HomeMy WebLinkAbout07030237 Application
City of Carmel/Clay Township Permit#: (9 170 ~8237
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) I
BUILDER NAME: "b '""- PHONE: FAX: 3/'1--
OF L 000 8'Od'-
RECORD: STREET ADDRESS: CITY: STATE: cj6I~
&00 r S-\r-e Z' 100 15 '4V
c ' 0
aUI lNG, PROJECT, OR TEN.ANT NAME: II \_ ,r
(\ ct S OS G.- h. t....S e:tts rY\-c '\'^-c..-l L-ct e.
STATE COMMEROAL SCOPE(S) OF 0 FDN 0 STR
DESIGN RELEASE #: 3 d ~ !? 0- i-- RELEASE: ):l ELEC 1<- SPKLR
WATER UTIlITY SEWER lJTILITY n
PROVIDER: PROVIDER: L-l (..A-
PLAN COMMISSIDN I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
BEST METHOD OF CONTACT:
Ocl0-/Le~J'cc...{+ ,L
3ft- -
o?-
P PHONE:
L.
cm:
_1
8~1
FAX: 2/1- -
808 - fr> 7-7'
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
9' G~ S-+r~ e.-
Io~ .s; +r-e.-e:::
00
STATE:
:::J:iV
ZIP:
I.fCod
SUITE #: (If Applicable)
lot # and Subdivision: (If Applicable)
ZONIN~ G,
~ARCH ~ MECH
OTHER(S):
TAX MAP PARCEL #:
I -IJ.-IJ-oc>~. eJO-o'
it PLUM SQUARE '1
FOOTAGE: / T Lf,] 3:
en
# of Floors:
OCCUPANCY ClASSlFICA.110N:
FOUNDATION TYPE: (Check all which
apply for the new construction area)
l(,t.,}G:I ~'<<>~ BLDG, CONSTRUCTION 1YPE:
TYPE OF CONST~UCTI~W\ C '\;~\\I\ . E ilFl~ROVEMENT:
~ COMMEl'(;!~\) ~ ~,\,,?pce "'kA.' c.Qc.e$~\~~, UCTURE
;(f1illeiY'OWA':d;1lOS~lta,ls aruNn~.IC;~[J:' N
~'teIn:c~1!~~%.'t5ommt,~\..'i\' ":\Q~ 0 Room(s)
o ~~~Al' ",r.\~\:J\ Cv.i 0 Porch
o MunJ<<r;al~iC!I€9I" 0 Mezzanine or Deck
Q:~do1'_ "X'-~ \p..~"" 0 REMODEL
~::.~~C,r \~'i) ()Q NEWTENANTFINISH
o MIft!]iltf'A~LY 'IT ACCESSORY BUILDING
Nu'li\ber of Units: _ 0 DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o SLAB 0 CRAWL SPACE ,0 DEMOUTION \ i
M POST &_BEAM ----:-;p,IE~: 0 ,,~~~MENT (WAI:fDrlf':_Y_N) !,
1'v n' .'", MAR
Class I structure permits are s~bj~~t to th~:~~~tU' Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning akd
> ;\\ -: ',:' ", f' ~t':~ - c_ completing construction. I
I, the undersigned, agree that any consuUction,'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, andc.o,nform t2,~L~pp~~e la_~s .~.:h~ State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z-289) and amendments, ,
adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furrher certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer" If, .her certify that the construction will not be used or occupied until a Certificate of Occupancy or Subst;mtia/ Completion has be~n
iss by the De.partment of Coin unity Services, Carmel, Indiana
PROJECT INFORMATION:
Early Release V
Permit: _ Y --'l....N
Lot Split: _Y-1L.N
Y X N'
-Y~N:
I
I
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
Manufactured
Trusses:
Sump Pump:
PLUMBING CONTRACTOR:
<< '~kf',r~)
Plumber's In na State License #:
0P
,3 0 ,~ () 0 I 9
5
=-
_J
Print
ON'!.""
!--k-rJ '''j
3-36 -C\~T
D...
OFFICE USE ONLY: ***************************************** *******************************
INSPECTIONS REQUIRED: Filing Fees: ZS7 S~ ;;?,7
Under Slab Base Inspections: 7- If) 0 7 0 0
Cert. of Occupancy: / () 7, ~O
TOTAL: 3 p,}Ol.'J,~
;I:~~~v, 'fIll ID~7
ReviewedjApprov d: Dept. of Community Services
S:Permits/FormS/ILP co MERCIAL
,01