HomeMy WebLinkAbout07060098 Application
City of Carmel/Clay Township Permit #: () 7 0 &oo1~
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMl'ROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
s~ f:y,.)<;iLir
-57'F -ISS:;<;;'
FAX:
5/7 -57'1-1:><5""
# of Floors: I Elevator or Lift: Q YES l\Y'NO BLDG. CONSTRUCTION TYPE: 1i~,JI!4{ '$tit recCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPRQi(5\!?fNT: PROJECT IN ORMATION:
(j/(" COMMERCIAL Q;~)~~Y~I!E
(Privately owned hosp,ta's ancj~COO- ~DDmeM
OfficeS/centersarec;.o~al) ~ ' ,c'JI.I\\'0<'\'P.s.Room(s)..
o INSTITUTI,J:.P- n<n?\,e.(1C ,'e.1 CCtL.R<lr!<1C\::S
o Mu, 1Ri'!{81!b1\€lBfd,9 \e '.'ncl 1.00 I"D Sc-'Me'''''~9'c6i\6'eck
o Sch!-,IV 01 S,a \'I\\J,U'tJ ~l\lQ!jil~\ '
o Church Ot' CO _, 1~N€wTENANTFINISH
o MULTI-FAMILUE.?I CPS',\'!IG\- QI[&.CCESSORY BUILDING
Number of u!ll~ \\~O\ti:'I' DETACHED GARAGE
\.J , 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all which 0 CELL TOWER (New) ,
apply for the new construction area) "::::~"'-:GJ--;CELl"'fOWER CO:COCATE: 'I
if SLAB 0 CRAWLSPACF\\ [:j;l(([)EMOlnibiU :, :,11', \\,
o POST&_BEAM _PIER 61 ~f.EEMEN-r(~~:--dl~)\!
Il....<\l III 111
Class I structure permits are subject to th~iGe~~~a1 Ad ra v u It the S~t~ of i~diana (See 675 lAC 12) regarding expiration time frames for beginning and
"'I'll '" ill
. \ \ . completing construction.
I, the undersigned, agree that any construction,ireco:h~t!}l_cJ:ion.,enlargement., relocationJo~ter~tion of a structure, or any change in the use of land or structures requested by
this application will comply with, and confOrnl. to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana -1993ri (Z-289) and amendments,
adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts larnendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. :Further certify tbat the construction""WillliOfb€ usedorocZupied until a Certificate of Occupancy or SubstantiaJ Completion has been
issued ~e De" " I ninity Services, Carmel, Indiana.
~//, ~ ,t'>
Si na of wner or Au orized A nt
BUILDER
OF
RECORD:
STREET ADDRESS:
5/58 14&1
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
',SrllG G, L'AmL....s.,C 1)1,
NAME: 1U1L-j,..,AMc; Zid}I.-l1
'Oil.
LOCATION
8r. PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
44m WlZ.sroJ701,JJ1Z 1>e,l\l/Z.
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANT NAME:
Vll--'-AUI01/A'LI "':SPA
STATE COMMERaAL
DESIGN RELEASE #, 3Ztp4 73
WATER UTILITY
PROVIDER: ClfI1 cP CA-L.trli21--
SCOPE(S) OF 0 FDN 0 STR ~ ARCH
RELEASE' flY ELEC 0 SPKLR OTHER(S),
SEWER UTILITY
PROVIDER: Ct.Al/ Z e: 1:1/ tJ
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEmC PERMIT #'S (If Applicable):
CITY:
'"JNDI'i.A.
STATE:
.::JiJ
ZIP:
4r,;,zzo
BEST METHOD OF CONTACT:
J;!
PHONE:
571 - 5<UJo
FAX:
CITY:
, ,-,-7v~(/;..
STA :
- J.--
SUITE #: (If Applicable)
/=50
ZIP;
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
a/MECH
SQUARE
FOOTAGE: (P24o
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) , -= h', . '"
:JLV 'U/, (X>
Early Release ~
Permit: _Y .
Lot Split: _Y
Manufactured
Trusses:
_Y >eN
_Yb
Sump Pump:
PLUMBING CONTRACTOR:
Me CulJ) '1 ~tC KttL.
Plumber's Indiana State License #:
C:. 0 5D0 ()on41
/ODD M S77rUf
Print f
Wlz./O'7
Dite
OFFICE USE ONLY: ****************************~~****************************~*************
INSPEcnONS REQUIRED: Filing Fees: 16" 1 ~ ' 0 U
Upper Footing Lower Footing Under Slab Base Inspections: ;<() ~ ~ () 0
Cert, of Occupancy: I ( I . (J D
~ tE~O
Fee ReceIVed by:
Final
Site
oo[
Date