HomeMy WebLinkAbout07080159 Application/A caRN .
Permit #: I0ZOJl 67
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
\ rN01PNt:•
BUILDER NAME: PHONE: FAX:
OF T tL_Ve Nc. 3 0- L- 4161 17-334 - C016,
RECORD: STREET ADDRESS:
5333 W. "' CITY: STATE. ZIP:
'NI t tJk?ou!s 11J ?I(c2W
BUILDER's EMAIL ADDRESS: BEST METHOD OF CONTACT:
:.t- t 't3u%%.- 2s, CWAZ gell C, - z V- M A
PROPERTY NAME: '' II II 1 G
N c? IOPQ(cs LLP
?S PHONE: FAX:
OWNER W
70
:
STREET ADDRESS: CITY: STATE: ZIP:
930 E• L6ai 15r rs An! PoLA5 )t'A LfU226
LOCATION ADDRESS OF CONSTRUCTION: sU #: (If Applicable)
?f
& PROJECT 600 l?J. 104TH
INFO: Address of Shell Building: (if different than Address of Constructi on) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
NAk36h&k- ENJ ZONING:
6 Z TAX MAP PARCEL S:
17-13-oc.-00-00?-oZ6.600
STATE COMMERCIAL
DESIGN RELEASE #:
327G35 sco E(s)Or /D FDN o STR
RELEASE: ELEC D SPKLR ARCH MECH PLUM
OTHER(S): SQUARE
FOOTAGE: 3,2w
WATER LMLITY
OVID R UTILITY C
l
(EXCUDINGCLANDOVAL ESRUC T70N .?W t?f..•l?
ROVID RL-tl r 'r`rC+L. l ^
PLAN COMMISSION I BZA! BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I Elevator or Lift 4 YES WNO BLDG. CONSTRUCTION TYPE: )` - a OCCUPANCY CLASSIFICATION: $t gem
TYPE FCONSTRUCIION: TYPF-QJF IMPROVEMENT:
(SI COMMERCIAL G L7 . STRUCTURE
(Privately owned hospitals and mEBiN,)\
Q•?v ADDITION
offices/centers are comimj t ?` t? ;69s' f? Room(s)
,\1? ?\nq,. VgS ` `?j'`?rch
O INSTITUTIONAL <
O Municipaofublic,®Itlg' ?? GO (k? G Mezzanine or Deck
^?O Sdo`61" mP`\2 ? S? y ODEL
O69-1 FJIPIILY O ACCESSORY UILDING
N&?r of ur`1v: Q DETACHED
TA ATTACHED GARAGE
)UNDATIO TXPE: all `?h
tpl or the rtley,(,copstruction area) O CELL TOWER (New)
\\ `` O CELL TOWER CO-LOCATE
SLAB G? O CRAWL SPACE O DEMOLITION
O POST & BEAM -PIER G BASEMENT (WALKOUT:_Y N)
PROJECT INFORMATION:
Early Release J Manufactured /
Permit: _Y-y Trusses: _Yt
Lot Split: _Y _N Sump Pump: Y-l N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
Plumber's
Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding bknicehc mIf gcom pleting construction. d I, the undersigned,agreechat any construction, reconstrucion,enl;Dement,relocation, or alteration of a stmetu, or anyeiange n '
dtis application willcomply with, and conform m, all aaahcable laws ofthe State of Indiana, and the-Zoning( nmce of Carmel lnadopted under authority' oI.C. J67 et seq, General Assembly of the State of Indian. and all Acts anenda:urn thereto. i further cercifc n, ba[1t and Noor dtair s are
e nnecmd to the sank sewer. I further certify that the construction will not be used or occupied until a CeldB@[e ofoccupaucy or Substantial Completion has been
i ued by the De at of Community Services, Carmel, Indiana Q
JIM f:1QfD?I?Sn>JE 08 f5 0
Sig ature of Owner or AuthorLeed Agent Print Date/
:CE USE ONLY: *************** ***********************************************
Filing Fees:. D?
INSPECTIONS REQUIRED: no?? oO
fRough r F 'ng Lower Footing Under S t Base Inspections:
? Cert. of Occupancy: I Meter Base Final Site I 53
„.?. ,tIA A Itt. 'In.b7TOTAL:
Received by: Date