HomeMy WebLinkAbout07040132 Application
Permit #: t) 7;Ylo In
/.....
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME: D ~
STREET ADDRESS:
~~
c;,~
CITY:
-S; *- -e. e.--\'
BUILDER'S EMAIL ADDRESS:
W "-;
K ~c~ l -+-
I 0 h, S'--tr-<:: e-+
9c:'~
[
ADDRESS OF CONSTRUCTION:
~ lf6 L.
~+t":~
A~of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
lt~
WATER UTILITY
PROVIDER:
c
PHONE: p
L.
o
BEST METHOD OF CONTACT:
C,
.e
FAX: 31:+-
P-Q
"
ZONING: f3(;
TAX MAP PARCEl #:
/~-13 - 11- 0 '-/-1
".3
o STR ~ ARCH Gl( MECH .f\i PLUM
~PKLR OTHER(S):
SEWER UTILITY
PROVIDER:
PlAN COMMISSION / BZA / BPW CKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMMERCIAL 0 NEW STRUCTURE
~ (Privately owned hospitals and medical 0 ADDmON.....,()....\
officeS/centers are commercial) 0 If'!'';11(s.l'4.
o INSl1TUl10NAL .a\ 'M," \d's
o Municipal/Public Bldg ,...r~~\ ~~,;q f~~M.&itr,lne or Deck
o School <:0'7\ '-)":Li,:!<EMOp~l;,. .-(S
o ChurChcl2\;" ~,..'5\C0'rf'!,EWJf!'t'M'\11\'IN!.S.Ij,\?
o MULTI-FAMIlV. ,",~::>('.-.\\'" ,GJ;'~ACC~SSORV Bl:IIlJllNt:
Number of uni~~.C C<~'1~~ l.'~--"~"QWbETACHE.D..GARAGE
FOUNOAnON TYPE:~afe~~1 ~1~.cO'i'i~~t\ ff[~~E~~:~~
a~ for the new con~tru~0\,8f...~:?~~' .b.,,'.\.i:EtfTOWER CO. -LOCATE
)"'U SLAB 0 ~PACE_~~:PE,M~~ON' , '.
o POST&_BEAM G PIER 8:-;BASEMENT:-\WALKOUT:..::i.Y~N)
-"" \,:.~'-\ ':-::::..~/- '" \ \\
Class I structure permits are subject t? '~e\General Administqtift'$1es of 0~.S~t~\of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
,)) \ Q '\ I completing CODS:truction.
I, the undersigned, agree that any const~c90~' r~cons~Oi:~n, enlargement,,_~location, or al~eration of a structure, or any change in the use of land or structures requested by
this application WIll comply with, and corifonn'to,\all applicable laws of the State of Indiana, and the ~Zonmg Ordinance of Cannel Indiana - 1993" (Z-289) and amendments,
adopted under authority of I.c. 36-7 et seq:Gener'al 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 c~~ify 'th~at thec;nstruction will not hi used or occupied until a Certificate of Occupancy or Substantial Comp/eo'on haS been
iss y the Department of Comm nity Services, Carmel, Indiana:
\ .-
\ .;----"
# of Floors:
Elevator or Lift: 0 YES l:;l NO
BLDG, CONSTRUcnON TYPE:
~DNYc.
Print
SQUARE
FOOTAGE: C; .2 C; S'
ESTlMATED COST OF CONSTRUCTlON:
(EXCLUOlNG LAND VALUE) I 3
(.
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release '/
Permit: _Y -4-N
Lot Split: _V..L.N
Manufactured
Trusses:
_v.L.N
_yZ N
Sump Pump:
FL
FOR THIS PROPERTY:
lU)~
PLUMBING CONTRACTOR:
<K (rr:-~O +t
Plumber's Indiana State License #:
I 6 Go ,)'3), 60 CA
f-fr...rJ.. ,. A1(~
4-/oL -o:t-
D...
OFFICEUSEONLY:**************************************************-!*********************
Fl F //.:5.3 6(!)
INSPECTIONS REQUIRED: I tng ees: .
Upper Footing Lower Footing Under Slab Base Inspections: "1--015 .00
Cert. of Occupancy: / f! ' 0 0
~=~ ~)jd!~' ~O
ReviewedjAppr ved:' Dept. of Community Services
S:pennlts/Forms,lIlP OMMEROAl
1
Date