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HomeMy WebLinkAbout07080073 Application(7m City of Carmel/Clay Township Permit #:070`300 73 COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings BUILDER of RECORD: PHONE / FAX J/ 1-7 !/ 2r zwz? - STREET ADDRESS CITY STATE ZIP BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT: PROPERTY OWNER: NAME Dt ?/lI? o v f PHONE FAX C ?° 3 7 v? -' OS S STREET ADDRESS 3,0 7 7 f, a CITY STATE ZIP ?aapo LOCATION & PROJECT ADDRESS OF CONSTRUCTION 3? ,fi l ' 33 GU7 llS SUITE # (If Applicable) INFO: Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable) BUILDING, PROJECT, OR TENANT NAME: L ZONING: -s/ TAX MAP PARCEL 7-0 -d7-00 -OOz-od7/ STATE COMMERCIAL DESIGN RELEASE #: SCOPE(S) OF 0 TON O STR 0 ARCH 0 MECH C3 PLUM RELEASE: CJ ELEC G SPKLR OTHER(S): SQUARE FOOTAGE: / WATER UTLLTfY PROVIDER: &ZE SEWER UTILITY PROVIDER: ESTIMATED COST OF CONSTRUCTION: /O (EXCLUDING LAND VALUE) PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of Floors: Elevator or Lift: Q YES Q NO BLDG. CONSTRUCTION TYPE: f - OCCUPANCY CLASSIFICATION: ODf TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PR .7?5`?dfr"AATION: L?J COMMERCIAL D,?AIEW STRUCTURE Early Release Manufactured RgLeENv"M"hosyitals ((J(?;1- re'D Permit Y_ N Trusses: _Y_N ?d?nedkal`bRCaVicentersq C?NSTR /?D?IT?70N ON Room(s) Lot Split Y N Sump Pump. Y N arNcR6 eraap oMPllance with all rcaulati?s Porch O INSTIMIONALS(gt2 a., I OC3i Code= Me anlm or pa a pro perty.be w n7- spd atW o'od rW?J unuapal/Rublic BI?g' D REMODEL .%? ?'4 v '` ' r l t ivl /I v N I T (; ?.I , desrgnalaonarea _T r? t g ?C'*z c r Ya rorcAR?AEL I" CLAY `TU ?f, NAC CESSO nnN1??rr: RY BUI : I,•?. ?,?/ i?.??.n-• •• R,° IIIT?,` FOUNDATION TYPE: (Check all-which O DDT D GARAGE q, apply for the new construction 4re`h)gA O ATTACHED GARAGE SLAB O CRAWL SPACE O CELL TOWER (New) Plumber's Indiana State License 7t: O POST & BEAM O BASEMENT Ce CELL TOWER CO-LOCATE (or POST & PIER) WALKOU-:_Y_N O DEMOLITION Class I structure permits aresubject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginnin and completing construction. I, the undersigned, agree that any construction, reconstruction, enlatgemeat, relocation, or alteration of a structure, or any change in the use of land or st. mires requested by this application will comply with, and conform torall applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993 (Z- 289) and amendments, adopted under authority of I.C. 36,7 ei?acq, General Assembly of the Stare of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are. nnected to the sanitary sever. I further certify that the construction will not he used or occupied until a (<rrihr of Occupancyb a t1nt18/Cifm etion been issued byfih? e??tirtrnt of Community Services, Carmel, Indiana _U,tt/ Signature of own r Authorized Ag3lill I Print _Z< 7 116te, OFFICE USE ONLY: ***************a CIIUN REQUIRED: Upper Foo§rig Lower r Footing Under Slab Rough In Meter Base & Final ( Site Filing Fees: '7y2l 10- Base Inspections: Cert. of Occupancy: °-` TC m ?A tw . IOi 1001 Reviewed/App ved: Dept. of Community Services ( te) Fee S:PCrNWFUnsl6P 1mmERaA # Charged Re- Reviews © Additional Fees