HomeMy WebLinkAbout06030064 Application
City of Carmel/Clay Township Permit #: tJ~03()f!)vlf
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, 8< Accessory Buildings
STREET ADDRESS
~
;J- (.7,?- .5
./LL hfl:~~r
J STATE
I? Ie ",,- :II/
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
TAX MAP PARCEL #:
STATE COMMERCIAL
DES[GN RELEASE #:
SCOPE(S) OF
RElEASE: 0 ELEC
~.s-D
WATER UTIlllY
PROVIDER:
SEWER UTIUTY
PROVIDER:
00 # ~o
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
CDUNTY WELL AND/OR SEPTIC PERMIT #'S ([f Applicable):
# of Roars:
Elevator or lift:: 0 YES
BLDG. CONSTRUCTION TYPE:
./"
OCCUPANCY CLASSIFICATION:
..--
TYPE OF CONSTRUCTION:
'lsi', COMMEROAL
r'...J (Privately owned hospitals
and medical offices/centers
are commercial)
o INSTllUTlONAL
o Municipal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
apply for the new cons~on area)
o SLAB f5/ CRAWL SPACE
o POST & BEAM 0 BASEMENT
(or POST & PIER) WALKOUT:_Y_N
R TYPE OF IMPROVEMENT: PROJECT INFORMATION:
ELEtE,SrilEW ~cruRE Early Release \r Manufactured V.
SUbJe&PtoiRr5rtiMi COlIJsrnU Permit: _Y (VN Trusses: _Y~N
'j!P P Rco(n(.) ',r:T f C1 . -C
Dr- Of St.m cPor<~ . W,th a:1 'po 'totspnt: _Y...6"N Sump Pump: _Y-X:N
",pr~F 'u , n,.., " gUlatIOf1~ ..
CiTy . ,d\';fran"":,,,u~jcs Does'any part of the property lie within... special Flood
o Dl!~UMryc;~.. y,VN ..
;-re~ANl'F.INI?H'- i.'1l V ation area: --'- PJ.. '
o A~~Y'sJll'1DINirCWrl!L. ING CONT OR:'
o DE1'AcftE0'G~GE I , i \
o ATTACHED GARAGE , :.,'\ " _ ~ 0(\(\"
o CEll TOWER (New) Plumber's Indiana State License #Vt'"
o CELL TOWER CO-LOCATE ' "
o DEM0l.lT10N
;'.1
.j'
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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. ' ,.
J, 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 - 1993n (Z~
289) and amendments, adopted underauthoctty 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 further certify that the construction will not be used or occupied until a CertiIiC3.te of
OcCU~ti~~iSSUedbYtheDeparbnent&;~es'75~k ?~ f ~
Signature of Owner or Authorized Agent Print Date X.
~~
OFFICE USE ONLY: ********************************************:U3**;i,*;:O****************** ~J
INSPECTIONS REQUIRED: 6 Filing Fees: . 1\ '7 U I \' '?>\'f'
UP~F.QO i~9 lower Footing Under Slab ~~ .Base Inspections:
Rough In Meter Base ~ Site ~~cert. of Occupancy:
'\ 1\'~ TOT :
~ \0.;2.6O(.~"\
Review IApprove Dept. of Community Services (Date)
S:Permtts/ rmS/lLP CQMMEROAL