HomeMy WebLinkAbout07050202 Application
. City of Carmel/Clay Township Permit #: 071JSO.;:rC1;Z
COMMERCIAL/INSTITUTIONAL/MULTI-FAMll.. Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
Cfr-r.4L...,j,
('.3.-. ~1tV?fr..J
STREET ADDRESS:
5\'~B
--
t::_
6 T? s-t
PHONE:
"111- S1"'t -) S-S~-
FAX:
~ /l-5fC;- l~~
ZIP:
c-{ (,Z'l.,)
cm:
BEST METHOD OF CONTACT:
(2 CA-TA-L-{JT c.....,.(lr,>."" 1,-I/4.-It,'io
NAME:
e I'rI-L
jiV1..., 1"' 0
L-LL
PHONE: FAX:
eU~'- 30 (- t.g"lE(
STREET ADDRESS:
rlve
~u:./hw"
CITY:
'"C>l:- PIS tr~
STATE:
':j:rJ
ZIP: (g tJS'ir
'-/{,_ h (:)
ADDRESS OF CONSTRUCTION:
4"2-"'1 /110
WfSTl,tP)
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
D0LA"i \
f),tA l/ 11
SUITE #: (If Applicable)
2. lev '11.-,,$
1>./
lot # and Subdivision: (If Applicable)
ZONING:
It'\"'\'o-L-C- '-l'-<....€.
SCOPE(S) OF .Ll( FDN ill STR a( ARCH
RELEASE: ~ ELEC 0 SPKLR OTHER(S):
TAX MAP PARCEL #:
1covioloo("
Q{ MECH .... PLUM ~~~~:~E 56S1 jil'
WATER UTI
PROVIDER:
PLAN COMMISSION / B B / DOCKET NUMBERS; AND/OR
COUNTY WEll AND/O SEPTIC PERMIT #'S (If Applicable):
# of Floors:
v-
BLOG, CONSTRUCTION TYPE: Wooo Fe j!. OCCUPANCY CLASSIFICATION: ill S ;i-
PROJECT INFORMATION:
Early Release /' Manufactured ~
Permit: _y~ Trusses: _y~
Lot Split, _Y _N Sump~pLi'mp: Y -N--
I,', - ----::;~-~.,\
FLOOD ZONE AREA DESIGNATIONrS) FOR THIS PROPEI~!TYli \'
IA A\I t '"", d I
'''1\1 ~ - ,JUt !IU
PLUMBING CONTRACTOR: J
IV\~'-vt-<:M I'^~",\A- -
j
)!f-.No
Elevator or Uft: q YES
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
Cii.. COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADOmON
offices/centers are commercial) 0 Room(S)
o INSTITUTIONAL 0 Pocch
o Municipal/Public Bldg 0 Mezzanine or Deck
g ~'jtU:ASED FOR C~m~ttION
o MULTI-FAMlW:Jject to compliance ~ ~tl:1!~~~~O~~~~G
Number of units' of State and LoC@! C!l~HED GARAGE
FOUNDATION TY~~qa1&l.ij1 wQMM U Nm~rrn!GGE
applyfor~~@A~MEL / C~{~~~CATE
~B 0 CRAWLSPNiIDIA!\hll. DEMOLITION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
ESllMATED COST OF CONSTRUCTION:
(EXCLUDING LANO VALUE)
.~
1J. J Sl> f D'C
Plumber's Indiana State License #:
4. 0 ~V" 00 '-/1
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
etlng c . on.
I, the undersigned, agree that any construction, reconstruction, enl ment, relocation, or alteration tructure, or any change in the use of land or structures requested by
this application will comply with, and conform to, all applicable I s of the State of Indiana, and the ~Zonin dinance of Cannel Indiana - 199r (Z- 289) and amendments,
adopted under authority of I.C 36-7 et seq, General Assembly he State of Indiana, and all Acts amendatory th to. I further certify that only kitchen, bath, and floor drains are
connected to the s. sewer. I further certify that the c struction will no be 7d or occupied until a Ce ficate of Occupancy or Subsuncia] Completion has been
;%Uw by the Dep , en' 01 Com nity Service>. Car . Iud; f ~'i ~
Jj y' "...; vro t;' '1vt'}
Signature of Owner Authorized Agent P . Date
OFFICE USE ONLY: ************************
INSPECTIONS REQUIRED:
"n9 Lower Footing Under Slab
Meter BaseG Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
Upp
ReviewedjAp roved: Dept. of Community Services
S:Permits/FOfms{I P COMMEROAL