HomeMy WebLinkAbout07040131 Application
Permit #: (')701-/ D /3 (
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-P AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAMEn l PHO~: ;](q- - FAX;
OF ;",~ L _ . eo~ Odo
RECORD:: STREET ADDRESS: 9(p~r+ C~ STATE:
00 ~ dO ~)
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS: cL,d::. e , <'~ BEST MITHOD OF CONTACT:
~h. r-; w' , ( , e YV\. CA..i
NAO -Ke.-~l L. P PHONE: FAX:
\ '^- :J If- fu<f- Cioo
STREET ADDRESS: 7 (P'1:o Sf CITY: ~
& 00 f ( 60
ADDRESS OF CONSTRUcnON: Sf.~).
{;}7 Qo J.'
LOCATION
8< PROJECT
INFO:
Address of Shell Building: (If different than Address of Construction)
BUILDIN ROJE: OR TENANT NA1~) \ \
STATE COMMERCIAL r]
DESIGN RELEASE #: ...) d s~ I t:,3
ZONING:B Co
(j( ARCH ~ MECH
OTHER(S):
o
I
3/1- -
ro<f'-(, +'7
ZIP,
;& PLUM
o~-,;!c,-
SQUARE
FOOTAGE: 10 J c/
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable O~
# of Roors: Elevator or Uft: c;l ~S0 . Jfiso BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: ,(,0 XI ~\ 11_ OF 0 EMENT: PROJECT INFORMATION:
)(! COMMERCIAL, <{Of(; ce ~\~ \ (;0 -::GJ<?.1\ RE Early Release j/
(Pnvately~f.l,ci~'indme;jfc'N ':Err, ON Permit: _Y ~N
~ffiC ,\teIS''l:.ifom~'M: \~\ \ :-( '\ '0 Room(s)
o IN '2l:!A~ ~\'1i!~ l\\l':J G\~ 0 Porch Lot Split: _Y...i'S:.N
0'ti6'iifc,~/pu~B'idg..\ \ ~\\>, 0 Mezzan,neorOeck
Schoo} oy ~\\\'<:/ \I^\~ i;8l:, REMODEL FLOOD ZONE AREA DESIGNATIONIS) FOR THIS PROPERTY:
o ~Q\1tf!"' <'- G~ \~'Q 0 NEWTENANTFINISH \/ ".J').,~" IQ .I<ll,
o MULTI-~YO~ 0 ACCESSORY BUILDING A- ~ &dLl &!A';.-.{,II.c
Numbe'(3\\Irnts: _ 0 DETACHED GARAGE
. 0 ATTACHED GARAGE._ PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER'(New) '\ .v v( /\1'
apply for the new construction area) O~CELLTOWER CO-LOCATE --l '- i r t- '\ " r-f->
tf. SLAB 0 CRAWL ~ACE--/O DEM0LI]10N,"-\ \ ,;. \ Plumber's Indiana State License #:
o POST & BEAM PIE~ 0 BASEMENT'CW;;:LKOUT: Y ". N) , 0 G, S :J;) is 0 c A
\. r- ..\ \'
Class I structure permits are subject t~ &l;G~neral ~i ative Rules of tb~S't;lte of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
1 \ completing construction.
1, the undersigned, agree that any constructioh, r~c;onstruction, 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 Occupancy or Substantial Completion bas been
issued by the Department of Communi~ Services, Carmel, Indiana..
U~= ('), ~C~) <.-J i')rJ'-l~ b-,
Signature of Owner or Authorized Agent 0 Print
SCOPE(S) OF 0 FON 0 STll
RELEASE: <:i\, ELEC 1f. SPKLR
WATER UTll1TY
PROVIDER:
SEWER UTIUTY
PROVIDER:
ESllMATED COST OF CONSTRUmON:
(EXCLUDING LAND VALUE)cf 1- d.
Manufactured
Trusses:
Sump Pump:
3
_y.J::.N
_Y A;:..N
.LJ,.L r ct, ,J ,;-
1- h -n::;"
Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: '? 3 (jl. ::3. "if (7
Base Inspections: ;;:G.O 3' ' () 0
Cert. of Occupan . / / I . 0 0
TAL: 4t ~. &0
~~ '
Fee Received by:
Date