HomeMy WebLinkAbout07060095 Application
r City of Carmel/Clay Township Permit#: ()7()(e pO '15
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
I
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
.TCN
cl a...,' _ c...., b.:..1f Cb,
I14C
PHONE;
FAX:
-ZOt'-G~-:S~ ~ '7-ztP'1~0
A..'l.c
NAME:
c..~R."""'~'-- <2.,,-,,-,, :<; ~od <;;
STREET ADDRESS:
S Z. CJ E' /'l1 A-A..j 'ST
ADDRESS OF CONSTRUCTION:
S7~"--'''1 "6~c>J
..-t':~ ..~~
I
'3
CIlY: STATE:
::.t:Ndl,' k-Nm.:)1) (/$ ,~
ZIP:
Address of Shell Building: (If different than Address of Construction)
~ / lAc- D
L( C. mCj - Jt'lJ
BEST METHOD OF CONTACT:
- c
cO "-1 c--ffl.4-r "~
PHONE: FAX:
31'7 - '61'" - ?!74-L
CIlY:
c...~R...^/t \;?___
STATE:
+N
ZIP:
'4'
.-L'I-I
f:i.,.. .:st.
Lot # and Subdivision: (If Applicable)
1-' 1+
BUILDING, PROJECT, OR TENANT NAME: {
-2. CO '1 .I.."^-IC>V' "" C "'" "-/'-- ";-$ eJ,.~ ll;-t~
STATE COMMERCIAL SCOPE{S) OF 13-FDN ~SlR 0- ARCH e:J-MECH
DESIGN RELEASE #: 325:' '-i / RELEASE: D~ELEC 0 SPKLR OTHER(S}:
WATER UTI
PROVIDER:
SEWER UTILIlY
PROVIDER:
PLAN COMMI ION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors:
TYPE OF CONSTRUCTION: CO" 9'Y OF IMP;"<"'EMENT:
Or.' \" C'U\~ ,......
o COMMERC~C,E.O F r8 ",:,n 2{ij"iliEW STRUCTURE
(~\;;I;l'ecl h9~\i'.ildmealcea\ GQlI\8'f\..QQffl'\ll'6
/ orr1,e~A1~'are~o'~VI\'r",'i'll\ \.0 ...-v c C r<i'!)' J~o~~
~ INSl1l!'I:ff10NAlo\ Si"'CC',r\\J\UN1 \ , 0 O\iJ\~l!ll/Ch'
o ~Munl~"(/:\'Pbll9'1OO9 I C'J>..'! '\ t:l Mezzanine or Deck
B ~I l>.t\tJ.E.\.. 0 REMODEL
D_~l[)f C \t~O\PcNF\S NEWTENANTFINISH
o MULn.RIMILY 0 ACCESSORY BUILDING
Number of units: 0 DETACHED GARAGE
o AlTACHED GARAGE
o CELL TOWER (New)
o CELL TOWER CO-LOCATE
o DEMOLmON
FOUNDATION TYPE: (Check all which
apply for the new construction area)
B~B 0 CRAWL SPACE
o POST &_BEAM _PIER 0
BASEMENT (WALKOUT:_Y_N)
000
~
"2.,'12S ;siF
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) # S6D, CX50 " Ou
CUPANCY CLASSIFICATION:
EarIY,Releas'}.. ' V
Permit: ~y ---LN
Lot Split: _Y IN
Manufactured
Trusses:
Sump Pump:
..6....Y_N
Y X N
- --r---
FLOOD ZONE AREA DESIGNATlONCSl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
C.oR..D'DN \-'Lu..VV\b l--\~ INc.,
Plumber's Indiana State license #:
J DC" L( 3 C::,
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, re.location, or altermRlnm9" he u~e of land or structures requested by
this application will comply with, and conform to, all applicable laws of the State of Indiana. and e ~ ni. n '9ft. (0-289) and amendments,
adopted under authority of I.c. 36-7 et seq. General Assembly of the State of Indiana. and all Acts n h" r" t ~h bath, and floor drains are
connected to the sanitary sewer. I f\lrther certify that the construction will not be used or occupied until a-Certificate of Occupancy or Substantia./ Completion has been
'''U'dbY'h'D'P;U,,'&fCU 'muui'YS"'''''',i=;umd,lud',",~ ---r;;::: q r:;,""Al~(/ 6/l.fk?
s;gnature Print I Oat?' / :
// /
/om(;€ USE ONLY' ....... .......... ..........:;~;.:::..... .....~.._.:.~jt.
" Base Inspections: y '\\,'VV---'
Cert, of Occupancy:
Rough In
Reviewed/App oved: Dept. of Community Service
S:PermitsJFormS/IL COMMERCIAL
7