HomeMy WebLinkAbout04120031 Application
C;tyofCarmel/Clay Township Permit#: 041JOM/
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
PROPERTY
OWNER:
aTY
STATE
~
BEST MEmOO OF CONTACT:
(Y) ~
BUILDER of
RECORD:
NAME
PHONE
L.P,
BUILDER'S EMAlL ADDRESS
UQ., " d<..
Du
LOCATION
&. PROJECT
INFO:
aTY
cl
STATE
::eN
FAX
n - 'b'O<6 ~ 7'17
ZIP
d I
ADDRESS OF CONSlRUCTlON
E;,
BUILDING, PROJECT, OR TENANT NAME:
~ e '
ZONING:
STATE COMMERCIAL
DESIGN RELEASE #:
SCOPE(S) OF 0 FDN 0 SIR X ARCH 0 MECH K PLUM
RELEASE: ...A(ELEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE:
\
WATER UTILITY
PROVIDER: :lJ) d,
SEWER UTILITY Ii
PROVIDER: G
ESTIMATED COST OF CONSlRUCTlON:
(EXCLUDING LAND VALUE) ~
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL ANDIOR SEPTIC PERMIT #'S (If Applicable):
# of Floors: :) ~~ ()'TBC
OF . ompliance W\t~ P ENT:
'Ii<( COMME ~ of State and Local C E~S_' I!IPURE
(Prlvalelyowned~"'MMUNIIY p
and mt91l!~c6s,IdenW I CLA' :t TOIJllNIS)
are~~~~FCARMEL 0 ~~
o IN5TIlU\1DJi.6: INDIANA /'0 MezzanlneorDea
o Munidpal/PUblic Bldg g REMODEL
o School 0 NEW TENANT ANISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
applY}pr the new construction area) 0 ATTACHED GARAGE
(g" 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 DEMOUTlON
\\ -
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release ,/ Manufactured V;
Permit: _Y ~N Trusses: _Y 7N
Lot Split: _Y ~ Sump Pump: _Y-\.LN
Does any part of the prope~lie within a special Flood
designation area: _Y ~N
PLUMBING CONTRACTOR:
I)., f ~a.-n Off)
Plumber's India~a sta6. Ucense #:
C' ,p~~( n D \ L\ l rl. ?;'O(' A
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 Carmel Indiana - 1993'" (Z~
289) and amendments, adopted under authority of I.c. 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
Occup:mcy or Substantial Completion has been issued by the Department of Conununity Services, Cannel, Indiana.
Slg!:.!~ #/ne,(f, 1i.~e<t'::'f! r' , prlnl~ I ~y (-h cJ'(
f d- -l~-O~
Date
". .
OFFICEUSEONLY:************************************************************************
INSPECTlONS REQUIRED: Filing Fees: .559. 31)
O # Charg
Upper Footing Lower Footing Under Slab Base Inspections: . R ws
Meter Base G) Site
dog 0
Reviewed proved: Dept. of Community Services (Dale)
S:Pennits/Forins/ILP COMMERCAl
,
r:..