HomeMy WebLinkAbout07030003 Application
City ofCarmellClay Township Permit #: 01 030003
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
NAME
~\ c OIV>-1/Lvc.-(,.N LL.C
STREET ADDRESS
1/1/1 /'I. tMJ~' [vAnltA .:;--;;
BUILDER'S EMAlL ADDRESS
'1",11~"""v e p.elcS.C"",
NAM)'
NoHH
PHONE
(::',-:/')51\- b2!J,1
FAX
(J/1 ~15-bB5f
CITY STATE
Cilti"-iJ'L J A)
BEST METHOD OF CONTACT:
ZIP
&,,?2
EM.A'L
PROPERTY
OWNER:
FAX
/1'1 )15' - ~o5':;-
STREET ADDRESS
1/ N. ?tt<;
CITY
.#'.4 }~ >1/ iE Z..c ? 1;Z1t</iZ.
ZIP
1/"o.Jz..
LOCATION
8< PROJECT
INFO:
Address of Shell BuJtdlng (If different than Address of Construction)
BUILDING, PROJECf, OR TENANT NAME:
IV, UlI ArI)J If Ie
STATE COMMEROAL
DESIGN RELEASE #: 37-4-2--1)'
~R~~~~LITY (';/f/<<U JV111t7t
STATE
j,J
ZONING:
SUITE # (If Applicable)
()O
Lot # and Subdivision (If Applicable)
-- -~ TAXMAPPARCEL#: /IRIJq g5-/JOOIOO 00
SCOPE(S) OF 0 FDN 0 STR \Q ARCH Ill) MECH t6- PLUM
RELEASE: \;ZI ELEC 0 SPKLR OTHER(S):
SEWER UTILITY
PROVIDER: C-r,t WI>
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: Elevator or Lift: c;l YES PJ NO BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: :lI'\unp !MPROVEMENT:
'Y:. COMMERCIAL a CO~S II \ eg~\'O~Ew STRUCTURE
(Privately o'll'll"! I\O~~ ,,'it'r' <J. eS 0 A.D~ON
~n ~'DIn~~~!\l"';6 ~<J.I COO ~\j\C\0' ~oom(s)
mer~):) '000 \..0 -\'I S'2. ~d9I\\r;orch
o I .J1.~",<J.\e. -,~0~\\ ",n'.j\JI ~ Mezzanine or Deck
Mun..p", ~~~,BI09 C V;' ...... REMODEL
o _~ W,'2-\-I' po. g NEW TENANT FINISH
~qJf,urcJi cp--I'\' \\\p..~ 0 ACCESSORY BUILDING
FOUNDATI (Check alil>>llich 0 DETACHED GARAGE
apply for ew construction area) 0 ATTACHED GARAGE
tl9 SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOUTION
SQUARE
FOOTAGE:
7,12'"
ESITMATED COST OF CONSTRUcnONJf
(EXCLUDING LAND VALUE) &, /, ~ of)
{I-B.)f~
OCCUPANCY CLASSIFICATION: f
,
PROJECT INFORMATION:
,z[:1t1
Early Release Manufactured
Permit: _Y -,LN Trusses: _Y LN
Lot Split: _Y iN Sump Pump: _Y-XN
Does any part of the property lie within a special Flood
designation area: _Y +.N
PLUMBING CONTRACTOR:
[el4e-H 4- (Cl/fSe-L--L- pttf//lN'(C~L-
Plumber's Indiana State License #:
P/q>~ooCJ
Class I structure pennits 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, adopted under authority of l.c. 36--7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat. d floor drains are conn ed to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc}; 'I'Subs .al Ie' /has been issued by the Department of Community Services, Cannel, Indiana.
.110ft.! l J-htt-,M,-!P ;z./z--;z~+
Print Date I
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: (; Z) fa ~ '71./
'7 0 0 # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: p'-O, 0 Reviews
~ Site Cert of Occupancy: ~. [) 7, 00
JI Q '7 4'f Additional Fees
TOTAL: .ifl /..:;), /
FeeR~ftr(}PJ/tldT) 3/1/07-