HomeMy WebLinkAbout07080072 Application
BUILDING, PROJECT, OR TENANT NAME:
BRQGKWf\'( PUBLic:.. Hoct$&
STATE COMMERCIAL
DESIGN RELEASE #: 32..1 SB'
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
~el/Clay Township Permit #:()70'fff) 7;2...
COMMERCIAL/INSTITUTIONAL/MULTI-F AMIL Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
NAME: PHONE: FAX:
l3a11.E Co!'l5TRucnOI'l MANMEMEtJr Il'lc.. (311)2HJ-0543
STREET ADDRESS: . CITY: STATE:
2.20 N. DAVIDSoN 'Sr. INDtANP.POLiS IN
BUILDER'S EMAIL ADD~: BEST METHOD OF CONTACT:
At-idl:L (jJ 6CN10NLiNE. CO(YJ E-NAIL
NAME: PHONE: FAX:'
BuC~tNGH'AM COMPANIES (317)974-1234- (317)914-;2
ZIP:~b204-
(3\1) 2(,f3 -OS'!
ZIP: 4h202
STREET ADDRESS:
333 N. PetJNSYl-VA-NI A 'SL
CITY: STATE:
iN DiANAPDU S
IN
ADDRESS OF CONSTRUCTION:
12.52.5 OLD MeRIDiAN
SUITE #: (If Applicable)
-SUI n= I SO
Address of Shell Building: (If different than Address of Construction)
Lot # and Subdivision: (If Applicable)
SCOPE(S) OF 0 FDN 0 STR
RELEASE: 'jJ. ELEC 0 SPKLR
ZON1rJM tit. ; r-TAX MAP.PARCE~ #:
hi J .
I)( ARCH )l( MECH '$-. PLUM SQUARE:
OTHER(S): 1-1000 FOOTAGE: 2blOO
" :1J
t'; ,,_;,_'
u ' ,~- .. '. ~
--
WATER UTIL
PROVIDER:
SEWER UTILITY
PROVIDER:
lrt~
ESTIMATED COST OF CONSTRurnON:
(EXCLUDING LAND VALUE) $ 2-30 ()OO. 0 0
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'5 (If Applicable):
# of Floors: I Elevator or Lift: q YES '" NO BLDG. CONSTRUCTION TYPE: 1\--6 . SPk. OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROlE INFORMATION:
.t1!( COMMERCIAL q.,l"1~RUcruRE Early Release J ___ Manufactured
(Privately owned hg:;P.lI.~~I"1~~\t'l0' ~qRmON Permit: Y L-1\i Trusses:
_o!Dtr~~~'jS'.~\:rfm}l\er ,.... ',th all rogU\CllC:::r"'Room(s) - ~
o I~ONAL0m2\\3nCe VI <cO" 0 Porch Lot Split: Y ~sump Pump:
s\ibiMlint8Pa:(a~e'i&,'N9g_0ca\ CO:::. o~ \/\ ~..:.9<ezz.nine or Deck
o Schaol S at8\'.NIT'{ sriJj.. REt10gIjl;)
Cl-f~urchF COMIVi " y.:;@'V'Ni:\iPfeNANTFINISH
o M~F~'Y&ARMEL I CLA 0 ACCESSORY BUILDING
~~ n1, -----rtt\D\ANA 0 DETACHED GARAGE
"". 0 ATTACHED GARAGE
FOUNDATION TYPE: (Chec~ all whIch 0 CELL TOWER (New)
apply for the new construction area) 0 CELL TOWER CO-LOCATE
j!( SLAB 0 CRAWL SPACE 0 DEMOLffiON
o POST&_BEAM PIER 0 BASEMENT (WALKOLfT:_Y_N)
A-2
Y ---<
-~
_Y_N
FLOOD ZONE AREA DESIGNATIONrSl FOR THIS PROPERTY:
X - fA V'\5h8~
PLUMBING CONTRACTOR:
tv' '- Cu IZD"/ fv1 E: CH AN I c.p. L-
Plumber's Indiana State License #:
C050Lr-,OOAI~~-''':'': ,
fl..J\...J ___~, _,","" t7\L,
1,
......' _-.\ \\ \~JI \":">J.,'
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expirad~n~ti~e'f~es for begirining 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 AtnJcrure"s reqoested by
this application will comply WIth, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indlan'Y\1\~3~ (~_2$)ia'n'd-lkendinents,
adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify than,Wlykitchen, bath, and floof drains are
connecte to the sanitary " I further certify that the construction will not be used or occupied until a Certificate ofOccupaJIcyor Substa.ntia] Completion has been
issuedb the t tof mmunityS 'ce.s,Carrne\,lndiana. ___~_.~--
OFFICE USE ONLY:
M ( L '*At::\...
"f_ '3 ~L.~
'6~}.;G~
~--
Date
Print
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Cert, of Occupancy: J / J . 00
. .
~!k;;fJ
Filing Fees:
INSPECTIONS REQUIRED:
Lower Footing
Under Slab
Base Inspections:
ReviewedjAp roved: De t. of Community Services
S:Permits/FonllS/1 P COMMERCIAL
107
q" /~D7
Date