HomeMy WebLinkAbout07070033 Application
__ ,City of Carmel/Clay Township Permit#: ()7tJ70633
! 'COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
PHONE: FAX:
31"1-~q. - 51ft
cm: STATE:
I l IN
BUILDER
OF
RECORD:
SN- s4<& z
ZIP:
4'
FAX:
PHONE:
31=1 - C9
PROPERTY
OWNER:
ZIP:
t+
STATE,j
SUITE #: (If Applicable)
CITY:
CJL
LOCATION
& PROJECT
INFO:
Lot # and Subdivision: (If Applicable)
BE(NG PROJECf, OR T ~A~ NAME: .
STATE COMMERCIAL
DESIGN RELEASE #:
SCOPE(S) OF 9 FDN 0 STR
RELEASE: ~ElEC 0 SPKLR
SEWER UTl
PROVIDER:
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
BLDG. CONSTRUcnON TYPE: 1)-
OCCUPANCY CLASSIFICATION:
Elevator or lift: Q YES
# of Floors:
PROJECT INFORMATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
rzr COMMERCIAL 0 NEW STRUCTURE
(Privately owned hospitals and medical 0 ADDmON
offices/centers are commercial) 0 Room(s)
o INSTITUTIONAL ~~" 0 Porch
o Municipal/Public Bldg P':Q \ 0 Meuanlne or Deck
o School ~ t:\ REMODEL
o Church ()f\- fu iii!I- NEW TENANT FINISH
o MULTI-FAMILY Cl 0 ACCESSORY BUILDING
Number of units: _ :( ,\, 0 W~~RAGE
FOUNDATION TYPE: (CheC~~~~i,c\1?~bg;;~:~~'We~~~~~
apply for the new~t~ are~\\",,[~~"ti' oCELlsTOWER CO-LOCATE
~LAB suqC'CAAW?I))PACEidO;,'ft,C@ C[jEMObfWO-Ntc::>
"l'" \ Sta~8 D' _-luI/\.illi?(' -,C-' "\"
o POST & BEAM 0 P,l.ER--'@\NB'ASEl\'fENi;(WAl'!C0tJ;P.\1i Y N)
_ - >>-rD' v.,., i CI_J\1 \~ --
Class I structure ~ 49,Wb 0 tl~~ ~er~~inistrative Rules of th.e State of lnd.iana (See 675 lAC 12) regarding expiration time frames for beginning and
\.1\' I \ \'\1 U completmg construction.
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 MZoning Ordinance of Cannel Indiana - 1993~ (Z-289) and amendments,
adopted under authority of l.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 sewer. I further certify that the construction will not be used or occupied until a CertJljC1lte of Occupancy or Substantjal Completion has been
issu by e Department of Community Services, Carmel, Indiana.
at.kJ
Manufactured
Trusses:
,/y N
-yVN
Early Release ./
Permit: _Y ~N
Lot Split: _Y ./N
Sump Pump:
FLOOD ZONE AREA DESIGNATIONCS) FOR THIS PROPERTY:
'fJ ..-tclIlSn cN-
PLUMBING CONTRACTOR:
Mf Ino r7.i'O:J
McCuIUi \J
Plumber's Indiana State License #:
Vr. ~\.Qf23-4Dtp
/!.jt2P-JrJ;1 n Fasnae-hf-
-:t/slrJ-::;
Date' .
Signa, re of Owner or Authorized Agent
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: .5 55.. ~ 0
'?-O g, oV
I~/ , tJ(J
-11 '!J1~ /;0
Base Inspections:
ooting Lower Footing Under Slab
Meter Base cg Site
Cert of Occupancy:
TOTAL:
7
Date
Fee Received by: