HomeMy WebLinkAbout04120017 Application
"'
. ~1:vd./fI/~dl.,(-t 36-6J"-;70 J-c:_yq/L/~~-':i3~ /frLec{
City of Carmel/ Clay Township Permit !?fJ-tf //,1 ()!!J J 7
CO:MMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLlC~TION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory ~uildings
BUILDER of
RECORD:
NAME PHONE
tJ,A PI TOt.- t1-IJVl.snUA-t!J72Yl
CITY
Mf:;.~ U/UYE
$1Lf~L/?
-ffJ
LOCATION
& PROJECT
INFO:
ADORE.S~~ CO,NSTRUCTlON
30 ,i /i.' e,
Address of Shell Building (If djfferent than Address of Construction)
2$1
e. qq~
q"f'<.
BEST MEniOO OF CONTACT:
()I
PHONE
FAX
PROPERTY
OWNER:
BUILDING, PROJECT. OR TENANT NAME:
G
TAX MAP PARCEL #:
~o qDSS
# of Floors: ~
Ele....ator or Uft: c;I YES ~ NO
BLDG, CONSTRUCTION lYPE:
OCCUPANCY CLASSIFICATION:
STATE COMMEROAl
DESIGN RElEASE #: .3003
WATER lITlUlY '-.-, I
PROVIDER: ......,..,
SODPE(S) OF 0 FON 0 STR
RELEASE: ELEC 0 SPKLR
o PLUM
SEWERlITlUlY C-MmEl-
PROVIDER: U' 5GlAJ e:f{.
E511MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'S (If Applicable):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
1Il'l COMMEROAL 0 NEW STRUcnJRE Early Release v Manufactured ,;
r (Privately owned hosp~als 0 ADDmON Permit: Y '" N Trusses: _Y ~N
and medIcal offices/centers 0 Room(s) v -E";
are commercial) 0 Porch Lot Split: Y ~N Sump Pump: _ Y ~N
o INSl1TUT10NAl ~ 0 Mezzanine or Deck D rt f th rty I' 'th' ' I ~I d
o Munidpal/Public Bldg REMODEL oes any pa 0 e prope Ie WI In a specla 00
o School NEW TENANT FINISH designation area: _ Y f.....N
o Church 0 ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE RELEASED FOR CONSTR r
iP'Y for the new construction area) 0 ATTACHED GARAGE
SLAB 0 CRAWL SPACE 0 CELL TOWER (New) P~u ~J~,c:McaTalaRM~ 'ti~ni~ If:Qulations
POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE bf Sla e anOLOcal Code3,
(or POST & PIER) WALKOUT:_Y_N 0 DEMOLmON nEPTOFCOMMU/JIT'(~[J1'iICE3
Class I structure permits are subject to the General Administrative Rules of cite St In e J 1 ~~tnMHnunes for
beginning and completing construction. IN 0 IAN A
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 ofI.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 construction will not be used or occupied until a Certificate of
Deeu ey or Substanti Completion has been issued by the Department of Community Services, Cannel, Indiana.
K- TE/UU./ cV-4-!lI<.- /1. ~'Ot/-
Signature of ner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ~ OS . 00 ,
" / Ct O?l # Charged Re.
Upper Footing Lower FootIng Under Slab Base Inspections: / 0 · v ke' 5
~Ug0 Meter Base@SiteCert,ofOCCUPanczy: I tJ ' OV~
n ~ ') 0 ~ ddltional ~ees
II TOTAL.: ,!, ,
12 8 0+ II ~tt"-tl: V/ -;iJ ~ ~
Reviewed/ roved: Dept. of Community Services (Date)
S:PermltslFor LP COMMEROAl
Fee R
ved by:
v