HomeMy WebLinkAbout07020031 Application
City ofCarmel/C/ay Township Permit #: 070 ~oo:31
,
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
# of Aoo,,: 3 Elevator or Lift: YES Q NO BLDG. CONSTRumON lWE: 1/-8 OCCUPANCY CLASSIFICATION: B
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
r11 COMMEROAL ri NEW STRUCTURE
(privateIYOwne<R~~~~J:OD FOR @)M~I}l-.TJON
andmedlcaloffi~s~nrers"\"""~' ,J '.1\, ~ J"oj 'R6dm(s
are commerdal)'" Oject to complitrlCi:.1 with m! (fPOr&hations
o INSTTIUTIONAl . of ,St2.t~ and Lr}cai ((::a"I~M~anine or Deck
o Municip"l>Ruhli&Blda_ rv', " " "'-REMODEL
o School -Ul:.rTVr ,-,,_,!" '!iCQf.R11 'NEwTI:N~'N.;rFfNBH
o ChurciClTY OF CARMEL /(tiLACi:E65GiIiYiBWlff.jj~
FOUNDATION TYPE: (Check all which INDI tUllADETACHED GARAGE
apply for the new construction area) 'tf ATTACHED GARAGE
~SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
/q POST & BEAM 0 BASEMENT 0 CELL TOWER CO. LOCATE
(or POST & PIER) WALKOUT:-,--,-Y_N 0 DEMOLITION 'Pc./02..0tJl.fz. 9
BUILDER of NAME
RECORD: ?AI\JAlT01\..l/
rVSTYl./lC1iOrJ I/JC-,
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
BUILDING, PROJECT, OR TENANT NAME:
PE.NJIJ
STATE COMMERaAL "" ZZS-8' _ SCOPE(S) OF / ~ FDN
DESIGN RELEASE #: ;;>..., RELEASE: ~ ELEC 0
WATER UTIlllY
PROVIDER; err{ Or CIlIllYJE-L..
SEWER UTIlllYCi.Ar 7f,WNS>l,P
PROVIDER; 1Cf;/;,J()N/JL.. ~/Asns
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
PHONE
-o1J/
-SIt.O
CITY
STATE
IN
ZIP
FAX
- 31l.D
STATE
IN
Lot # and Subdivision (If Applicable)
TAX MAP PARCEL #: I
JIo-cfj-gG-oa-<J(j- OZD.'CO;;J..
SQUARE IJ . J
FOOTAGE: lift, (P37
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) "$ q." />1IlMof\J
Early Release VI Manufactured 'X
Permit: _Y ~N Trusses: _yt....:-N
Lot Split: _Y ~; Sump Pump: _Y ~
Does any part of the property lie within a special Flood
designation area: Y ~
PLUMBING CONT.RACTOR:
&.rr/4?PJ2.lS€ eJ..E.CrJ2Jc-Al- -I 1176tllAJJtAL
Plumber's Indiana State License #:
CP3D'300Dlq
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 undersigne!f, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by chis 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 I.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 until a Certificate of
Occu Subs. mp!etion has been issued by the Department of Community Services, Cannel, Indiana.
2-5-0 Z
. nature of
r Authorized Agent
JaHAJ ...J4FFE
Print
Oate
Approved: Dept. of Community Services
S/ItF COMMEROAl
Additional Fees