HomeMy WebLinkAbout07050130 Application
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMlL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
Permit #: 0 / tJ S-tJl30
PROPERTY
OWNER:
Cl.-c \:::6v~ p~NE
CIlY:
ofL;~ c) VZ-_
BUIL~ EMAIdr~~ @... G M4l L "
NAME~~ QD~f^-
~S&Jc.)
ST~
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BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
<07...[
LOCATION
8< PROJECT
INFO:
BEST METHOD OF CONTACT;
o 1M-.
PHONE:S lr-n
FAX: g4S'~~)3>C
STA~ _
STREET ADDRESS:
'2.. \. d.
~
~
~u.- 'VV\&'-Ol
sum #: (If Applicable)
Sr,- C;u\TE 2-0 \.
Address of Shell Building: (If dIfferent than Address of Construction)
ROJECT, OR TENANT NAME:
g::>&
STATE COMMEROAL
DESIGN RELEASE #: .~ 2. S IS")
TAX MAP PARCEL #:
SCOPE(S} OF 0 FDN 0 STR 0 ARCH 0'MECH
RELEASE: ~LEC O<-8PKLR OTHER(S}:
u-PLUM
SQUARE
FOOTA",,'
WATER UTILIlY
PROVIDER: Q~
SEWER UTILITY
PROVIDER: ~
ESTIMATED COST OF CONSTRUcrrON:
(EXCLUDING LAND VALUE) q S
-'"
10--
PLAN COMMISSION / aZA I BPW DOCKET NUMBERS; AND/OR
CDUNlY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable);
# of Floors; Elevator or Lift: BLDG. CQNSTRUcnON TYPE: iJ,h)\)-t.Si. ~CUPANCY CLASSIFICATION:
TYPE OF C NSTRUCTION: TYPE OHMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL ~ NEW STR>J.CT.URE Early Release i;--
~prlvatelY owned hospitals and medical t-.\~"Q..t11)l(. OWN Permit: _Y ~
offices/centersare.<ill"O''F'l!DR CO" .Q,\;!l!\QJIi1i}
ING;I1!\eIE.A::'C ' r,llanee with all ':c:'r Porch Lot Split: _Y ;N
o ~11J:Qlf89. d Local cod,@ M~l)ioe or Deck
o 001-- otStatean . Q~l:I~b.-[:.;:' FLOODZONEAREADESIGNATIONISJ FOR THIS PROPERTY:
o Church 60iv1MUI-l\~~\lW~~SH ~ X
o MULTI-FAtlJEWT OF WEL I CIffi.'f Atl:f~~ORYBUILDING t\'dl1 L. - L.A.II-.f> ~~
Number -'lIi\....ts~R \ h ,W DETACHED GARAGE
v. \ 1 ,\NOIA'''C) ATTACHED GARAGE PLUMBING CONTRACTOR:
FOUNOATIONTYPE: (Checkallwh.cn 0 CELL TOWER (New) ;1.. .....,.,.... CLS (' I ,.
apply for the new construction area) 0 CELL TOWER CO-LOCATE _~y.". \...,.- OU ~ ~ .
~LAB 0 CRAWL SPACE 0 DEMOUTION Plumber's Indiana State License #:
\)e...~ \OOOOl a \
Sump Pump:
;.u;:
- Y //'i;
Manufactured
Trusses:
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_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. f'\\\~\ \ ,.\)
I, the undersigned, agree that any construction. reconstruction, enlargement, re.loCation, or alteration of a structure. or any change in the use of Ian. d or structures re~es~d ~ \\.........
this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana - 199r (Z- ~89) and ffncb.nerth. ./
adopted under authority of 1.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitch~Il:, batttt.~ floor drains ~,..
connee to the s . i.lIY sewer. 1 further certify that the construction will not he used or occupied until a Certificate of Occupancy or Substantial COnJpJetion h~;been _"....-
'"ued y ." mmunitYS"""~C",2I Ind,... ~-A-U~ G~MA~ , ;:::::)ci!o,?r- /
Signature of Print \ Dat- ,""'.
\ ~---
INSPECTIONS REQUIRED:
Upper Footing
Lower Footing
Under Slab
001
Fee Received by:
Date