HomeMy WebLinkAbout07020017 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
~ Permit #: () 7 ()~() 17
. '~'!t;'1f!t:armel/Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
PHONE: FAX:
Co. Uc '2 7-7;df-O
CITY: STATE:
If",) Inc/t',ffi-e ;1'1
1--'!7-1N'2
ZIP:
4bu
BEST M
hOMe
BUILDER'S EMAIL ADDRESS:
horm41P1
FAX:
NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP:
ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
/'btJl3() P&1f/17, (Vttn/a tWrfef
~'21 b 83
WWld
TAX MAP PARCEL #:
Address of Shell Building: (If dIfferent than Address of struction), Subdivision: (If Applicable)
U/.MI1I
BUILDING, PROJECT, OR TENANT NAME: A / J' IJ..... I
f y'eYltI1Ctr! ~ I f;//I/ld/
ZONING:
PlAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
o '2.0 OJ..
BLDG. CONSTRUCT1..,9f1,Ue5:'i\
TYPE OF CONSTRUCTION: TYPE OF IMPRO ~E ',:J ~,,\ ,ec;PROJECT INFORMATION:
~,....,\-"\ ',\.,,\1:.- ,. __~
o COMMERCIAL . c.~E'ff STRU0<;W!l.Ej' ' V),~e=.E~~IY.1l.eli!aJi"
(Privately owned hospitals and medicalc\,..9'--ADPf1(I, ClN'" ,~ \ ,:,':;6.\ ....! c"C.Perri:aitc, 0~Y ~N
offices/centers are commercial) ~t.... '\ \0 EJ,~~~m(s)' ".S" -( -..,,~_ ..:' l\.l'~? /
o INSlTTUTIONAl. '00'0160 oj@"'~O~<:tJ0:iI'.) '''I t.~{ '. lot Split. _Y_N
o MuniCipal/Public Bldg rlfJ CMezZ.~n!ne or Deck'
o School <WI REMODE,l'::".'-'\:.... ,,~':'P-
/ 0 Church Db (NEW-TENANT\FlNISH
l'i'l MULTI-FAMILY Lt- C(O ikCESSDRY BUILDING
Number of units:,(7 0 DETACHED GARAGE
o ATTACHED GARAGE
o CEll TOWER (New)
o CEll TOWER CO-LOCATE
o DEMOlIllON
STATE COMMERCIAL
DESIGN RELEASE #:
WATER UTIUTY
PROVIDER:
# of Floors:
SQUARE
FOOTAGE:
o MECH
o PLUM
o ARCH
OTHER(S):
SCOPE(S) OF
RELEASE: 0 ElEC
l1,qoR,
SEWER UTILITY
PROVIDER:
wrmtJ/
ESTIMATED COST OF CONSTRUCTION:I
(EXCLUDING LAND VALUE) q (Jtl, 00 ()
ror"'->
:/$ 350Ct;~O
R-Z-
'3
Elevator or lift:: c;l YES
Manufactured
Trusses:
Sump Pump:
v Y N
-Y /N
FLOOD ZONE AREA OESIGNATIONISl FOR THIS PROPERTY:
~rlslt~j.ej
x
FOUNDATION TYPE: (Check all which
apply for the new construction area)
(.yf SLAB 0 CRAWL SPACE
PLUMBING CONTRACTOR:
GoJb1
Plumber's Indiana State license #:
PC IOoooo8;OQ
o POST&_BEAM _PIER 0 BASEMENT (WAlKOVT:_Y_N)
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 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 aU 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 has been
issued by t Departme of C unity Services, Carmel, Indiana.
?II ~ ~ 11 At. ffr n11 tf 11 /I
Print
'2-/2-/01
Date' ,
OFFICE USE ONLY: ************************************************************************
ECTIONS REQUIRED: Filing Fees: ,;ffq & / . 0 0 1~V I
pper FOO;::> Lower Footing Base Inspections: ~ ~5 fR , ()O JI'aJ'-? ;r
:;;;;::dJ;lJ: ZE IV- -(7"'\'"
Fee Received by: Date
Revlewed/A proved' Dept. of Commumty Services
s Permlts/F~m ILP COMMEROAL