HomeMy WebLinkAbout07010151 Application
City of Carmel/Clay Township Permit#: 07o/01S/
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
STREET ADDRESS, S j)" ?Z
/8)0 ...s L IIJJtlr.sI.1);-
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
rE.tVI....?J-4 )U@/-9r.-9.?.19
NAME:
o..5EAlE / JrOSEAJE
LOCATION
&. PROJECT
INFO:
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
,P;.2Z,I) )Jbl b//.v S
STATE COMMERCIAL
DESIGN RELEASE #, ,]233.2 6
WATER lffiLITY C i'; .y
PROVlOER: C-4 /? /)J EL
ral
SCOPE(S) OF 0 FDN 0 STR
RELEASE: )t ELEC 0 SPKLR
SEWER lffiLITY C;" 1;/
PROVIDER: C If /l} E L
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors: Elevator or Uft: q YES )( NO BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
)li COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 hQQmON
offices/centers are commerc~hNC'iAUC'rli;2JN Room(s)
o I~D '-08 " , ...'" II regl.\la\(QDSPorch
t19-\,..tvr{in19paljP.Hbhc~Bldg") ",!It I \ e.. '0 Mezzanine or Deck
SQPi<s9ido') ~:~; "~;',Ij LOcal GOQ't:J. F-~~L
o ChUFChCl'~'O ,. \'1'"'{ t~\tiEWOTENANT FINISH
o Mlfl.,1'l1A('1l),Yr COil/lMUN, '^'; .G'v\II~$SlJil.v BUILDING
NtlnIDer of unlts:,_,-.. ,.0::1 I CU', I '0 DETACHED GARAGE
r.rN Ur un' ,.. --
FOUNDA1'fON TYPE: (Check \ill 'Wi,I.It\A 6 ~~t~~~E~~~~~
apply for the new construction area) 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOUTION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_v1N)
PHONE:""? I 7
.28,-37~'j a/I
FAX: 3/7
Sd'o -.:;;;S/O
CITY:
PHONE:
.J'J/-.2.'J9- 9977
FAX:
J,i:J -.2 90-jl~a
CITY:
J/lJiJ,iJAJ/J O)IS
STATE:
p';;;9,u /)
SUITE #: (If Applicable)
ZIP:
't' _.268
ZONING:
0'7 DO!)
la' ARCH 'It MECH M PLUM
fiTHER(S):
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) So 000
-21~
Early Release X
Permit: _Y _N
Lot Split: _V XN
Manufactured
Trusses:
Sump Pump:
_VXN
_VX-N
FLOOD ZONE AREA DESIGNATION(Sl FOR THIS PROPERTY:
X -Lu1~ ber.kd
PLUMBING CONTRACTOR:
J/JJ.~En/JJ /YumIJlAI.}JIAt:-.
Plumber's Indiana State License #:
Class I structure pennits 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 confonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993M (Z-289) and amendments,
adopted under authority of LC. 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 Certificate of Occupancy or Substantial Completion has been
issued by the Department of Community Services, Carmel, Indiana.
off A/-
Signature of Owner or Authorized Agent
tJr/J'J
12.2./.2Q07
Da
OFFICEUSEONLY:***************************************************~*******************
INSPECTIONS REQUIRED: Filing Fees: 15 ..,.f5'O
ADO", e-O
/ , f)(}
IA ~ ,50
~
Upper Footing
Base Inspections:
Cert. of Occupancy:
7
~ ~eviewedl
l \,..rm;"/Fo<m
Date