HomeMy WebLinkAbout07050127 Application
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMlL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)'
Permit #:
rJ 7tJS t) / ~p
LOCATION
& PROJECT
INFO:
FAX:
BUILDER
OF
RECORD:
--36;>,1
PROPERTY
OWNER:
?J{ 7- er 3 -01.2.5'
FAX:
311-@{g-OVO
ZIP:
6
STATE COMMERCIAL
DESIGN RELEASE #: 3 ~
WATER LfTIUTY/1 SEWER UTILITY
PROVIDER: L:at. PROVIDER:
PLAN COMMISSION / BZA / BPW DO KET NUMBERS; AND/OR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
SQUARE
FOOTAGE: ~ SA
ESTIMATED COST OF CONSTRumON"
(EXCLUDING LAND VALUE) t
# of Floors: _ I Elevator Of Uft: 0 YES j&.. NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
trJ COMMERCIAL 0 NEW STRUCTURE Early Release g
(Privately owned hospItals and medical 0 ADOmON Permit: _ Y
officeS/centers are commercial) 0 Room(s)
o INSTITUTIONAL 0 Porch Lot Split: _ Y N
~/IJtiW~LPUbIiC Bldg fc 0 Mezzanine or Deck
~~l::D FOR CONS REMODEL FLOOD ZONE AREA DESIGNATlONrSJ FOR THIS PROPERTY:
J'Ci1LICIll;ornplisne, T ifdf.llJ!4:NANT FINISH h ':1 .1 I
o MUL1HAMlL"'Statfl" d.!l Wit,) all rU!lu/a~ORY BUILDING X -- uJl ~ l ~rJ. a....C"--
r&li.tterrDfCJ"ilsi~ ~.fJCIJI COcJ~ DETACHED GARAGE '
(', Jr ,",uIVJMUI\IiTv Q, ~LUMINGCONTRACTOR:.....,..(...,-.__..
FOUNDlI1'iBN&PB:;~f1W.~,!U~hrCH ' SEClvlmt~~~E~~~~~ L:"_~ ~'--
appWor the new constru&iohar&\h.AY TOt1t~;rJ6WER CO. LOCATE .NlM tf --J6T I.~ /);:~.'J~;; L:~-'~ _ .,-._. .
!!1;j SLAB 0 It~e..~tcE 0 iJEMl:llmON Plumber's Indiana State Licen s. e #: --~ ,\;'/ 17f':'~/;~-i
o POST & BEAM PIER 0 BASEMENT (WALKOUT: Y N) I ',") I ---~ ~Il!
il! 11/ I II
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding!e;pir~do'n time frames for be g anllJ'
completing construction, I ---___. I
I, ~he un~e[~igne~, agree that any construction, recanseru,crion, enlargement, relocatio~, or alteration of a.srrucrure, or any change in,t~e use of land or structllt'e!H:l:,q~ed by
thIS apphcatlon Will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zonmg Ordinance of Cannel Indiirnl:o..-.1993:(Z-289) and amendmeht~
adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify that only kitchen:-bath.,~d floor drains are
connect 0 the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantial Comp7eCion. been f
'"ue be De "'t tof mmu'itySecvices.C"",e1.Indi,"~ (J/Z4!G 2. Z:UN~.r/ll s-J!:'Io'7 I
Print ' Date I
Sump Pump:
_Y j{N
_y;XN
Manufactured
Trusses:
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: G Filing Fees: I If -;ll-f. ^I 0
Upper Footing Lower Footing Under Slab -SIlk Base Inspections: W'g , () 0
~ Cert. of Occupancy: I ! / ' 0 0
Meter Base ~ Site dl
TOTAL : ~ /) it t-f ~. If()
Fee Received by:
Date
Reviewed{Appr ved: Dept. of Community Services
S:PermitsJForms{IlP COMMERCIAL