM .Q~~RI\WL ~ Tn,.. '. Permit: _Y vii
offices/cente" are commercial) IN on1(~ vvNSH/P ../
o INSlITUllONAL .. 01 Porch Lot Split: _Y -LN Sump Pump:
o Municipal/Public 81dg 0 Mezzanine or Deck
o School 0 REMODEL
o Church B"" NEW TENANT FINISH
o MULTI-FAMILY 0 ACCESSORY BUILDING
Number of units: _ 0 DETACHED GARAGE
o ATIACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOUTlON
Manufactured
Trusses:
_Y --lLN
_Y~
FLOOD ZONE AREA DESIGNATIONrSJ FOR THIS PROPERTY:
)0 - LU15h cuk.e1
PLUMBING CONTRACTOR:
I""..", I. I ll.L
l>lut'\.blf->ld
BASEMENT (WALKOUT:_Y_N)
Plumber's Indiana State License #:
1-'0\60102...
Class I structure permits are subjeet to the General Administrative Rules of the State of Indiana (See 675 lAC 11) regarding expiration time frames for beginning and
completing construction.
I, rhe 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 Cannel Indiana - 1993~ (Z- 289) and amendments,
adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cenify that only kitchen, batb, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or SuhstiUltia/ Completion has been
issued by the Department of Community Services, Carmel. Indiana.
C-t. _ \ Q L-.--
Signature of Owner or Authorized Agent
l'..\.."t6 ."1' -:j)\uVYI.....L
Print
--11.IZ'B It>,b
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ~9t.f. ;Z 8
Lower Footing Base Inspections: 1.JJ 0 . tJ 0
Cert. of Occupancy: I {J , 0 0
8'
Site
',djAppro ed: Dept of Community
"'mS/IlP C MMERaAl