HomeMy WebLinkAbout07020065 Application
BUILDING. PROJECT, OR TENANT NAME:
American Health Care
STATE COMMERCIAL
DESIGN RELEASE #: 323797
WATER UTILITY
PROVIDER: Carmel
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
Permit #: (70){ ()tJ~
City of Carmell Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
NAME:
Paragus Construction Co., Inc.
STREET ADDRESS:
2920 East 96 th Street
PHONE: FAX:
.
317 846,,(4001
OTY: 11" STATE:
Indianapolis IN
BEST METHOD OF CONTACT:
E-Mail or Phone
46240
ZIP:
BUILDER'S EMAIL ADDRESS:
mmance@paragus.com
NAME:
PHONE:
FAX:
Paragus Incw
STREET ADDRESS:
2920 East 96 th Street
(317) 846-4001
317 573-3939
ZIP:
STATE:
CITY:
Indiana
./Ii
ADDRESS OF CONSTRUCTION:
).()~East 96th Street Indiana olis
Address of Shell Building: (If different than Address of Construction)
IN
Lot # and Subdivision.
ZONING:
N/A
TAX MAP PARCEL #:
S-2
SCOPE(S) OF 0 FDN 0 STR 1)1. ARCH Q[ MECH
RELEASE: ~ ELEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
1979
SEWER lJTlLITY
PROVIDER: Clay Regional
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 60,000.00
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTI WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: 1 Elevator or Lift: Q YES ~ NO BLDG. CONSTRUmON TYPE: OCCUPANCY CLASSIFICATION: B, REH
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
Ol COMMERaAL 0 NEW STRUCTURE Early Release
(Privately owned hospitals and medical 0 ADDf'[IpN Permit: _Y ---X....N
offices/centers ace comJ!l~ci9ll0~ISTRUCTtOl\Room(s)
o IU'''''''E'D FUli v'., g Lot Split: _Y-1LN
""":~-. . ',' 'j regula' n:!lorch
,,' b:~V~'t,IQ~igH~';;l~ldge N~.ln ~l,~. _ Mezzanine or Deck
lS'c'/,og( s"te al1d Loc 0' IJO,OO. REMODj;L FLOOD ZONE AREA OESIGNATIONfSl FOR THIS PROPERTY:
o Churtti ,\c. , " 'U"'TY C'B'i'NWq-6NANT FINISH X fA J I
o Mum:fA~lI[YF corv'w" ':' ,':':Q,.AC~fI'I BUILDING ~ CvvlSYlCQ\.(('lJ\
rem '6'ftli~/'.R;:l'=L / C.LA( \'9VOE'l-XCHED GARAGE
FOUNDATION TYPE' (Ch k la\lwN/,JilA 0 ATTACHED GARAGE PLUMBING CONTRACTOR:
. ec. 0 CELL TOWER (New) RT Moore Inc.
apply for the new construction area) 0 CELL TOWER CO-LOCATE
liD SLAB 0 CRAWL SPACE 0 DEM0LIT10N
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
UV-176-00
Manufactured
Trusses:
_Y -1LN
_Y L-N
Sump Pump:
Plumber's Indiana State License #:
81005205
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.
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 Cannel Indiana - 1993" (Z-289) and amendments,
ado ted 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
COql ted to t e sanitary se r. I f er certify that the construction will not be used or occupied until a Certificate of Occupancy or Suhst1l11tial Completion has been
issae teart unity Services, Carmel, Indiana.
Michael T. Mance
Feb 7, 2007
Date
Signa of OWner or Authorized Agent
OFFICEUSEONlY:************************************************************************
INSPEcnONS REQUIRED: Filing Fees: &J1" CJ /
Lower Footing Under Slab Base Inspections: -;A P() · 0 0
D7. 60
o
Print
ReviewedjApp oved: Dept. of Community Services
S:PermitsfFormsfILP COMMEROAl
Site
Date
Cert. of Occupancy:
,~
"'*.f6 ,
1
\~
(Date)