HomeMy WebLinkAbout07070173 Application
Permit #: 07070/7.3
I-
i
City of Carmel! Clay Township
COMMERCIAL/INSTITUTIONAL/MUL TI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
//, If c:....f.,e,._d,:.,-:z;...C.
STREET ADDRESS: #-
S/O /f' .$1 -J'...h 100
BUILDER'S EMAIL ADDRESS:
J.ef'f"ccll-t e I-!;tt - Gc CerYl
NAME:
--r1.~ en, ;!o( c;ro
STREET ADDRESS:
US $. SIAre.. t.!"'/e " fjlr/q
ADDRESS OF CONSTRUCTION:
/-J. // AI /11e,-e/r/.An ff. 8id M'e..
Address of Shell Building: (If different than Address of Construction)
SA-i7\ E'...
,.s. Gr\
PHONE:
770- 9/6" //tt
FAX:
770-'11(. -4/0'-
~:t
ow
7/tlAtI/-
ZIP:
.).o3JY'
BEST METHOD OF CONTACT:
flAil-; I 0'- -'0 - 711a -5)-:;/
PHONE:
I <{ - OlS1-S'/, (,.too
CITY: STATE: ZIP:
8' i2 Ii' A C4. 'i ;J..,f:;"'/
,\SUITE #: (II Applicable)
tJ4.e.md ""::ZiJ;/- /I-';"t;r .</(, c 3 L
Lot # and Subdivision: (If Applicable)
TAX MAP PARCEL #:
/".. O'j-;l6 ._(d-Oo ..011., - 000
STATE COMMERCIAL
DESIGN RELEASE #: J.;l, 7 3 l? (.
SCOPE(S) OF 0 FDN 0 STR I'iI' ARCH !)l MECH 'Ill PLUM
RELEASE: C}l' ELEC 0 SPKLR OTHER(S):
SQUARE
FOOTAGE: 1\ '/ Ll 0
WATER lJfILITY
PROVIDER: (!../'I-fl..rI>\.-e..1
SEWER UTILITY
PROVIDER: C.c.~r~-e..1
PLAN COMMISSION I aZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors:.3 Elevator or lift: )( YES Q NO BLDG. CONSTRUOlON TYP~ ':II' \3 OCCUPANCY CLASSIFICATION: \3v.;,S-, n 4!.. s..s
TYPE OF CONSTRUCTION: TYPE OF MPROVEMENT: PR JECT INFORMATION:
'W COMMERCIAL 1j(];;5\ STRUCTURE
(Privately owned hospitals al)\'{!\~1aY\ Q '0. ~ mON
offices/centers are COrpl;l1~ '(}.\\ \_}~V' 0 Room(s)
o INSlTTUTl~N <;:O\~' ,,",\'0 (jeS ~Sporch
o _ B(Pubflo'Bfdg 'O'a.\ GO c::,~I?,"\J\'RI-\~a",neorDeck
~~ c.h"8IGO~1' at\O \:.0 \Ii ~'~O,\',~~'oEL
...J;;til'Ciiuif~S\,,\8 \'J\",.~00 , f>.'(~NEWTENANT FINISH
o MEI.'ti.FAMIt'f,<, cO I GV' 0 ACCESSORY BUILDING
Numb~:~~rli?s: X\~~\'J- f'.~f'. 0 DETACHED GARAGE
@ ,,,,e, (',p. ,,,\Q\ 0 ATTACHED GARAGE
FOUNDATIO ~~"'{Cliec~ ah'WI'i,ch 0 CELL TOWER (New)
apply for th construction area) 0 CELL TOWER CO.LOCATE
~ SLAB 0 CRAWL SPACE 0 DEMOLmON
o POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) ~p
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 4 500 0 00
Early Release V
Permit: _Y ~N
Lot Split: _ Y XN
Manufactured
Trusses:
_Y.::f-.-N
_ Y ..:;&.N
Sump Pump:
FLOOD ZONE AREA DESIGNATIONISl FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
)'y\ed"\A-<\~.o.1'- \ C.O f\tn.<>-<-~; n~ ~ni, ~
"TI'-L
Plumber's Indiana State License #:
I '1'" () Do (" S'
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, 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 Jaws of the State of Indiana, and the ~Zoning Ordinance of Carmel !ndiana -199r (Z.289) and amendments,
adopted under hority of LC. 36-7 et q, General Assembly of the State of Indiana, and all Acts amendatory thereto I furth~r cert that only kitchen. bath, and floor drams are
connecte t s sewe fu r certify that tbe construction Will not sed or occupied ntll a Certihca.te of CX(r j;Pitantinleo;o{Jas been
'"n, ty Son""", C",m,Und,ana. J 7 J 0 7;f.. ; ~ _ 07
Date
~
OFFICE USE ONLY: **********1*********2(7*****.********** ********************************
INSPECTIONS REQUIREQ;,. ~ / / Fill 9 Fees: I ~ '1-2. CJo
Upper Footing Lower Footing Un~b I r }O se Inspections: (rd LJt:J
~ Cert. of Occupancy: It \ .. ~O
Meter Base ~ Site / c/I
TOTAL~~~~~
Fee Rece(ved by:
ReviewedjA roved: Dept. of Community Services
S:Permits/Formsj P COMMERCIAL
Date