HomeMy WebLinkAbout07080039 Application
City of Carmell Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
Permit #: tJ70gtJCJ.3'l
BUILDER
OF
RECORD:
IN
ST11.EET ADDRES~.eJ<.
PHONE:
'31q."
eflY:
1nd 15"
FAX:
2JJ1-~:r
ZIP:
4(; 0
BUI
BEST METHOD OF CONTACT:
LMa.,'
PROPERTY
OWNER:
FAX:
:6 5-=1--3- 233
STATE: ZIP'
IN l!f./240
LOCATION
& PROJECT
INFO:
ZONING:
SQUARE
FOOTAGE:
STATE COMMERCIAL :221... /4-,-
DESIGN RELEASE #: J T lV I ?
SCOPE(S) OF 0 FDN 0 STR
RELEASE: ~EC 0 SPKLR
ESTIMATED COST OF CONSTRucnON:
(EXCLUDING LAND VALUE) "'1-'5'l?c::::t:?
-
WATER UTILITY
PROVIDER:
SEWER UTIlITY
PROVIDER:
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# afRoars:
CCUPANCY CLASSIFICATION:
.....fl;I','N'o- BLDG. CONSTRUcnON TYPE: c..,a
\ \1 , ' "C/'f-Iv
TYPE OF CONSTRUCTION: C'" J ,,~ VlI>E'OF IMPROVEMENT: PROJECT INFORMATION:
~/.. C ~ ,'" '0\\ I\;;.V
tV COMMERCIAL <;O?-. - "1\\'0 '8'-" 0 CNBV,STRUCTURE
(pnvat~rI"\Yi1ed ~~p;tal.a~1 ~,ea~'1 c ~I\ ApD~N
_:r:"~~nt~rs~recom~er..clal) .-rJ S\~ ,~\,,~m Room(s)
o ~.:'1'!}'i10NAL \8 '0" .\ \"-\\ \' "0" 0 Porch
""'13'M --'''''p..h<; \ Id'" ,,'-{ \
CO"'"" UQ,clp.I" uu~p B Y C'- r -" 0 Meuanlne or Deck
o SChl"\l( GU ~\e\... \ ~ REMODEL FLOOD ZONE AREA DESIGNATlONISl FOR THIS PROPERTY:
Q;t~uh:hCr0,),'N :\Q\~';-\~ 0 NEW TENANT FINISH \/ "'" 01'\ ~ b 2 In-I
o M~AMlfY \\~ 0 ACCESSORY BUILDING & ~~.~ _~~
NU'l'" 'Ol-G~,ts: _ 0 DETACHED GARAGE '
. 0 ATTACHED GARAGE J1& PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all whICh 0 CELL TOWER (New) ! 1 Ii> ,1.
apply for the new construction area) 0 CELL TOWER CO-LOCATE \"'I /l!..l.:A...tr~.....,
Ij(. SLAB 0 CRAWL SPACE 0 DEMOLmON .If- PI~S Indiana State License #:
~. POST&_BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N) ~lDFfrL/.{)LP
Early Release 'J
Permit: _Y A-N
Lot Split: _Y ~N
Manufactured
Trusses:
Sump Pump:
_yJ(N
_yLN
Class J 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 construuioll.
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 ~Zoning Ordinance of Carmel Indiana - 1993~ (Z~289) and amendments,
adopted under authority of LC 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 t the sanitary sewer. I funher certify that the construction will not be used or occupied until a Certificate of Occupancy or Substantia/Completion has been
iss d t e Department of Community Services, Carmel, Indiana.
..ftfl&hen ~a/ flf-
Prm
W#2tXR-
Oate
OFFICE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 3 I t.e (0, ;( ()
Base Inspections: '20 g , 0 0
ce~. of occupancy-.J! I :.- () 0
T ;rAL: ~
,07 "
/~e Received by: Date