HomeMy WebLinkAbout07020089 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: ff7D2DtZf1
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
NAME:
SKO
PHONE:
..117-56,/-/'179
FAX:
317 - S61-1'/32
Con srI? /.1(. TiDN
L/..(
ZIP:
CITY: STATE:
.DvDPLS LA! <I~:U()
BEST METHOO OF CONTACT: 317-]<{:S- - S 887
01( ~-W1AIL
8!bO~Eg57b 58!^::- 5?J19
t/tO?> 3
BUILDER'S EMAIl ADDRESS:
.s
KT" V @AOL . Con-,
NAME: L-arr
STREET ADDRESS:
1%5e
1:'0
/JI CITY:
j(f Jl.CL
STATE:
IN
~cI
C-armd
SUITE #: (If Applicable)
"bC3~
ADDRESS OF CONSTRUCTION:
2--3 IZM. t
Lot # and Subdivision: (If Applicable)
Address of Shell Building: (If different than Ad~ of Construction)
,tA:-rIf1/; ;, €-. Mc.Mz
BU!LPIN<j. PROJECT, OR TENANT NAME,*" , . IV' Z5/PING:
Ole( C/wx:5J \. t1A-J .J,:. D>1tt '
SCOPE(S) OF 0 FON 0 STR ~ ARCH
RELEASE: )t ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
o MECH
STATE COMMERCIAL
DESIGN RELEASE #: .>;{ 37 '71
WATER UTILITY .
PROVIDER: eItO...... ( tf. -II /..
ESTIMATED COST OF CONSTRucnON:
(EXCLUDING LAND VALUE) / 'I (l DOC:>
I
SEWER UTILITY
PROVIDER: &rl'l1.'lj
lifll
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'S (If Applicable):
Elevator or Uft Q YES if[ NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
X! COMMEROAL 0 NEW STRUCTURE
RI1f!LI@AS~ 9C1Pi1jljs I~ . Q.~ON
C',W1j~e.&~~te.::~are~rrle~atr'~"'""' I RlJC.i"~ Room(s)
o ~rnpllance with all ragulatic:lJJli Porch
o MCllIi~uI!toOBl~al Codes 0 Mezzanine or Deck
DffiP'TSeJI""COMMUNITY S~.. ~DEL
J"'-roP Chyrcl!..'.. 'JWRTENANT FINISH
O"'~ul.~MIl.iyl.RMEL / CLAY T N~~ORV BUILDING
Number of units: I ~J DIANA 0 DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
'fiP SLAB 0 CRAWL SPACE 0 DEMOLfTlON
o POST&._BEAM PIER 0 BASEMENT (WALKOUT:_V_N)
# of Floors:
OCCUPANCY CLASSIFICATION: J.A..
r5 PROJECT INFORMATION:
II ~ 1 Early Release f"
Sft.Permit: _V ...J:,...N
Lot Split: _V ~
Manufactured
Trusses:
Vl(N
-VAN
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
X 1~~1-1 ??r:fp~
PLUM~ING CONTRACTOR: ~ 1Z- e~
Sump Pump:
Plumber's Indiana State License #:
"~
Class I structure permits are subject to the General Adini~istrati sot State of Indi3fa (See 675 lAC 12) regarding expiration time frames for beginning and
. . " ' completing construc~~~.
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 appli~able laws ofthe State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 1993~ (Z- 289) and amendments,
adopted under authority of I.e. 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 ~o_~!ruction will not be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued he Department of Commun' Services, Carmel. Indiana.
<;c..<'# l:f~sp6..C/..
Print I
:J.. -N-O?
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 04:: J . '1,tf
Lower Footing Under Slab Base Inspections: 1- fJtJ · (J 0
Cert. of Occupancy: . CJ 0
7
Site
Reviewedj App Dved: Dept. of Community Services
S:Permits/Forms/I CQMMEROAL