HomeMy WebLinkAbout07030094 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
......
City of Carmel/Clay Township Permit#:_(} 703()01,/
COMMERCIAL/INSTITUTIONAL/MOL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
FAX:
PHONE:
~\, --'"l7i
""I~ Cilfl-
ZIP:
STREET ADDRESS:
'4,-z:ss "CUtJ
cm:
~w tv.
STATE:
1m"
-:r
BUILDER'S EMAIL ADDRESS:
BEST METHOD OF CONTACT:
CkLL Pl46~;" "z..'OI- (.,
'3
STREET ADDRESS:
~ \ \.Ne<51 M~I'
ADDRESS OF CONSTRUCTION:
i\
i> ~eza PHONE:
/....l-L
:# 7-0 em:
"tf. C t::fI.J'('G L.
FAX:
STATE:
-:r:t.J
ZIP:
4 io~~ 2...
SCOPE(S) OF ~ FDN 0 STR ){) ARCH 'w MECH
RELEASE: J!i..J ELEC 0 SPKLR ~THER(S):
SQUARE
FOOTAGE: 'Yi "10
BUILDING, PROJECT, OR TENANT NAME:
{="[~ ll,.;)~") A1t:-
TAX MAP PARCEL #:
STATE COMMEROAL
DESIGN RELEASE #: 32.!
WATER UTILITY
PROVIDER: C
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
~
Elevator or Uft:: 0 YES c;J )(0
TYPE OF CONSTRUCTION: . ~IMPROVEMENT:
1d COMMERCIAL .... ,,\$1:'00 "!;:;It,dffiv STRUCTURE
7'l. (Privately own~~i~Q;b~m"1i1\"teg\Lr ADDmON
~ffiC I!lq!lJ;~rIo-<:bm'U~G\iII):t\ :ooes" ~ Room(s)
o ~16r;!Ak'Q\ll.'f\ eel ~) E.\>I\J\C, ~orch
\".t;. Ct1l!iJ1Ic!pa~0~c1BI8g,,\-i'i S ~N \ Mezzanine or Deck
Sll S<i!lP6i\l~ o~\WlIJ\ \ />" \ 'REMODEL
.a.o:: h ~ ' \..IO..r' NEW TENANT FINISH
o . ?w.'C \"N'" 0 ACCESSORY BUILDING
\iDb,r~ : \~ r 0 DETACHED GARAGE
r;i\ ' "0 ATTACHED GARAGE
FOUNDAffoN TYPE: (Chec~ all whIch 0 CELL TOWER (New)
ap~or the new construction area) 0 CELL TOWER CO-LOCATE
)L\ SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
# of Floors:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ~
BLDG. CONSTRUCTION TYPE:
OCCUPANCY ClASSIFICATION:
3-
PROJECT INFORMATION:
Early Release \Jl
Permit: _Y ~N
Lot Split: _ Y.:xJ;
Manufactured
Trusses:
Sump Pump:
Y~
-Y~
FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
X; - ~T7,~ hadQD
PLUMBING CONTRACTOR:
c CfYcL- Pu;>{'v\~, N 1 i-LC....
Plumber's Indiana State License #: .-- . _~: \ " .
C,p '3iY'300D<.-=1- ~<-;\;;~i! \~0:\\\ \\
-- .."-:? 'j ----- \:'\\ \\\
-~"'~~ --- ',\ \\'
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding t;xP'!.r~~~'~~cif;;' beginninwd \\ \ \\\
completing construction. \':. c-'\ ~ 1)\j\)\";0
I. the undersigned, ag.ree that any construction, reconstruction, enlargement, re.location, or alteration of a structure, or any change in th~,u.se'?{l~nd or strllcturel"reb.Idrea by \ \
this application will comply with, and conform to, all apphcable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indian,a \J99 w (Z- 2~'iA~ adtendments, ~
adopted under authoncy of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify thatoOW chen~:and floor drains are _____""
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certi{jcate of Occupancy hi,s;;: tial Completion na:; been ....----
IS8U Y t e munity Services, Carmel, Indiana. . \~ \\\/__~ ~/""'"
. ~~~~ -:s ::;"'~l.l.eT~ \ '3/14-{'6"""l
Signature of OWner or Authorized Agent Print \ ...........-Diltt.
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: -Y'5 0" 20
;ZOO. 00
Celt. of Occupancy: / 0 7 ' 0 0
TOTA> ~'-7' :<'0
r:tfHI . ,"""5/~"31 fr7
Fee Received by: Date
Upper Footing
Lower Footing
Under Slab
Base Inspections:
Site
~'Ib-
(Date)