HomeMy WebLinkAbout07060009 Application
City ofCarmel/C/ay Township Permit #: () 70{Pf!iPt
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLIQ;A TIO
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, &. Accessorylsuildings
BUILDER of NAME PHONE J' ~ c,J'/ <'ill;! FAX ;r":f- ~~'f 0l:S"~'
RECORD: ""5",..,"" ,..- cotV<;"-(1.4c-"oN Co. INC.. ,
STREET ADDRESS CITY STATE ZIP
l\o~ 'F.>..H~ "t>:>"1I-.... "P/LvJ'/ I ""'114../'1/1- POl-l <j ,N lfr..a olf
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
Dove;:i4r;JC.\oC.t'V ~""MMIT ""''''ST. to...., eM4- "....
PROPERTY NAME PHONE 3/=J- s~). - "'1~I(, FAX '5lr 'S'f".;l- 'flrOl."1
OWNER: -Yr. ","'e.~ CII-,-' r"1 6. '- t-fo<j?,-nfl-
STREET ADDRESS CITY STATE ZIP
1~';-oC:> toI- M€~,p,4+/ "'$T. CIl\tz._*",,- "J '-{ ('03a
LOCATION ADDRESS OF CONSTRumON sum # (If Applicable)
& PROJECT 1 "3 )c:>C> N. ,., liE /Z-, t:>, 4"'" ~..,.- CA-fZ.MG "- ,,..; L/ (DO? 01
INFO: Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: I""" F\..DQ(Z.- 1".... -:z. ~~1 ZONING: I TAX MAP PARCEL #:
OR Ii}. /3"""-1>0"''- B-c.. 1-=1 oq a 0$000000 '''DOl
STATE COMMERCIAL SCOPE(S) OF o FDN o STR KARCH )fi!C MECH ~ PLUM I SQUARE
DESIGN RELEASE #: "3;l S 3 "13- RELEASE: s:: ELEC o SPKLR OTHER(S): FOOTAGE: '>"1S
WATER llTILTIY SEWER lfTllITY I ESTIMATED COST OF CONSTRumON:
PROVIDER: C:A-(2..M~ t.- PROVIDER: c-+aM~L.... (EXCLUDING LAND VALUE) -tr 01 DO, 00 0
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR N/A-
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: , Elevator or Uft: Q YES I!{NO I BLDG. CONSTRUmON 1'l1'E: '"'X'S'T . 'Sl',,-I OCCUPANCY CLASSIFICATION: % _I. , rzlE""
TYPE OF CONSTRUCTION: TYPE p~~. &OVEMENT:
~ cOMrIil:Iiih.iASED FOR CONS 11"6l'i;~~UCTURE
(Pljl!ll~V(ll!)'tl~QJh9$na!Sliance with all ~4\eb\"tjON
anamedlcal of.fl.ee$!~.,9~~ild Local Codes. 0 Room(s)
arecommerda'tjl "",0. I
o IN<:TllMI:rtlX1UAt-....F COMMUNITY SERVI ~rch. D k
...."CJ'C.f'""["t"\Io:.I. , -. I Mwamneor ec
~1~~rle~!J!ifI~!~L / CLAY 16W" 'ffi!!
o ch~rc~ ..- INDIANA 8 ~~ES~~~~~~:~b~~G
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
l8' SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOLrr: Y N 0 DEMOUllON
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y ~N Trusses: _Y X N
Lot Split: _Y LN Sump Pump: _Y ~N
Does any part of the property lie within a special Flood
designation area: _Y X N
PLUMBING CONTRACTOR:
Co S'+ M M. €;C f-/-AN. c. A--..-
Plumber's Indiana State License #:
c? 810 ~"1 "j=lo
Oass I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding exp~~~n time~ fra,mes;for I
beginning and completing construction. - L. . i
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structu~ I
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 :- IP~.2:l(Z' .J L.. J
289) and amendments, adopted under authority of J.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
~Jll1cy orjubstantial COJ?f'ftt.on kas been issued by the Department of Conununity Services, Cannel, Indiana. .
\2..-/ \.. --t-2..- ~ ""PA-N .e l.- 12. . 01/ E f2'36"'-~ c.' ' / D:f-
Signature of Owner or Authorized Agent Print Da I
OFFICEUSEONLY:******************************************************A*****************
INSPECTIONS REQUIRED: Filing Fees: 1011 ()u
- - ~A4~ #~~
Upper FootIng Lower Footing Under Slab Base Inspections: - p"JJ () , (7' V Reviews
~"--~ - :~~,,<q 4l-fff<9J:, ~...-
Reviewed/ pproved: Dept. of Community Servic Fee ReceiV~ ,*-
S:Perrnlts/For S/ILP COMMERCIAL