HomeMy WebLinkAbout07050075 Application
Permit #:
0705"007.)"
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
FAX:
..31
_ PHONE:
.l-r\,c..-
JC;(j,
BEST METHOD OF CONTACT:
'Pta..Ze. -I (I c... L"vt -t:: - ~4~
veymp./"Io
L V1stnJc--hoV\
ue
ADDRESS OF CONSTRUCTION: }
S~ 0.c.s-r
I 011CI
BUILDING, PROJECT, 01) TENANT
h ro!.e(~...--
STATE COMMERCIAL
DESIGN RELEASE #: ;;::J::> s
;:rirl",,-to t
SCOPE(S) OF 0 FDN 0 STR
RELEASE: E1"" ELEe 0 SPKLR
WATER UTILITY
PROVIDER: (:a r <<1 e /
SEWER lJTILITY
PROVIDER: 1;'..$
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR
COUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Aoars:
Elevator or Uft: Q YES
BLDG. CONSTRUCTION TYPE:
PE F CONSTR CTION: PE OF IMPROVEMENT:
COMMERCIAL 0 tlW~RE
(pnvately owned hospItals and medlc.a.! O~($\ ~~mpNOf\S
offices/centers are commerQit)B. v a\\ t~ R~om(s)
o INSl1TUl10NAL, !l.5'CD r , flCe \/J\\D' ~. Por>!),
o M;Wlfpileg"Gl!IP9\l\'g. d LO~g.\ 0 c.G,?,'I!Mo.~~"",,"Ck
o Sc b\6C\ s\a\8 a0 M9DE~NS\,"\\r
o en rch 01 0\'1\\-110 tlEw,liEN'ANT FINISH
o MULTI-FAMI~c:?\ Of C ~O_I ACCESSORY BUILDING
Number of U[lJIP. F Cp..B.I'J \ t.l1'J.Jl.,oETACHED GARAGE
t:'~-r'l U . \ND '0 ATTACHED GARAGE
FOUNDATION TYP"" l(Chec~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
o SLAB 0 CRAWL SPACE 0 DEMOLfTlON
o P05T&_BEAM _PIER 0ASEMENT (WALKOUT:_Y_N)
':)00 I o~
~1f
-1.N.
PHONE:
..30,S&,o, /~g
FAX:
317, 'i11~ ,1&,'1'i'
CITY:
.suJe- /0 I
STATE: ZIP:
CArl'" -?-! jJ.f L./c,~ 5
c:- SUITE #; (If Applicable)
::;;:'''':!L fl(
lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
SQUARE 0 3?
FOOTAGE:,,(" .;::>
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) / .3 0 00 0
OCCUPANCY CLASSIFICATION:
PROJECT INFORMATION:
Early Release /"' Manufactured
Permit: Y V N Trusses:
Lot Split: - Y 0' Sump Pump:
YvN
-Y~
FLOOD ONE AREA DESIGNATION
FOR THIS PROPERTY:
)( - {//7$ kd-e-c,
.
PLUMBING CONTRACTOR:
ki r f 6.f-f
.
Plumber's Indiana State License #:
/6&S,S,G ::...~~__
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 - 199T (Z-289) and amendments,
adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen. bath, and Door drains are
connected to the sanitary sewer. I fuMer certify that the construction will not be used or occupied until a Cerrifjca.ce of Occupancy or SubscanciaJ Completion has been
issued by the De ar t of Community Services, Carmel, Indiana.
mike.. 13Le:s!e '-1
-9rint /
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.te
OFFICE USE ONLY: ****************************~~***************************~**************
INSPECTIONS REQUIRED: FIling Fees: g;;<.t)<< fe u
2D '0 . tJ{)
II / ' 00
Jl ~/3 9. ~O
Lower Footing
Base Inspections:
TOTAL:
Cert. of Occupancy:
Reviewed/Appro ed: Dept. of Community Services
S;Permjts/FormS/IlP C MMEROAL
Fee Received by:
Date