HomeMy WebLinkAbout07060027 Application
City of Carmell Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings)
Permit #:
()70feDD17
BUILDER
OF
RECORD:
NAME:
PHONE:
~"Ig -~ DDL.
crw
~t,
STATE:
PROPERTY
OWN~ oC
STREET ADDRESS:
~-"r;~ ~. .g'l~ St ~ {)
""
BEST METHOD OF <;gNTACT:
Co........ L- ""''''; I
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
(.0 \c-'^-o \) G+
Address of Shell Building: (If diffe
u on
lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
'" ,^S-l~-l 0",-tL.....
STATE COMMERCIAL
DESIGN RELEASE #: $lS q 1.JZ
ZONING: TAX MAP PARCEL #:
!/V\.o '^ 0",,- f2. - Z-
SCOPE(S) OF 0 FDN 0 STR X ARCH 0 MECH 0 PLUM
RELEASE: 0 ELEC 0 SPKLR OTHER(S):
WATER UTlllTY
PROVIDER:
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CQNSTRUcnO
(EXCLUDING LAND VALUE)
000
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'$ (If Applicable):
# of Floors: Elevator or Uft: ~ ~~\~....'- SBLDG. CQNSTRUcnON TYPE: V _ E OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUtr~ ' ~ ~(\ ';).\\ OF IMPROVEMENT: PROJECT INFORMATION:
o ~~'iA'f >>\\';).(\06 "'~3\ c,oc\eJ'J. J\~~UCTURE Early Release Manufactured
nv..F<I\\6Wii~RS\'l\llIHn\l moQql S'ca' ~l;>~~ Permit: _Y l\'....N Trusses:
S '''s7Ce!~~'i:0I)1I1W~I''\ \' -cO'N'''C:) Room(s)
o INSTITUTI ~ ~ON\\" C\J'-'{" 0 Porch Lot Split: _Y LN Sump Pump:
.Q:~ 1/>01 p~~ldgl ~\" A 0 Meuanlne or Deck
~"""'IC ~\n\P;I"r REMODEL FLOOD ZONE AREA DESIGNATIONfSI FOR THIS PROPERTY:
~Tch \I"V 0 NEW TENANT FINISH
~. M L THAMIL Y r 0 ACCESSORY BUILDING
Number of units: ---lc-- 0 DETACHED GARAGE
. 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
%- SLAB 0 CRAWL SPACE 0 DEMOliTION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
_yLN
_yLN
PLUMBING CONTRACTOR:
AllfJ..
- ,
Plumber's Indiana State license #:
AI/A
,
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 asceucture, 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 Carmel Indiana - 1993" (Z~289) and amendments,
adopted under authority of I.C. 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
connecte to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occup:mcy or Substantial Completion has been
issued tart f Co .~ity Services, Carmel, Indiana.
A-d~~ go~
Print
r..!Lfl'o l
0...
OFFICEUSEONLy:******************t************************************************~****
~ 'j:.f O\.QW"' ~+olui f01.<.fett - ,kJ ,(( ry.e4. ". /7 / '6 Z-O
( . INSPECUONS REQUIRED: '~(' FIling Fees. .,,:>.
'Upper Footing' Lower Footing Under~lab -f<.U:..' Base Inspections: -;;to 3" (!)'l)
lvill h-t 1/
Site ~ Cert. of Occupancy: { I , DO
'TOTAL:7ft4&j~L
Fee Received DY:
01
Reviewed/Appro Dep . of Community Services
S:PermitsjFormS/ILP C MMERQAL
Date