HomeMy WebLinkAbout07030194 Application
City of Carmel/Clay Township Permit #: 0703/)/91
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
NAME:
Gilliatte General
PHONE:
Contractors 317-638-3355
F":h 7-634-5997
STREET ADDRESS:
2512 Blo d Avenue
CITY:
Indianapolis
STATE:
IN
ZIP:
46218
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
agilliatte@gilliatte.com
NAME:
G.B. Indiana 2, LLC
BEST METHOD OF CONTACf:
PHONE:
317-574-7333
FAX:317-574-7336
STREET ADDRESS:
600 E. 96th Street, Ste 150
CITY: STATE:
Indianapolis IN
ZIP:
46240
LOCATION
8< PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
13090 pttigru Orive
sum #: (If Applicable)
STATE COMMEROAL
DESIGN RELEASE#: 323918
SCOPE(S) OF .( FDN r.r5m
RELEASE: rvELEC u $PKLR
Lot # and Subdivision: (If Applicable)
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
CVS Pharmacy West Clay
p" r (l,!Ht! :
(}(J600r?. 0 0>
12,900
WATER UTILITY
PROVIDER: City 0 f Ca rme 1
SEWER UTILITY
PROVIDER: Clay Twp.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 1 . 5 M
# of Floors: \
Elevator or uft:: Q YES ~o
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUI'ITY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
TYPE OF CON UCllON: TYPE OF IMPROVEMENT:
COMMERCIAL lY" NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Room(s)
o IN5T1TVTIONAL 0 Porch
o Municipal/Public Bldg 0 Mezzanine or Deck
o School 0 REMODEL
o Church 0 NEW TENANT FINISH
o MULTI-FAMILY 0 A~<;~ILDING
Number 01 units: ....l!lCO~!~~"{\~~~
FOUNDATION TYPE: (Check il! ,,~.. 1m a\t bL. TOWER (t;/l'w)
applJ'lor the new cR~\,lare~laf\OQ '0/1 RC Ea":tQYi(l}1t~LOCATE
[!j SLAB ~~~\ ~1"~~\3EII.OC '{~lJ't(9tt'r\\?
SU'O\ \ 'i?,tiiJ.e oJ. 'N ~(,\NN';:l
o POST&_BEAM ~f'~~\"""S~(WALltCLn-._Y_N)
Early Release \.. /'
Permit: Y ~N
Lot Split: Y ~N
FLOOD ZONE AREA DESIGNATION(Sl FOR THIS PROPERTY:
X - u ns-h cctaci!
PLUMBING CONTRACTOR: 13' ~ ~o ~ '
Manufactured
Trusses:
Sump Pump:
Y X:N
-Y~N
Plumber's Indiana State License #:
Class 1 structure ~}s ~tij; ~ e..~~ nistrative Rules of th: State of lnd.iana (See 675 lAC 12) regarding expiration time fram~s for beginning and
r.\"\ 1- U\ \\"l compldmgconstructlOn.
I, the undersigned, ~ee that any construction, reconstruction, enlargement, relocat/or!, or alteration of a structurE', or any changr 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 Cannel Indiana - 1993~ (2-289) and amendments,
adopted under authorit of LC. 36-7 H seq. Genera] Assemhly of the State oflndiana, and all Acts amendatory thereto_ I further certify that only kitchen. bath, and Ooor drains arc
connected to the S. dy sewer. I further certify that the construction will not be used or occupied until a Ccrtificilte of Occupancy or Substantial Completion has been
issued by the pa en of Communit armel, Indiana.
Print
('.
C.
U7--f<;/?;'4-t...
f,J .I
J /UJ07
Date . .
Revie ed/Approved: Dept. of Community Services
S:Permi JFormsJllP COMMERCIAL
,
*********************************
1. '3'1 D. () ()
I 0
&0010
II!) '7. () 0
3 51 00
C!.>/
!-I\b
Filing Fees:
Base Inspections;
Cert. of Occupancy'
TOTA (
# Charged Re-
Reviews
Additional Fees
~.
Fee Received by:
Date