HomeMy WebLinkAbout07020094 Application
~ityofCarmel/Clay Township D?J;J.oo'1if permit#:~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings),
BUILDER
OF
RECORD:
STREET ADDRESS:
01 ?etvto,,;;'
l/A-UI4 P//12/d-{/4
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS: L, ... I,
a;:(YI , rh (r5) ~
NAME:
f>1-1Z:-r tV Ei?S
PHONE:
:5
FAX:
"5/7428
STATE:
r;V
, , b4tJB
13
cm:
ZIP:
'I
BEST METHOD OF CONTACT:
-h , n e+ ~/)J./E
PHONE:
FAX:
317- '5b4-:1l'7t
----
ItftzeE
III IA f4eJew cm: -X;;;j)(4M
STATE:
STREET ADDRESS:
5"01
'7::>
r-1i'N'W s'
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTlON:
501 ~/V'o/.>Y'LVAiVIA
BUILDING, PROJECT, OR TENANT NAME:
1-11-1 J:::t:;j !v
ZIP:
':t7V 4bZgo
SUITE #: (If Applicable) / bO
:Z::;:V4.4v4!"Pl.IS J. W--4bz
I'>
Lot # and Subdivision: (If Applicable)
M~
TAX MAP PARCEL #:
SCOPE(S) OF 0 FDN 0 STR ,M' ARCH .1lf' MECH ~PLUM
RELEASE: ~LEC 0 SPKLR OTHER(S):
j?;J?,27
# of Floors: Elevator or Lift: BLDG. CONSTRUcnON TYPE: ..s?~ ~ OCCUPANCY CLASSIFICATION: B ~ J?aM.
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
~ COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Roam(s)
o INSllTUTIONAL 0 Porch
o Muni,CiPal/PUbliC Bldg _~,~ezzanine ar Deck
o SCh?oL" rr'\',\:',1rnJ'-REM\Jl:llJ..
Q..pwr.~"'~D FOR j,' '" - \~qNEW9'EoWANT FINISH
o MU~X:-rr,(np\ianC9 ,MiCa W,~ACCESSORY BUILDING
NU~BlIrllW. "', 00 LOcal ,Cg__o~ACIl~ GARAGE
FOUNDATION TYPE' fi~tak"~~~I' "I'll\"(' t;j:.:A'n,:"tEF!:\ gARAGE
"'-"'I.J.T- i.tlLitt~", ' C ." f"G), l:\ELL';i:0WS<(New)
a~PI for the """,..on u r'3'N~~)I,_.L old ~CELL TOWER CO-LOCATE
SLAB GIn' O'e::Y'iJUwl ~PA"F".f\. 0 DEMOUTION
U"fulr..
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
STATE COMMERCIAL
DESIGN RELEASE #: 5Z 31.'7-:;
WATER UTILrTY )
PROVIDER: {4fV1Fil
SEWER UTIlITY
PROVIDER: C,LJjZ.U E[
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNlY WElL AND/OR SEPTIC PERMIT #'S (If Applicable):
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
, I7S,c)t/D
Early Release V:
Permit: _Y-""'.N
lot Split: _Y->>
Manufactured
Trusses:
_Y )(. N
_Y >eN
Sump Pump:
flOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
,Y -IMLC) h7fkv<.
f3 .... - J ,. J
PLUMBING CONTRACTOR:- i1. ~
C()fVl~
Plumber's Indiana State License #:
_rC )0200~
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frnmes 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 Carmel Indiana - 1993" (Z- 289) and amendments,
adopted under authority of 1C..,,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 th . ~r. I further certify that the construction will not be used ot occupied until a Certificate of Occupancy or Substantial Completion has been
issued by ar J:t of Community Services, Carmel, Indiana. ,
~REi6>nl-'-J.I 2//6/D7
Sign ner or Authonzed Agent Print Date I"
~OFFICEUSEONLY: ****************************~~******************************************
~ ~ INSPECTIONS REQUIRED: Filing Fees: I'/();. .5'3
. 'oper Footing Lower Footing Under Slab Base Inspections: 7fJ(J, 0 tJ
'~ ~ Celt. of Occupan , 00
~ -~~~ ,/ ~
~. 1 -::::L 1\ , TOTAL: / - ...J
oror\\~ ...J!...Q)/F, UJ ,BlJ07
,J: Dept. of Community Services (Date)
~OMMEROAl Fee Received by: Date