HomeMy WebLinkAbout07060163 Application
C't .Fe IIC" 'T' h' Permit#: 07()Ce.O(f..e3
t Y OJ arme fay .J. owns tp ,
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
I
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
N l Ze>N:
l..I c:.T7(j I<j
-3/LO
FAX:
3/
BUILDER
OF
RECORD:
NPA-
PHONE:
PROPERlY
OWNER:
PHONE:
- v~ /...O("::>1VltS-Nlr '3.i?
FAX:
STREET ADDRESS:
n-f Rt..A MI1I '"
BUILDER'S EMAIL ADDRESS:
bLfO-l/l2 ~
NAME:
H-Nk[\()"t
OTY:
.:RJDPL'5.
STATE:
-AU
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BEST METHOD OF CONTACT:
Ph,N.G....
2.-0
L.f\MPlA
I
, .300
eIlY: STATE:
1= NI::>PL-$ ..1=:N
C ,.,., Ii. L. SUITE #: (If Applicable)
ftloJ 03"Z 300
LOCATION
& PROJECT
INFO:
ADDRESS DF CDNSTRUCTION:
13,,, ?-
T'"CR.. DR-we
Address of Shell Building: (If different than Address of Construction)
.sA-ME....
lot # and Subdivision: (If Applicable)
Ivl~
BUILDING, PROJECT, OR TENANT NAME: _ZONING:, _, ." ~ TAX MAP PARCEL #:
U-IE-J> <:r.l.1J/loN ".i.,j,,,,,<.,...:.~ :0...". 0Ci31=)OOoOOZ
SCOPE(S) OF 0 FDN 0 STR 1;( ARCH ~ MECH )2{ PLUM
RElEASE: "ELEC ~SPKLR 6THER(S):
SEWER UTILITY cLftJ ~:.;.s;I1
PROVIDER: R E:-b f ~I\l. (,CI ~~
l.
WATER UTILITY
PROVIDER:
SQUARE , / r
FOOTAGE: '7 J I 73.
ESTIMATED COST OF CONSTR~cnON:
(EXCLUDING LAND VALUE) Q I 05/ Z
C>
STATE COMMERCIAL
DESIGN RElEASE #:
PlAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
[) NO BLDG. CONSTRUCTION nPE: f>~ <;CCUPANCY CLASSIFICATION: &>~lJE5.s
TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL 0 NEW STRUCTURE Early Release '"
(Privately owned hospitals and medL~.aJ_ _ 0 AOOmON Permit: Y ~N'
offices/centers are commerdaJ) - 0 Room(s) ~\ - V
o INSTITUTIONAL - ' 0 Porch \C\\Glllr Split: _V ~ Sump Pump:
o Munlopal/Public Bldg : 0 Me'lS.IlI"~r::~ \3-\\O(\S
o School I \ CD RE.~ECUI"- ,,11,e90 FLOOD ZONE AREA DESIGNATlON(Sl FOR THIS PROPERTY:
o Church i ~~tEN~lSt\OeS ~S:;z . F 'V (_ ~ A ...J
o MULTI-FAM!J.MN 1 9 2007 :iJ:>-'5Y~~R:Y IjlJIllDfflG.~?>~\C . ~O N.:::- r--...... -L.L,.vl..'5r lrtXP[,L
Number of Units: ?-~\:: -' 1\0 G'DN'~a~\ IS '::> 0N~'::>\
----:-:. ____ xliec\~' cA'M'A ~'I "\ 0 PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check-all whic~0 \. -IT . R " _ .,-r_t1_ . ,..
apply for the new c~nstr~~".~r:!L__~I"" t~tWiW~ ~jl..~.$m c/\.\1 R<4-'fl..JJ...~ Et/PCftll..lIr- 'T- tv1 /f'L.JI11fu''11-
~SLAB 0 CRAWL SPAC~--N ~ bEMb~1 Plumber's Indiana State License #:
o POST&_BEAM _PIER c::P'ElASEMENT (WALKOUT:_V_N) fEIO I DO t./.3.Z
ci)
Manufactured
Trusses:
_VJ{N
_VXN
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, reco tlOn, enlargem 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 t applicable laws of the St e of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993M (Z-289) and amendments,
adopted under authority of I.C 36-7 et seq, G eral Assembly of the State of lnd a, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further rtify that the construction will n t be used or occupied until a Certificate of Occupancy or Substantial Completion has been
issued b the Department of Commu' Services, Carmel, Indiana.
V
~ f1. E~ tEYE-l.J_
Print
C, /1'1/ 0 7
Da'"
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Meter Base ~ Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
OF
q
Fee Received by;
'Date