HomeMy WebLinkAbout07030033 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
City of Carmel/ Clay Township permi~a~~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMlL Y IMPROVEMENT LOC ON PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
PHONE:
FAX:
STATE: ZIP:
l Y.1003z..
BUILDER'S EMAIl ADDRESS:
<sh,
NAME:
?
STREET ADDRESS:
II rd..
:t
PHONE:
3 1--03'<<>
FAX:
'V'\)..)
CITY:
f'MQ \
STATE:
\N
ZIP:
L..\ 032
SUITE #: (If Applicable)
,~
ADDRESS OF CONSTRUCTION:
2-CX:J
Address of Shell Building: (If dlff
'Ni~
BUILDING, PROJEcr, OR TENANT NAME:
I '
~
STATE COMMERCIAL
DESIGN RElEASE ':3'Z."~e3'\
TAX MAP PARCEL #:
SCOPE(S) OF )W. FDN ~ STR 1j!\ ARCH
RElEASE: 0 ELEC 0 SPKLR OTHER(S):
\0000 .000
SQUARE ~2 2. LJ
FOOTAGE: v )6v,
ESTIMATED COST OF CONSTRUCTION: )
(EXCLUDING LAND VALUE) M>i.-\ '1 \00 O()(!>
o MECH
o
WATER UTILITY \
PROVIDER: (p...('~
SEWER UTILITY (\
PROVIDER: \.-0..., M.R.,\
PlAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL ANDIOR SEPTIC PERMIT ,'S (If Applicable): N PI
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
IKI COMMERCIAL .l& NEW STRUCTURE
(Pnvately owned hospitals and medical q ~ON
offices/cente" ace commeraal) "'SiRUC' 'Cl ~d<oom(s)
o INSTITUTIONAL C01=\ CO,," eg\J\~n'JIorch
.Q.lfitiJll..~bl~i~~!/;e wit'" a-\l,~ 0 Mezzanine or Deck
~~Q<fu Oon'\P \ Ooa\ CO'CI'':'AA~
su~\i/clil state and \.. .\'{ Siii'WEIVmAlfi" ANISH
o MUL1HAMIL9 COMMUNI ,I ~,#~'f BUILDING
Nurrm.'I'1in(fSF~L I C\J\' o~ OETACHED GARAGE
FOUNDA "ntt>",c:,r,tSl, ~.....",,,\p.. 0 ATTACHED GARAGE
TI~1 ... k>I'lCh'ec~ 'al ""...\'< 0 CELL TOWER (New)
apply for th new cons,truction rea) 0 CELL TOWER CO-LOCATE
IdQ) SLAB ," 0 CRAWL SPACE 0 DEMOLITION
o POST&~~EAM _PIER rj. BASEMENT (WALKOUT:_Y_N)
# of Floors:
Elevator or Uft: ~ YES
BLDG. CONSTRUCTION TYPE: \\ - B ?V"- OCCUPANCY CLASSIFICATION:
PROJECT NFORMATION:
-S-'2.-
o NO
Early Release
Permit: _Y --.JCLN
Lot Split: _Y $"N
Manufactured
Trusses:
_y2LN
~Y_N
Sump Pump:
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
~ I L: I ,
\7- \ l:'\~U1Y', l~'o.\
~ ~ellk:h..
Plumber's Indiana State License #:
F'C./DIoZ-lbb
Class I strucnirJ permits are subject to the General Administrative Rules of the Sute of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, tbe 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" (2-289) and amendments,
adopted under authority of 1.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 Occupancy or Substantial Completion has been
'''uro a"ment 0 mm 'ty S""kes, Cannel. lod'... ;;/5/ tf7
.F ~of1t y cr ~ Oate
Date