HomeMy WebLinkAbout07010088 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
C't .I'C [ICZ 'T' h' Permit#: 070100"63
I Y OJ arme ay .L owns Ip
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
NAME: Gi I \'I'-tlG? Gc. Inc..
STREET ADDRESh f1
2515 010 d {We...
B4ILDER'S EMAIL ADDRESS:
hd u W\' . \ lic....th... (ofY'
PHONE: 3 \"1- G3~ -3 35"5""
FAX:
CITY:_
...LrvJ;M ,,\;,
STATE:
/I.)
ZIP:
L.h.2 \'6
BEST METHOD OF CONTACT:
<2-"""'-'
NAME: PHONE:
,..f,ek. Tl-lD CoM",-",:t'.e.> lI...C 3l7..57Lj..3'400
STREET ADDRESS: CITY: STATE:
\ E. NE'u.'lM~t:.f;(" ST'. \:I:'2Do CuC'I'<\e\ IN
FAX:
~17 .. SN -3'1 f1
ZIP:
'tl".03'L
ADDRESS OF CONSTRUCTION:
\'Yoql, MOUL+ri<e.. S-T.
SUITE #: (If Applicable)
4t;e>32...
Cf}..lZi"\'<:.;...
IN
Address of Shell Building: (If different than Address of Construction)
.-
Lot # and Subdivision: (If Applicable)
ZONING: TAX MAP PARCEL #:
PUD i7..oQ..2Q"'Oo..()D.. OIL 0
SCOPE(S) OF 8( FDN "<:" STR 3.. ARCH Il( MECH 1>Il PLUM SQUARE .
RELEASE: ~ ELEC 0 SPKLR OTHER(S): F" I1o<>D FOOTAGE: I \ 15t:,
,
ILDING, PROJECf,,.oR :cNANT NAME:
(\1<\ro~ ~\ o:t
STATE COMMEROAL
DESIGN RELEASE #: .~ 2..12. S b
Elevator or lift: 0 YES
ESTIMATED COST OF CONSTRUCTION: cO
(EXCLUDING LAND VALUE) I '\cD O()O.-
.'\ D~o700Cl.3 -rAC . O'1~'O
.) O1.4 t9 O.s. ~
WATER UTILITY C
PROVIDER: 'Wrl'e \
SEWER UTILITY. c..- "TR v.ft>
PROVIDER: (c...u I' Ie. \
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors: \
TYPE OF CONSTRUCTION:,., ...n~,\S ,'-Tv' ROVEMENT:
.-' 0 f:Un \:..-,....j \ eOI..lI....
~ ~'f.' ,'.,,\\dhCe 'Iitll :e), '. & NB." STRUCTURE
t\~v!~IY[fJrID~d n05R~~~~~ ~~..d,'.T~9icar:d':.Q v~OOl$ION
s\.Om~cen~!'!~~~lfomme~~~r}, ',f"f~' ;~.\..~}-,-,j : :--0... ",!!Jam(s)
o INSTITUT10~A[N,,,^~J,\J'''', < '''O'Nt~Q)'-\\lorch
Dp':!ull.!>ljjaI/Publ)~.Bld9 CJ:.. 'i \ 0 Meuanine or Deck
~ ~l1otp..P,MC\..' , ~ 0 REMODEL
r.~<ilmcH I\'lO\p..Nr- 0 NEWTENANTFINISH
o iVt(JLTHAMILY 0 ACCESSORY BUILDING
Number of units: _ 0 DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOlITION
BASEMENT (WALKOUT:_YjLN)
VB
BLDG. CONSTRUcnON TYPE:
PROJECT INFORMATION:
Early Release
Permit: Y v N
Lot Split: Y V N
Manufactured
Trusses:
Sump Pump:
V Y_N
_Y~N
FLOOD ZONE AREA DESIGNATIONfSJ FOR THIS PROPERTY:
~ X-lAn~had(u~
PLUMBING CONTRACTOR: 13:~;'~O~(o'
FOUNDATION TYPE: (Check all which
apply for the new construction area)
..8l SLAB 0 CRAWL SPACE
o POST &_BEAM _PIER 0
Plumber's Indiana State License #:
Class I structure permits are subject to the GeneraJ 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 eonfonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana ~ 1993ft (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 funher 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 Occupancy or Substantial Completion has been
issued by the Department of Community Services, Carmel, Indiana.
7n ~
Signa~ Ownet'" or Authorized Agent
fYlac'1 True b lo..,t
i / 12./-07
Print
Date
Reviewed/ Appr
S:Permits/FormS/ILP
~
Base Inspections:
Cert. of Occupancy:
TO~: