HomeMy WebLinkAbout07010118 Application
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City of Carmel/Clay Township Permit #: (!) 70 IO~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
NAME: D '^--
STREET ADDRESS:
PROPERTY
OWNER:
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FAX:
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CITY: ZIP:
C' -I--. cS+ ;p
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BEST METHOD OF CONTACT:
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PHONE: .3 /1- FAX: 3/ ?,
ISo c> ~o.? Co
:tt- CITY: ZIP:
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NAM~
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STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
L
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.G'
SUITE #: (If Applicable)
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WATER LfT1ll1YC
PROVIDER: ~
PLAN COMMISSION I BZA / BPW DOCKET N BERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
SCOPE(S} OF 0 FDN
RELEASE: \)(.. ELEC
ZONINGe t..o
tiIlfARCH bCMECH
OtHER(S):
Lot # and Subdi~n: (If Applicab )
'-77-' -~
TAX MAP PARCEL #:
.;:) (. --00 -00 -011.60-
SQUARE
FOOTAGE: "..3 5,'-!:,-
Address of Shell Building: (If different than Address of Construction)
1 e
STATE COMMERCIAL
DESIGN RELEASE #: 3 J-3 ;;".5,-&
o STR
o SPKLR
o PLUM
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 1- s-
00 06
# of Floors:
Elevator or Lift: Q YES
BLDG. COtJSTRUcrrON TYPE:
OCCUPANCY CLASSIFICATION:
13 il(e.
TYPE OF C NSTRUCTION: 'TYPE OF IMPROVEMENT:
lli1 COMMERCIAL 0 NEW STRUCTURE
(Priva\ely owned tMuNalslm<17medif.'i1, D. ADDmON
offices/centers are commercial) !...C,Uj : 0 Room(s)
o INSTTIUTIONAL , 0 Porch
o MuniCiPal!p~liC Bldg. --.-.- __...1'- 10 Mezzanine or Deck
g ~~~~~ su~~~SI:DE&;t~~E~NT FINISH
o MULTI-FAMILY to comPfi~, -A'ct;~iRl!ll@.l"~'
Number of units: f"IT-= Of StN~ _ c~Er\~gr"" V
LJCJj;1-' {' nc ,;'" ell1 LCimJ ~,(;AlVi&ons
FOUNDATION TYPE: ~~ WI\lCILOM!'QQJrq~~:(NeW)
apply for th~5fhldi JiT~>-IRMEtg ~~~~TE
~ 0 CRAWL SPACE /NOI ~LI[f@t;/vNSHI
o POST&_BEAM _PIER 0 BASE~(WALKOUT:_Y~N)
PROJECT INFORMATION:
Early Release 11'
Permit: _Y ~N
Lot Split: _Y ~N
!
Manufactured
Trusses:
Sump Pump:
_Y~N
_Y~N
FLOOD ZONE AREA DESIGNATIONIS) FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
/!/#<
Plumber's Indiana State License #:
Class I structure permits are subject ro the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expirarion 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 Carmel Indiana - 1993" (Z- 289) and amendments,
adopted under authority of l.c. 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 unril a Certifica.te of Occupancy or Substantial Completion has been
issued by the Department of Comm nity Services, Carmel. Indiana.
--rON::tc-..
Print
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I-I"+--o~
Date
OFFICE USE ONLY: ****************************~.******************?*********!..*************
INSPECTIONS REQUIRED< Filing Fees: / (L go, J/6
ng Lower Footing u<nder Slab Base Inspections: ';;'00, (f) 0
~ /07, DO
M terBase ~ rz:1 /'
TOTAL: U
1~'
Up
Fee Received .
Date
Reviewed! Ap Dved: Dept. of Community Services
S:PermitsjformS/IL COMMERQAL