HomeMy WebLinkAbout07060097 Application
, City of Carmel/Clay Township Permit#: n7()/"oocr7
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDING, PROJECT, OR T~ANT NAME:
, , M-OJ t>\'S s \
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAMti> 1-\ I \J Ee--..\- M><;CX::-
PHONE:
(3,1)5'61 .\(..
STREET ADDRESS:
"P."-. ~
CITY:
C f3.--
BUILDER'S EMAIL ADDRESS:
8 Ll>F!rNt.72-4SScLfrf1l';5. coM
BEST METHOD OF CONTACT:
3/ 'in -21fo
FAX:
NAME:
PHONE:
814 -21 c''';
Ci',tlIL :x~dz
"2-\- <:X.\-\1XT-z.
STREET AD RESS:
d/'D E::, C 1\1tWu. Oe..
STATE:
IN
ZIP:
1(I?L
ADDRESS OF CONSTRUCTION:
'1 LC , V-
Address of Shell Building: (If different than Address of Construction)
SUITE #: (If Applicable)
.:c
TAX MAP, PARCEL #:
to \ O~\ 000 :>80 (.;.Ov
SQUARE .J 7"-1 J
FCOTAGE: p( I :;", i
Lot # and Subdivision: (If Applicable)
13-'8
o MECH
o PLUM
STATE COMMERCIAL I
DESIGN RELEASE #: IJ' "
WATER UTILITY
PROVIDER:
o FDN 0 SIR 0 ARCH
o ELEC 0 SPKLR OTHER(S):
SEWER Ul1LIP\. . _ II . .
PROVIDER: IJ>,(LfV\h L- \..('\1 L-{ ,/0
ESTIMATED COST OF CONSTRUcrrON: "'..:tD ,.,..,."
(EXCLUDING LAND VALUE) 'f' ~ ~ vu
~
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I Elevator or Lift: c;l YES ~) [pG~NSTRUcnON TYPE: OCCUPANCY CLASSIFlCA.110N: . J
'_ 0- ,.,,\0 IV.
TYPE OF CONSTRUCTION: '" C TYPE'OF' MPROVEMENT: PR J CT INFORMATION:
00 COMMERCIAL c,<:c:'0 ~c: _,;,,(,8 '"\\'-iiid.J&,~l1:D&ITi~ Early Release ~
(priva~~,h15sPi~In"dl\n~~Ci!IOC"t;:J! 'I\D6ITj9N,S"W" Permit:_V
O offices)Nnte~)t",'OOn\~~'i.ielr;.(\, 11"\' "W;'.jR~~m(s)
INSllTU1il11M\t 0\.5 ';,n,"^~'v \y-'i tJ Porch Lot Split: _V Sump Pump:
o MunlclpaI/Pu~tcIq""' S\.. leD MellOnine or Deck
o Schl"liC.\:'\ f>-"''"^ \~REMODEL
o Chult;li~ O'f C \",'0 -~ NEWTENANTFINISH
o MUL THAI<1!J,YI ' 0 ACCESSORV BUILDING
Number of units: _ 0 DETACHED GARAGE
. 0 ATIACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 l;ELUOWER.(New)
ap!'ly for the new constructlon.area).-;:-8:;-C::ELL.TOWER~Co"LOCATE
rlJ SLAB 0 c~v.iL'S~g~ ~;:;(g~ DEMOlii:rON'1 \ \ 'II
T' 11,11 ___u \. II
o POST &_BEAM -----.!RiER/ ro BASEMENT (WALKOut:-LV_N)
I\'~\ \- III i!1
Class I structure permits are subjJct:io1the A m is ratlve Rul~J bf itid State of Indiana (See 675 lAC 12) regarding expiration time frames for beginni~g and
\ \ \ \ \ \ cdrbpletiqg construction. :
I, the undersigned, agree that any construction, reconstruction; enIa.rgemenrJelocatiqn, or alteration of a structure, or any change in the use of land or structures requested by
this application will c~mply with, a'id conform to, aICapplicable laws of the State of ln~iana, and the uZoning Ordinance of Cannel Indiana - 1993~ (Z~289) and :nnendme~ts,
adopted under authonty of I.c. 36-7 ~t seq, General Assembly of ~fJndiana"and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor dfains are
connected to the sanitary sewe er.certify-thatthe.COiiSrruction will not be used or occupied until a Certificate oFOccupancyor Substantial Completion has been
iss the Depart en Community Services, Carmel, Indiana.
Manufactured
Trusses:
_VXN
_Vt;::.N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
;>0 ~ U.Jl5 h{l t/.C(d!..
PLUMBING CONTRACTOR:
:1:""'\>,""-11\- Ku~Mr +- ~r0
Plumber's Indiana State License #:
Pc.I94on()'OO
OFFICEUSEONLY:************************************************************************
F'I' F .'ZY( r ( ~ (')
INSPECTIONS REQUIRED: I mg ees:
Base Inspections: '} () ~ . ()V
Cert. of Occupancy: I / / . () 'D
~~cV1)~~o
Fee Received by:
M,Lc.K $e; ~ ~/-z.-
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