HomeMy WebLinkAbout07010177 Application
City of Carmel/ Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
Permit #: 0/6/ () (71
BUILDER
OF
RECORD:
IJKJ~
(){-( tv n
LOCATION
& PROJECT
INFO:
ridu'U) CITY: r
61-- - farmer
r;4-g --7 (X)
.I STATE: IN
FAX: 571- N70
fL ZI1.h 032
dtl-3//fo a.~(/
FAX:~
ZIP:Lf(pIJ 3 2
PROPERTY
OWNER:
SUITE #: (If Applicable)
n
Lot # and Subdivision: (If Applicable)
Address of Shell Building: (If different than Address of Construction)
o FDN 0 5TR. 0 ARCH 0 MECH
ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
;2,5/ z. (!) ?-.OJ./ODO
~~ ~
SQUARE
FOOTAGE:
L-u,
o PLUM
WATER UTIUTY ~
PROVIDER: '---
SEWER UTIUTY
PROVIDER:
PlAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: ?
Elevator or Lift: Q YES
OCCUPANCY CLASSIFICATION:
PE OF IMPROVEMENT:
o NEW STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
Y NEW TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
FOUNDATION TYPE: (Check all which 0 CELL TOWER (New)
a~or the new construction area) 0 CELL TOWER CO-LOCATE
'SLAB [B""" CRAWL SPACE 0 DEMOLITlON
o POST & _BEAM _PIER cg" BASE~U~A~~:EQ.YJ ~)\:S;hUCTION
...,..... ..,p n"lll\atlons
Class I structure permits are subject to the General A mmjstraii~Y ~1;~~~f~~,~~~~.,I(fJJ;14~3!laX$U 675 lAC 12) regarding expiration time frames for beginning and
. completlD!;, consrtuctloq., \ - q\ II r: i= S
I, the undersigned, agree that any construction, reconstru~ ~1firg~en.'.~fe.I9caiir,l\! bt. I ilterkb.{lU'ofisdu'tt1lre~r a~ change in the use of land or structures requested by
this application will comply with, and conform to, all ap2li~ie la~slQ.f th~ Str.t~.~ JEdiana,.,~d t~e."Z~~~Q~@tefl'lt'Cannel I.ndiana - 1993~ (Z-289) and amendment~,
adopted under authority of l.c. 36-7 et seq, General Asse~){b(t1iU>ratLOi fridiana;and all Acts'amhdatory thereto. I further cenify that only kltchen, bath, and floor drains are
connected to the sanitary sewer. I funher certify that the construction will not lfred Qr ~pied until a Certificate of Occupancy or Subst.aJJtial Completion has been
i, d by ,he Dep~'m<ntU{zt~,~,c"m<i, Indima m;' ()~' ~ ~ U LI ~ I J)6/0 7
Signature of Owner or Authorized Agent Print Daf:! '
TYPE OF CONSTRUCTION:
1i6\ COMMERCIAL
(~,j (Privately owned hospitals and medical
offices/centers are commercial)
o INSTITUTlONAL
o Municipal/Public Bldg
o School
o Church
o MULTI-FAMILY
Number of units:
PROJECT INFORMATION:
Early Release \/J
Permit: _Y --.L:'N
Lot Split: _Y ~N
Manufactured
Trusses:
Sump Pump:
_yXN
_/K_N
FLOOD ZONE AREA DESIGNATION FOR THI
X -/u:nsn:rJJL
PROPERTY:
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: 0 Filing Fees: 1 ~ '3 , 0 0
~'Ib Base Inspections: 10 0 , tJ 0
Cert, of Occupancy: / IJ 7 ' () 0
?%~d" ~~ tt" 00 j, /<
F~,;:;t/l1t~ jh ~ ,~ /5 O,z'e
Upper Footing
Rough In
Reviewed/ App
S:Permits/FormS/IL
I