HomeMy WebLinkAbout07050168 Application
L IIV\,\kd too
City ofCarmel/C/ay Township Permit #: 070c10J te<0
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
~ Lll'\\ CoYlS-1-r1t 0 PHONE s _ G.j
eoO-d tl~"f\l'\O.ti D y r; ~~)
BE~METliOOOF~Sq~gq 1-<;/'"20
BUILDER of
RECORD:
NAME
:r~,,^E.S
STR\EF~t0SS ~ Ll l'Y\ I'Y\ -
BUILDER'S EMAlL AOORESS
PROPERTY
OWNER:
NAM'5,'man p ,()
LOCATION
& PROJECT
INFO:
Address of Shell Building (If different than Address of Construction)
BUILOING, PROJECT, Q~ ~NT NAME:
L IW-\([1 +-00 - -hM.e.f\.ky",,'\c\s ("~I
STATE COMMERaAL SCOPE(S) OF 0 FDN 0 STR
DESIGN RELEASE #: -3 d c; l 0 RElEASE: P-"fCEC 0 SPKLR
WATER UTIlITY SEWER UTIlITY C
PROVIDER: C PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEf'TlC PERMIT #'S (If Applicable): IU\ 14-
# of Floors:
Elevator or Uft: c;:I YES
BLDG. CONSTRUCTION TYPE:
\
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~MEROAL ...QU~~CTURE
(Pr1v~e#p~'lll~lfOR CONS Ie!] M)t:mlQl;:(
and 1j1tlIldaJ~/W1ters liance with all regU[9lukoom(s)
are C@!11[\l\f.<!i'!lto camp cal Codes. 0 Porch
o INsnnftltlN'AL fll State and La \~,lReJzan,"e or Deck
o Mu",aTI'O'j'?I't,'~Mh~UNITY ~Ej~q~L IP
o @liOliI I CLA~'ii:!i11NTFlNISH
D~I[)F CARMEL J 0 ACCESSORY BUILDING
FOUNDATION'rlPE': (theck all w!li!t!I\ANA 0 DETACHED GARAGE
ail for the new construction area)- 0 ATTACHED GARAGE
SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEMOunON
PHONE
FAX
-~I'"8{
ST~TE
Ii> I
'~
~ # (If Applicable)
Lot # and Subdivision (If Applicable)
C l ~E:r"-a. L~ ;O{
. s-L
ZONING:
TAX MAP PARCEL #:
RCH
OTHER(S):
~H e-I'LUM
SQUARE , I '
FOOTAGE: '-t /lfl)
EST1MATED COST OF CONSTRUCTION: n (') rVy,
(EXCLUDING LAND VALUE) I ~l D U...JL.J
OCCUPANCY CLASSIACATION: tv\
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y IN Trusses: _Y 1N
if '"
Lot Split: _ Y ~N Sump Pump: _ Y ---'i-N
Does any part of the property lie within a special Flood
designation area: Y ......-N , . /2l J^
PLUMBING CONTRAcroR:-t~ l2Jl~v '--'
Plumber's Indiana State license #:
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 Cannel Indiana - 1993" (Z'
289) and amendments, adopted under authority ofI.e. 36'7 et seq, General Assembly of the State of Indiana, and all 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 the Department of Coriiiiiiiiiity Services, Cannel, Indiana.
~ --L ----.
. ~ () uC\. ~(7,<<l~r
Signature of Owner or Authorized Agent / Pri t . ~ d:. 'f /7#
L~ J v ./'
* * * * * * * * * * * * :tc,.?I: ****** ****** * * * * * * * * * * * * * * * * * * * * * * * * * *
J CJ q~. 00
,
'dO'O ,00
,00
~ 00
INSPECTIONS REQUIRED:
Upper Footing
c I l& 10,--,
~
Filing Fees:
Base Inspections:
Cert,' Of~ccupa :
C
TO~
Meter Base
Site
Fee Received by:
# Charged Re-
Reviews
Additional Fees