HomeMy WebLinkAbout07020066 Application
BUILDING, PROJECT, OR TENANT NAME: I
J.s~
STATE COMMERCIAL ..1
DESIGN RELEASE #: 'jZ; 66 CI
C
'.
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
,
'I . Permit #: () 70 "2..001.0(;
,ty of Carmel/Clay TownshIp
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
PHONE:
FAX:
CITY:
STATE:
&..
BEST METHOD OF CONTACT:
BUILDER'S EMAIL ADDRESS:
vi"
<)
FAX:
1-/72-)"ID
PHONE:
AI 7 7... -
00
ZIP:
STATE:
SUITE #: (If Applicable)
20
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
ZONING:
TAX MAP PARCEL #:
C/~d.;vzr.s
SCOPE(S) OF "p- FDN 0 STR ~ ARCH
RELEASE: 'NLEC 0 SPKLR OTHER(S):
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRumON: \
(EXCLUDING LAND VALUE) 5, &cJ' . <~
SEWER UTILITY
PROVIDER:
PlAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
(QUNn WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: I Elevator or Uft: Q YES P-'NO BLDG. CONSTRUCTION TYPE: 8-.k~ OCCUPANCY CLASSIFICATION: ~
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
C(1' COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospItals and medical 0 ADDmON
Offices/centers are commercial) 0 Room(s)
o INSlTIUl10NAL . ,_ '''-i\Ol\D Porch
o MumClpaJLp'l-tbHc~~~','\~1 \ Rt,...., 'n..G MezzanIne or Deck
~.~ n.," ~ . II Ipn""'t'REMODEL
Rt': lJ{,:';'Y:::........."'.. . .,'itil a,. "';;j~
[;C . - FJjY~SP,f11? \\anG8" _ Co"e5",,"..' . NEW TENANT FINISH
o S,n111jf(-f'~MI!:.Y '\8 ano LOcd "; (~r.1\D\ creeassoRY BUILDING
Number 6f[~I~ ~)\'\l\"\"\ ..)I__;~.Pf" P!T~ED GARAGE
cD' n, ,-,U ,."" ,.'-.. '\'{ "(\.0 '''ATtACHED GARAGE
FOUNDAfi~ !'y:PJ;:. ~~~~~~"all )Nh.ch 0 CELL TOWER (New)
apply f'e~ I1@)'Iconstructi.o'Ca~~~}A 0 CELL TOWER CO-LOCATE
e;;r SLAB 0 tlJ.:WL SPACE 0 DEMOLmON
o POST & _BEAM _PIER 0 BASEMENT (WALKOUT:_ Y_NJ
Ad. d. J
Early Release , ^,
Permit: _Y..:t::::::r'l
Lot Split: _Y~N
Manufactured
Trusses:
_Y){N
_yXN
,,"
Sump Pump:
.'
FLOOD ZONE AREA DESIGNATIONrSl FOR THI!i.!'ll.OPERTY:
)(....- tGVL6 h od. ad
PLUMBI~G CONTRACTOR: ~
"Se-Y1. =bn-e., S,
Plumb's Indiana State License #:
B~,~f)~
'f
~.
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 chmge 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 MZoning Ordinance of Carmel Indiana - 1993~ (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 cenify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I funher certify that the construction will not be used or occupied until a Certilica.te of Occupancy or Substantial Completion has been
Issued by the Deparrment of Commumty Semces, Carmel, IndIana.
, // , - arJJ~'p~ f
Signature of Owner or Authorilecl Agent ,/ I I Print -~
Sl-r4r.Jc>J
2-9-;1.0'"'7
Date
I ,JI ,
OFFICE USE ONLY: ******i*** ** *i;e)*********~i******************************************
INSPECTIONS REQUIRED: "3 J Filing Fees: .5 II ' 0 0
Upper Footing Lower Footi~g Under slab(;l ."3 ~ase Inspections:
~ Cert, of Occupancy:
Site
D07
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