HomeMy WebLinkAbout07050056 Application
C't .I"C l/C'l 'r' h' Permit#: ()7(cy 5rh'5'w
tYl?1 arme ay ..I. owns tp
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME: t>AHuLAlbl\J~
G-"R..O\J(
STREET ADDRESS: CTIY:
loo).~ \....ANT"iAN Rb. ~..,.:;)()<)
BUILDER'S EMAIL AD9E,.ESS:
R I\.>>NE E. <e' PAu..A.b,".M.~ u~\J'S,4. C-ojlll
NAME: COU..lt~ TUfU...E;,/ t-oIA/Z::fIN 4.1
,$ a IJ P.>~ S7lJN'L. m LU_/
STREET ADDRESS:
~0{31 ~ 'if. tt5:!.
ADDRESS OF CONSTRUCTl~:
3/0S" E. ~2f~
CITY:
::tr0
100
"STfl~"i.-T
Address of Shell Bulldinl (If different than Address of Construction)
3/0S; E. <]2ITl-I -S7't-'i"i.;f-
ZONING:
BUILDING, PROJECT, OR TENANT NAME:
~{,(STDrlE bbSl'AL
PHONE:
)'7_~70-S9oo
FAX:
30-S)O-Mlll
ZlP:Ybo3 '7
FI Sltc.JlS
STATE:~
BEST METHOD OF CONTACT:
au.: 30-'I31-/9"l~
ONE:
317-57()-7ooD
FAX:
~ 17" !770-'7o /()
0/115'
STATE:
:::t.N
ZIP:
4-"J5o
sum #: (If Applicable)
I 0
:s
STATE COMMERCIAL 3 -;r I Ci3 J
DESIGN RELEASE #: 1--' I v\
SCOPE(S) OF 0 FDN 0 STR JIll ARCH lJ( MECH );I( PLUM
RELEASE: ')( ELEC 0 SPKLR OTHER(S):
SQUARE "\
FOOTAGE: o(/~~
WATER UTILITY ~(.l
PROVIDER: W-A,<<;.(.
SEWER UTILITY
PR.OVIDER:
~fl
'Lt.
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PER.MIT #'S (If Applicable):
# of Floors:
Elevator or Uft:: c;I YES
BLDG. CONSTRUcnON "TYPE:
Q NO
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COM~ERCIAL ~\O~ NEW ?:TRUCTURE
(Privately 9wned, hl?~Pital"~\C.1 \\~ ADDmON
offices/s.enters ar~i\Q~::-~,)e: 0 Room(s)
o ...!~frTT1J}lj;1.e'? ,~\"I ...', eS, S 0 Porch
:::'~IClI::.9u!l..I.ClR..\<NIRJJbl1l:lll\dQ,oc. n.'-J\C€--:...p Mezzanine or Deck
%~:~' (\ \.0<::''0.--.1 Sf.." ,,~\-\\E"MODEL
~'O~~~~~::N\Ij~\\ ':r'iO\j'J~ NEWTENANTFINISH
UL F<: \\~'.. C\J' 0 ACCESSORY BUILDING
N.ll'l'~uf I : . " 0 DETACHED GARAGE
t' \ p.;..,(\\",~~ 0 ATTACHED GARAGE
: (CI\~II'whlch 0 CELL TOWER (New)
e new constructIon area) 0 CELL TOWER CO-LOCATE
SLAB 0 CRAWL SPACE 0 DEMOLfTlON
POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
ESTIMATED COST OF CONSTRUmON:
(EXCLUDING LAND VALUE)
;)00 000
I
. Ex
PROJECT INFORMATION:
Early Release ~
Permit: _y
Lot Split: _ Y N
Manufactured
Trusses:
Sump Pump:
_yXN
_Y K-N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
X' - {,v(\ot1cd ed
PLUMBING CONTRACTOR:
:r.C $f\I\ ITfl
Plumber's Indiana State License #:
Pc.19I{DD/.:t~
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 KZoning Ordinance of Carmel Indiana - 1993~ (Z- 289) and amendments,
adopte der authority of I.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cenify that only kitchen, bath, and floor drains are
connecte t e sanitary sewer. I further certify that the construction wiJl not be used Or occupied until a Certificate of Occupancy or Substantial Completion has been
issued by e t n ommunityServices, Carmel, Indiana.
~SCA-r
Print
/i..N~ 1:.
~h/o)
Datrl' I
OFFICE USE ONLY: *****************************~*******************~~j:*******************
INSPECTIONS REQUIRED: \ Filing Fees: c;{ ~ 0 (I)
Upper Footing Lower Footing Under Slab Base Inspections: :2 Of) , 00
~ 1\ ~ Cert. of Occupancy: I I / '" () 0
Meter Base ~ Site!) ~' , ~
T~AL: . ~ )!t5~
Fee Rece ed by; Date