HomeMy WebLinkAbout07070091 Application
,Iy of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
Permit #:
07070091
BUILDING, PROJECT, OR TENANT NAME:
ADDRESS OF CONSTRUCTION:
rZ,77,s-
AddresS of Shell Building: (If different than Address of Con
BUILDER
OF
RECORD:
NAME:
26
4-/7
/It/e.
PHONE:
.,-
,~c
CITY:
FAX:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
a
ZONING:
STATE COMMER
DESIGN RELEASE #:
FDN tr"Sffi,,/ ARCH
o SPKLR OTHER(S):
WATER LITIllTY
PROVIDER: t:: 0 r .'1J
SEWER UTILITY
PROVIDER: C~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; AND/OR
COUN1Y WEUL AND/OR SEf'TIC PERMIT #'S (If Applicable):
fi \soft
OCCUPANCY CLASSIFICATION:
# of Floors:
Elevator or Uft:
YES Q NO
BLDG. CONSTRUCTlON TYPE:
TYPE OF CONSTRUCTION: TYPE O!;-IMPROVEMENT:
r:?f COMMERCIAL ..zf' NEW STRUCTURE
(Privately owned hospItals and medical 0 ADOmON
offices/centers are commercial) _~ t~oom(s)
o INSTITUTIONAL ,c:,,"o1jC Q})'Pbrch
o MuniCiQaiLP.l.lbli<.Bl\l!l CON~ , " , ",""'GiMezzonine or Deck
~e.,"SE:LJ t.v' \' .o<J~'b-'
es~ w. ".,'\, riCO '{lith 2. O~:';REMODEl
fqhto COr.\rl\'8. _ I ....r.3\ C(@V)NEX'-!,..J".E~NTFINISH
o MUL ilYOI Stete end '-':~< ,,,",{ Q;:tACC!ES59~);IlUILDING
Numberof.unit:;;_ "C'IMU\-\" D.-DETAQlEDGARAGE
ni=pT U'- V' rLP\[' 'J '-'-'
FOUNDATION'1'fll~E~""-"Il\\;HiCI, -' ., 0 AI I ACHED GARAGE
.nu.Y l"l'~ , ,_-!.p, 0 CELL TOWER (New)
appl~r th~ truction ~fl!\!J11-,\ 0 CELL TOWER CO-LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOliTION
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
PROJECT I
RMATION:
Early Release \Ll
Permit: Y N
Lot Split: - Y =Z:N
Manufactured
Trusses:
FLOOD ZONE
PLUMBING CONTRACTOR:
/!~,t1/VIC~~/ldr/
Plumber's Indiana State License #:
- CPR<J2()(J(JSI
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, t~e 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 - 1993M (Z~ 289) and amendments.
adopted under authority: of I.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 sani sewer. I further certify that the construction will not be used or occupied until a Certificate of Occup3.Dcy or Substantial Completion has been
issued by t m t rvices, Carmel, Indiana.
OFFICE USE ONLY: ***
/"'/"c::htY~/ Ii? A~~C'/
Pnnt
7,/2-C'7
Date
r- 26 -1)7-'
Date
<'"