HomeMy WebLinkAbout07060254 Application
City of Carmel! Clay Township Permit #: () 7 D {" 6 "J,51
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
I
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
STREET ADDRESS:
131\\>
~
CITY:
:eND LS
'Sl 4 C4W
STATE.
IN
FAX:
"15,4- - I
ZIP: I
4{;~1
BUILDER
OF
RECORD:
NAME:
Mtf' lID l- 00 f\ls~\)G-\ 0
PHONE:
,,*lZ>lIL:g5, N C
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS:
J FOS~~@,UA';:>ITbL-Co~S ~c.:::r. COM
NAME:
Z.:
BEST METHOD OF CONTACT:
evYlA II--
'Sj5D-.;7A-3<;>
LOCATION
& PROJECT
INFO:
I
ADDRESS OF CONSTRUCl1O~:
I II N. IVII;9-lD A~ ~
Address of Shell Building: (If different than Address of Construction)
BUILDING, PROJECT, OR TENANf NAME:
,...., O:;'fO N <;;:C I !:?NT I ~JC.-
STATE. COMMERCIAL
DESIGN RELEASE #: 3z<p ~ S
SCOPE(S) OF 0 FON
RELEASE: I'< ELEC
o STR
o SPKLR
WATER UTILITY
PROVIDER: Of\ J2.-(Y) ta.---
SEWER UTILITY j'"1 j(\. .
PROVIDER: l./I" Q,lY>1::; L--
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC pERMIT #'5 (If Applicable):
# of Floors:
Elevator or lift: Q YES
pfNO
BLDG. CQNSTRurnON TYPE: I A: -S l' ~
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
q COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDfIlQNr N
offices/centers are commercial) ,..... ~, ("1tt:}'-Rbom(~)
o INSTITUTIONAL cr"'l r:CO\ C~~.~~) v\\ OtiI.Porh~-'\ ,5
o MUB~_~lict.Bld9, _\'o\\CB \NI'\r\ .........O,~,Mezzanlne or Deck
o Sc~cMf;eClIO CO"'\',..o lO,(D l R(r>1.0p,e:~\CES
o Chillt...,..-\ oi Stole ",. ~\NEW:tENANtF.I~
o MULTI-FAMILY Of CO;JM\\J1Q- ^.~P3,Eg;GlRVl6l'n'1:blNG
Number of"C\'E.~ ^ ,GL IIQYdrrACHED GARAGE
-<>o.L,n<; [;,A.\'3."''- ..' ^.rwP.ATTACHED GARAGE
FOUNDATION TYp{)hu"!~ a whlchINDI'LJ- CELL TOWER (New)
aP!'1 for the new cons.tructron area) 0 CELL TOWER CO-LOCATE
If>.. SLAB 0 CRAWL SPACE 0 DEMOUTION
o POST &_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
FAX:
. <:?~-:"::?'4-?'1.
: I r \ LS~ATE:' f1?-.l1 '0" zi~-:'-'I;I~a
~- '"j
,
r~~~~r~) 2 2007 III! i
.J !.:::/
ill 1\1
Lot # and SUbdivlsion: (If Anp'!!icable)
I --"-
ZONING: -r:<.
l~-(P
OJ( ARCH 'P MECH ~ PLUM
OTHER(S):
~
D"l3S000b0?:7 .ct>2-
'MAp.PARCEL-#;
SQUARE ,..... ~
. FOOTAGE: ID I tfi>
ESTIMATED COST OF CONST
(EXCLUDING LAND VALUE)
OCCUPANCY CLASSIFICATION:
'B~
PROJECT INFORMATION:
Early Release ~
Permit: y ~~
Lot Split: _Y ~N
Manufactured
Trusses:
Sump Pump:
Y vi N
-Y /N
FLOOD ZONE AREA DESIGNATIONfSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
BaL- VL-VMBINt1
Plumber's Indiana State License #: -j;
)f~O()U>4X'
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 cOllstruction. .
I, the 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 Canne\Indiana - 1993~ (z- 289) and amendments,
adopted under authority of I.~_ 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 CertifiCifte of Occupancy or SubstaJ1tia] Completion has been
iss th D tm 001 nity Services, Carmel, Indiana.
OFFICEUSEONLY:********************************************************************~***
INSPECUONS REQUIRED: . Filing Fees: ;< ~! 5"', ~ 0
?VO '6 , 0 0 .
73~~f!jJw hto;1
Fee by: '1; bate;
_~lle.n
Print
Milln.'-
IJ;.ZODt
O.te
Base Inspections:
upper F ting Lower Footing Under Slab
Meter Base ~ Site
Reviewed/A proved: Dept. of Community Servic 5
S:PermitsjForm IlP COMMEROAl