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HomeMy WebLinkAbout07080037 ApplicationPermit #:? 1 City of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/MULTI-FAMMY LMPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF N ; (.. ? /IBS C-ro PHONE: FAX: - - 4LI S- FO RECORD' STREET ADDRESS : rS CITY: STATE: ZIP: 7 Sa?S - rf c na , d BUI ER'S EMAIL ADDR BEST METHOD OF CONTACT: ec2 C ,'o,7es, C-P 71 6S- fad 4117 PROPERTY NAME Roy) ti4 rr-s PHONE: FAX: OWNER Lwridatia_ : EET ADDRESS: re. l vd. ; f? 5 CITY: 1X00 sra Los e _S ZIP: a LOCATION ADDRESS OF CONSTRUCTION: S TTE #: If Applicable) & PROJECT 1133!g INFO' Address of Shell Building: (If Cifferent than Address of ConstruNon) Lot # and Sundirision: (If Applicable) BUILD G, PROJECT, OR TEN NAME: ZONING: TAX I-.AP PARCH ? . o ; I S i ZZCtr? -2 i /0 D 0 04"060 STATE COMMERCIAL SCOPE(S) OF C FDN O STIR ELEC G SPKLR RELEASE ARCH C- MECH O PLUM THER(S): SQUARE FOOTAGE: y? W DESIGN RELEASE #: z 5 ?0 Q : O WATER UnLTTY 0_L L /X161 SEWER UT UT' vi& l 4VI j ' ESTIMATED COST OF CONSTR CTION: ' EXCLUDING LAND VALUE) PROVIDER: PROVIDEfliL L..,-? lA nti i r'LKMr klbs e ?,. e 4pq r """777 a PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; A D,'OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (If Applicable): # of Floors: 1 Elevator or Lit: 1) YES NO BLDG. CONSTRUCTION TYPE: Z OCCUPANCY CLASSIFICATION: A 3 TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: ' I COMMERCIAL D NEW STRUCTURE Early Releas / Manufactured (Privately owned hospitals and medial ADDITION Permit. _N Trusses: Y _N offices/centers are commercial) ? Room(s) {??1, / O INSTITUTIONAL porch 09 V• Lot Split: _Y Sump Pump: _Y O Munidpal/Public Bldg Meaanlne or t O School O REMODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: ,.Q r? Church O NEW TENANT FINISH .',ynlrr'uI O MOIt l-P.Af41DD FOR CONS T R©C ACES??SORY BUILDING,?" r, ?p Q(wuts?,-. r,.e with t,0 ?D?'fR?Z}}{{EDGARAGE PLUMBING CONTRACTOR: ;lt;w c `?I TTOU?A$FACHED GARAGE FOUNDATION TYPE:` (Check: aYvYhihi COrUEM CELL TOWER (New) appl/,for 6.7n-eTir corlstrudionvanjjY StQt"FELf{TOWER CO-LOCATE CFkhr, SMTM OF CRAWL SPACE, ? bbgOO(LJ?T?IION Plumber's Indiana State License #: 7Kl O pOS7&-BEAM _IMAN(A BASEMENT (WA KCIT: N ii - T n r7 Class 1 struct permits are subject to the General Adaunistrative Rules of the Stem of Indiana (See 675 LAC 12) regarding expiration rime flames for beginning and completing construction. t. - 1, the undersign , agree Lhat anycoristr c' a, receustru Lion, enla Bement, relocation, oralteration of a structum, or anychange in the use of land of ssucmres requested by thus appli I comply with, and conform to, all applicable lows of the State of Indiana, and the'Zaning C'rdmance of Carmel Indiana - 19931(7:289) and amendments, adopted, ority of LC. 36-7 et seq, General Assemh'y of the Stare of Indiana, and all Acts arnendatery therein. 1 further certify thatonly kitchen, bath and ]oor drains are correct nita.•ysewer. I further certify that the construction will not be used or occupied until a Certifirare of0rcupancyorSubstantia/Comp/etion has been issued •t artment of Community Services, Cannel, Indiana. signaturip era AUthorized Agent Nut Date I OFFICE US ONLY: ******************** P,*,Filing Fees: FnMeter TIONS REQUIRED: 0 Upper Lower Footing Under Slab Base Inspections: '?O v 7 J Base Final site Cert. of Occupancy: r'-' - - °TOTAL : q07', ©0 ? Reviewed/ proved: ept. of Community Services Date) Spemdty '1P COMMERCIAL Fee Recelvet by: Date l?r II