HomeMy WebLinkAbout07040087 Application
City of Cannell Clay Township Permit #: tJ10 J./D 0'6 7
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
-€
~,.,
STREET ADDRESS P I I
/ .I a.-dll e.r
AIL ADDRESS I
@ IfJOr!<Sl?)ell
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
Address of Shell Bui~ (If different than Address of Construction)
..!.OlOe
BUILDING PROJECT, ORJrENANr N"{"E: ~
Oor'<."e ci C-Orn u Ie
STAlE COMMERCIAL SCOPE(S) OF
DESIGN RELEASE #: J.tS-V.s-~ RELEASE:
STR bt" ARCH p( MECH
SPKLR 6Til1;R(S):
WAlER UTILTIY /? /
PROVIDER: {.,.t r'
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Roars:
I
Elevator or Uft: I:; YES ~o
BLDG. CONSTRUcnON TYPE:
TYPE OF CONSTRUCTION:
-d. COMMERCIAL
~ (Prtvately owned hospitals
and medical offices/centers
are commerdal)
o INSTTIUTIONAL
o Munidpal/Public Bldg
o School
o Church
FOUNDATION TYPE: (Check all which
appl~r the new construction area)
~ SLAB 0 CRAVVLSPACE
o POST & BEAM 0 BASEMENT
(or POST & PIER) VVALKOlJT:_Y_N
TYPE OF IMPROVEMENT:
o NEVV STRUCTURE
o ADDmON
o Room(s)
o Porch
o Mezzanine or Deck
o REMODEL
g. NEVV TENANT FINISH
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o CELL TOVVER (New)
o CELL TOVVER CO-LOCATE
o DEMOLmON
FAX
.117.109-6.2?
cm
STAlE
/Ii 23
METHOD OF CONTACT:
CO", 3'/7- 71D-2098
8,/YJ/tJJ
7:;Y ~; 67:1-
sum # (If Applicable)
D
Lot # and Subdivision (If Applicable)
ZONING:
TAX MAP PARCEL #:
SQUARE / '
FOOTAGE: '100 Q
ESTIMAlED COST OF CONSTRUcnON: GO
(EXCLUDING lAND VALUE) ~.2 ' 000 --
OCCUPANCY CLASSIACATlON:
111
PROJECT INFORMATION:
Early Release V Manufactured y
Permit: _Y ~N Trusses: _Y~N
Lot Split: _Y~N Sump Pump: _YAN
Does any part of the pro~ Ue within a special Flood
designation area: _ Y N
PLUMBING CONT~.QQI!:
/?7 SC::U,..J7 /l1 ecJ,.
Plumber's Indiana State License #:
Pc Bla S?VOb
.
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 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 -199r (Z-
289) and amendments, adopted under authority of I.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
Occupancyor S tan.af Completio as been issued by the Departme~;lty (3/ ~7'a. {I-I/ -07
ignature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:**************************************************11********************
INSPECTIONS REQUIRED: Filing Fees: 5'7 . 0 tJ
'7 A'l a 0 0 # Charged Re-
lJpper-Footing Lower Footing Under Slab Base Inspections: /--...V 0 ' Reviews
~ Meter Base ~ Site Cert. of Occupancy: / /! ; [} 6
~ TOTAL:.-if, <3 9 .3, 00 Additional Fees
\
Reviewed/ f'. proved: Dept. of Community Servi
S:Permlts/Forms]ILP COMMEROAL
07
Fee ReceIved by: