HomeMy WebLinkAbout07050167 Application
Permit #: 07 () Sol) 1L/7
, City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
NAME:
GjS..IA~ .,.-r CoNsnzuClI~
STREET ADDRESS:
'5\l5S, ;:, .'.,.S4-h S\ ta:.sT
BUILDER'S EMAIl ADDRESS:
M '1=lSG.\-l.er.2.@.c..<s:\AL-lS\<:: Nt t . c..e ""
NAME:
c..oPELA0l) C.01-4'PAN I
PHONE:
~\7- 57Q-I'S'5"S
FAX:
-3\7- '5l"i- ($G;.
CITY:
1101>1 A"I~OL..\'::>
STATE:
I~
ZIP:
4",'220
PHONE:
BEST MEniOD OF CONTAcr:
vl.loowE ~E-H.e..IL-
FAX:
~D- 3"-2 - 3'=-51
<iiCO-<i{lJ.g-7Z/
STREET ADDRESS:
AoAS V l~ Ca-lJ.,j
~Y'DLI':::>
STATE:
l~
ZIP:
4"=2~
ADDRESS OF CONSTRUcnON:
12..& IS 'E:>12DA '"D ~
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
~e- Lc5PGIAI-J 0' L.i), ~b
STATE COMMERCIAL SCOPE(S) OF ,pJ. FDN ;A STR
DESIGN RELEASE #: 324 9S \ RELEASE:)( ELEC 0 SPKLR
WATER UTILITY
PROVIDER: CD. 'tZJA. eL
SEWER UTILITY
PROVIDER: c...-n2 uJ'1)
SUITE #: (If Applicable)
Lot # and SubdiviSion: (If Applicable)
ZONING: Y lA.. \)
'!.f ARCH --;A MECH )( PLUM
OTHER(St,
TAX MAP PARCEL #:
SQUARE
FOOTAGE: 0,4cJ(
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I .-~ 1---\
PLAN COMMISSION / BZA / BPW DOCKET NUMBERSj AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable): 0/0100 I 0 "f',!l..(..
# of Floors:
Elevator or Lift: )( YES Q NO
BLDG. CONSTRUCTION TYPE:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ COMMERCIAL ~ NEW STRUCTURE
(Privately owned hospitals and medical 0 AOOmON
offices/centers are commercial) 0 Room(s)
o INSTTTUTR>8tLEAc::r=n r-OR' C 0 Porch
o ~~Jlil~\,~b1~Bfd9, ONSTRt1Cir#J'Ne or Deck
o sCfioOlJ' 0 COmpllance'Wjffilal/l.~OS4
o Church at State and lOCag~' T/!fJ;!Wr~INISH
o MULTHOOP>r OF COMMUINI- tcrSSORY BUILDING
NumbCrtYi'OF C' , Qj!jE!88RAGE
· .' AK:!iE / CLAY l'\'Ii~I'lFli!@lIl<'-GE
FOUNDATION TYPE: (Ch'eck all i 0 'ceLe ~~ tNe )
apply for the new construction a IANAO CELL TOWER CO~~OCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST&_BEAM _PIER' 0, BASEMENT (WAlKOUT:_Y_N)
OCCUPANCY ClASSIFICATION:
PROlE
Early Release Manufactured
Permit: Y ')( N Trusses:
lot Split: - Y ~ Sump Pump:
FLOOD ZONE AREA DESIGNATION
)<j - L~..f\ ~
_ Y.$,.N
_yLN
PLUMBING CONTRACTOR:
fJ-cc...uTt..'tI'I t--IEt.+\-,d.t-,Jl ~(
Plumber's Indiana State License #:
Go6cG:::>oco4\
Class I structure permits are subject to tbe General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, tbe 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 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
connected to the sanitary r. further certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantia! Completion has been
issued by' t e Departm t mmunity Se .ces, Carmel, Indiana
-s;,Z\ ' O(
Ml~ta ~(S<:.l1e12.
Print
Date
Signature of Owner or Authorized Agent
Base Inspections:
Cert, of Occupancy:
2001