HomeMy WebLinkAbout07080036 Application
BUILDER
OF
RECORD:
City of Carmell Clay Township Permit # :J) 7() gOo '5b
COMMERCIAL/INSTITUTIONAL/MULTI-FAMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenai1tFinishes; & Accessory Buildings)
;:( \\,. . ,'.
NAME: CI'l-PIYOL Co,JSTIZV<-TIO/oJ PHONE'Cm)s~J,LI'S4'iS''f{
s R"l(...~. Nc.. II r,\
STREET ADDRESS: cm: III III 1sT..ilE: 1 . 2007 I~l;- i i i
q~>o B4u~1<. IV~ INPIf\Nfl.ftlul~ /lJ !1_~U2..'i5CJ
. BEsT METHOD OF CONTACT:(3l1) 2.g I'''' 11-4 q
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PHONE:(?,1l)5'iO-.;H30 FAX{3Ii) 5~-.;l<lZ9
- - FAX:(3il)S7<J-54'ir"Z...
PROPERTY
OWNER:
NAME: 2 f:LL ~Q
cm:
~MbL
STATE:
ItJ
ZIP:
'1(jJ032....
STREET ADDRESS:
i-ai'IlESl:l\\cE \;~P~NS\OtJ
SCOPE(S) OF . 0 FDN 0 STR 1i ARCH
RELEASE: 1< ELEC 0 SPKLR 6fHER(S):
sum #: (If Applicable)
SUnS- (oc>
LOCATION
& PROJECT
INFO:
ADDRESS OF CONSTRUCTION:
1111 I S-r,
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
STATE COMMERCIAL
DESIGN RELEASE #: 3:2.'1111
WATER UTILITY SEWER UTILITY f\
PROVIDER: 1 PROVIDER: LQ
PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMff #'S (If Applicable):
ESTIMATED COST OF CONSTRumON: ': I Q 5, / Q D
(EXCLUDING LAND VALUE) -'" -, I ,
# of Floors: '8 Elevator or Lift: ~ YES q NO BLDG. CONSfRU010N TYPE: , -4 SPt< OCCUPANCY CLASSIFICATION: 6
TYPE OF CONSTRUCTION: TYPE O~~PROVEMENT: PROJECT INFORMATION:
rJ, COMMERCIAL \c;-\l=>.u12j\\ ,{~5TRUCTURE Early Release j Manufactured
'1" (Privately owned h~I~ln\;dlca.1 ,cr1l0,3.':liObmON Permit: _Y l Trusses:
offices/c ~r~lommerc~aQJIU\ a\\ 0 Room{s) .
o ONAC '13.(\Cb \co(;CS rlOSp ch LotSpht: _Y Sump Pump:
- ^coro\{' C3. _ \J\'--~ or
et:1\'nJcIPal/Pub)(~\!lI~~P 1'1 St.?> ~w~zza"'ne or Deck
S \ SchoOlst:;.te \JI \J N \ ,~Rt\Ml)DEL
o Chur<\,; cO\\~ Clj\'i ~ NEWTENANTANISH
o M~\!.'f'A'MI~YISi/\B.\\~'C'--1 N/\ 0 ACCESSORY BUILDING
Nu ,ibl:, ~I . 1~O\/\ 0 DETACHED GARAGE
r.\\ 'I _ \. 0 ATTACHED GARAGE
FOUNDATtl)N TYPE: (Chec~ all which 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
o ?LAB / 0 CRAWL SPACE 0 DEMOl1TION
0" POST &~BEAM _PIER 0 BASEMENT (WALKOUT:_Y_N)
:-:i
FLOOD ZONE AREA DESIGNATlONfSl FOR THIS PROPERTY:
'{ \ k)l\0~\}~~'
PLUMBING CONTRACTOR:
BELL. ?W\^'I BING
Plumber's Indiana State License #:
f'l(,_~~l?oo(oLjR"
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, r struction, enlargemenr:-relocation, or alteration of a structure, or any change in the use of land or structures requested by
this application wilt comply with, and conIo 0, all applicable laws of the Stateotlndiana, and the ~Zoning Ordinance of Cannel Indiana - 1993~ (Z- 289) and amendments.
adopted under authority of I.C 36~7 et se eneral 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 fu er certify that the construction will not be u~ or occupied until a Certificate of Occupancy or Subst:mtial Completion has been
'"ned by tbe De .nment of Com nity Se<Vim, Carrn.!, Indi=a 4i l--- Hf:T~ -1 . "3/ - 0 7
Print
Date
USE ONLY: * **************.*.-.lI<) **~**U****.. **********************~******************
INSPECTIO REQUIRED: J -) FIling Fees: ?-3~, /fO
Lower Foo Under Slab Base Inspections: ?VO r '" () {)
Cert, of Occupancy:
Date
o
Reviewed/ pproved: Dept. of COmmunity Services
S:Permits/FormS/ILP COMMEROAl