HomeMy WebLinkAbout07050060 Application
/ Permit #: 0 '7 tJ 'S tJ~ 0
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:
NAME: PHONE:
WlA~~ Cot\j-;:;rUU.Tl\QN~. INc...
I
FAX: I
~n ~41.1 eeo ~q -5"7 "_;51/
STREET ADDRESS:
~ 3- e+v:;.,~W 0 Ol~ DI2.-.
em:
Nt:>\A~A-f'OVl>
STATE:
IN
ZIP:
4 W--SO
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
T~ @ \.N L.\ ~Te.I'2-.U)^, "'TlZ-U en ON _ C<lt-..t
e-t\.1 Alv/ftt"OtJt..
PROPERTY
OWNER:
NAME:
f2-., P;:VO C.{?. (/ vvc...
PHONE:
?"rl' e . 100'2- ~T
FAX:
~n, 570,5113>
LOCATION
8< PROJECT
INFO:
STREET ADDRESS: CITY: STATE:
~ ~ CA<;,-1.-'f;.1,N 0 0 t) I>P-. IN 17( AN A-pOvl !:' 'N
ADDRESS OF CONSTRUCTION:
I 0 4q <.0 Ca--1 N-e..I2-C-iZ.. 1) l1-,
{)N~
ZIP:
~
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
N/A
BUILDING, PROJECT, OR TENANT NAME:
N AP\...-E; a2fi<?i COfo...-t
TAX MAP PARCEL #:
l/-r7-0I-00-\9.<901 dO
STATE COMMERCIAL SCOPE(S) OF ""-FON a"'STR Ji'l'" ARCH SQUARE
OESIGN RELEASE': ?'Z-S'Z- 13 RELEASE: Z ELEC 0 SPKLR OTHER(S): FOOTAGE: ~ 0, CD crz....
WATER umLm v('l"1 "f" ~ SEWER umLm "........, 'l"''''N """I' ESlTMATED COST OF CONSTRUmON:
PROVIDER: I/V~ U..n.... PROVlDER:~l'I10"'o<h. w~Tt. 0, (~UDING LAND VALUE) ~ z., \ ~ 0, 0 Q()
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR I?~ NO. 0 S oq (V
COUNTY WELL AND/OR SEPTIC PERMIT "S (If Applicable): l''- ~O. OSOe ()O 4-0 l7? .....1--, ~ J>o,.D~
. of Floors: Elevator or Lift: Q YES ~ NO BLDG. CONSTRUmON TYPE: V - ~ <; I" (~ OCCUPANCY CLASSIFICATION: "-\ A -"2-
TYPE OF CONSTRUCTION: TYPE 01' P VEMENT: PROJECT INFORMATION:
l5ll: COMMERCIAL \S~.)~~JCTURE Early Release .
(PrlvateIYOWnedhosPltalsan~~~' 1f))'l1i:tlDmON<c, Permit: _Y ~N
offices/centers are com~~ e ""\,, cn(\C~l\if~)~ Lot Split: _Y ~ N
o INSTITUTIONAL c,~\) "0).\\(, c?,\ . cflt':i' P'"cb\-\W
o ~<j,~bh\')Btlig' ,0. \.P" ,\{ - ''C;J i~'Ya~ine or Deck
o ~leC\ \.0 '~\$\e 'l' ~\)\'\'g,.,--{RliM6DEL
o ~N 0\" CO'0r~ \ Oa NEWTENANTFINISH
o MULTI-FAMILY ,,0"': ~hS\-:m>. ACCESSORY BUILDING
Number of uoitJi? Cf'o-?:'" ~\\)\ro DETACHED GARAGE
V~_ C'\t' ,\\~ 0 ATTACHED GARAGE
FOUNDATION TYPf:i\\"n~~ all whIch 0 CELL TOWER (New)
apply for the new nstructlon area) 0 CELL TOWER CO-LOCATE
&1 SLAB 0 CRAWL SPACE 0 DEMOLTITON
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
Manufactured
Trusses:
Sump Pump:
_Y~N
LY_N
FLOOD ZONE AREA DESIGNATIONCSl FOR THIS PROPERTY:
)<. --- L-L 11 ~ /1 c claLi
PLUMBING CONTRACTOR:
Ctio\~ M6!'-c.H.ANlCAL- S'~V\~S'. INc....
Plumber's Indiana State License #:
1/1/1'\1 o01-~S-
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 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 Cannel Indiana - 199Jft (Z-289) and amendments,
adopted under authority of l.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 Substa.ntiaJ Completion has been
is ued y the Department of Community Services, Carmel, Indiana.
-re:.u-"1 V, ~\N N
Print
s / "1./ 0,/
Date
OFFICE USE ONLY: ************************************************************************
PEcnONS REQUIRED' Filing Fees: /j ij OAf. :.4JO
Base Inspections: {g ,;lJ-/, 00
Cert. of Occupancy: I ' 00
qo
S'
D'ate