HomeMy WebLinkAbout07050029 Application
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City of Carmel/Clay Township Permit #: 07 O~(')()~9
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory BUildings):
BUILDER NAME: A--N'L. - I3A J fA T PHONE: 3 i:} ~25o"/ '13i FAY'3/~_ B13-S~21
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
'3bq'2.- Cc(slle. Ro~-.DY" .~,;,UL )<I\.J Y bOT1-
-
BUILDER'S EMAIL ADDRESS: - BEST METHOD OF CONTACT:
PROPERTY NAME"lx.,LkL R~ PHONE:'3Ij -8D~- 6000 FAX:
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
60 0 E:.. ql,-fh. S~ ~ tI-lc~ r"dl""l"\",-po-L iN 4J., 2 '1 0
LOCATION ADDRESS OF CONSTRUCTION: 98'33 N. fV\,\.cJ,-vISCIOf'\ ~. sum #: (If Applicable) 110
& PROJECT
INFO: Address of Shell Building: (If different than Address of Construction) I lot # and Subdivision: (If Applicable)
~e. 0-0 ot..bo~
BUILDING, PROJECT, OR TENANT NAME: I ZONING: TAX MAP PARCEL #:
M~ ~. ;. \ Tee. (....,~....,.,
"^ 00 !:,
STATE CO~~ClAL SCOPE(S) OF o FDN o SlR o ARCH o MECH 0 PLUM I SQUARE 15 iJ 5:yf
DESIGN RELEASE #: RELEASE: 0 ELEe o SPKLR OTHER(S): FOOTAGE:
WATER UTILITY Ca"yme../ Wc-.j<.< SEWER lJTILITY C-)f- \;d) ESTIMATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) ~ 'a 0 , () 00 .Do \1cw:Y
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WEll AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: ,- Elevator or lift: c:;J YES l:;I NO I BLDG. CONSTRUCTION TYPE: I OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Room(s)
o INSTITUTIONAL :\\O~ Porch
o MUniCipal/Public Bldg 5:\'(\IJC Q;; Mezzanine or Deck
o School, CO~ elai!E\!iODEL
o Chur<;bl) ~p'(\ ",\\D '3\\ ( . N~ttNANT FINISH
o f1.~\I~~, N\>'.I'3(>ce '3\ COO ~?RY BUILDING
~r Bt ~()JIlSP, ,0I...OC..--J S oi'JAoe GARAGE
!,;1.l'o\6 ~\-a.\:6 a "I. \ I'l \ I' -i9\,#~HE'D GARAGE
FOUNOATION TYPE? ~\i'Ji\Wh1t\.J\'{ Lf CELL TOWER (New)
apply for the ~ r1rcl(~~~J 0 CELL TOWER CO-LOCATE
o SLAB ~1'l o~Ifli~~p.. 0 DEMOLITlON
o POS-H~_BEAM .::..:....PIER 0 BASEMENT (WALKOUT:_Y_N)
PROJECT INFORMATION:
Early Release fu\
Permit: _Y ~
Lot Split: _ Y ---€>
Manufactured
Trusses:
Sump Pump:
_ Y ---.cw
_Y -1jJ)
FLOOD ZONE AREA DESIGNATION(Sl FOR THIS PROPERTY:
~ >(- lA n6hrnJ
. I
PLUMBING CONTRACTOR: '* ~Q ~~
,
,
\\
,I
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 ~ 'II
completing construction. I' "f ,- \~a I
I. the underSigned, agree that any constructlon reconstructIOn, enlargement, relocatlon, or alteratIOn of a structure, or any change In the use of land or structures requeste!d by I ' I
this application Will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zonlng Ordmance of Carmel Indiana - 1993~ (Z'289) and amendments, , L :~I
adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furthercerrify that only kitchen, bath, and floor, drains areJ
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 has been
issued by the Department of Community Services, Carmel, Indiana. l __
'-~--- s/3;;;"'r-
Date
Plumber's Indiana State license #:
9\N \ L- - Ejfl J f' Aj;.
Print
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED" Filing Fees: -09 {p, '2 0
. Base Inspections: 2/:2. DD
Cert. of Occupancy: ! / / . () 0
~ 4 ~/q, 'J(J
(Da
.q~OO?
TOTAL:
ReviewedfAppr ved: Dept. of Community Services
S:PermitsjformS/ILP OMMEROAL
Date
Fee Received by: