HomeMy WebLinkAbout07080127 ApplicationPermit #:67,0001;
City of Carmel /Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERNUT
APPLICATION' (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAM
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LCC PHONE: FAX:
X17 8 S-?,zb 317 8- I
OF
OW,
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RECORD: STREET ADDRESS: CITY: STATE ZIP:
4101 n(5 LV N `1A w 'n? tl
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
140'r U. 12MVIIL
PROPERTY NAME' PHONE: MA VA0 SE"W FAX:
OWNER NkC i ?ACT-NeeS I vJ LLC 31 bb3-b3 I 1 3 "7 -
:
STREETADDRESS: CITY: STATE: ZIP:
, 01 *? 5 N A F? SMl LA" S z•l b"LBCl
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
& PROJECT 1 Per4rut,5ji-VAN 111,00
INFO: Address of Shell Building: (If different than Address of Construction)
I
Lot # and Subdivision: (if Applicable)
T
wD
yl •
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL #:
C
TL L& 7?I L =iJc /
-(I 11 31 S D Oil
STATE COMMERCIAL
DESIGN RELEASE #: ,t ^
5 L SCOPE(S)OF C FDN 0 SIR ARCH O MECH G PLUM
RELEASE ELEC 0 SPKLR HER(S): SQUARE
FOOTAGE: -7 O u
WATER
PROVIDER: SEWER
P OVIDER
OST
(EXCLUDINGCLA DOVALUE) RUCTION: Z?3
5? [>a3
J
JFF '%`'l,
r_ G r
PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; Al
COUNTY WELL AND/OR SEPTIC PERMIT #'S (if Applicable): -A Pit P
# of Floors: L4 Elevator or Lift: YES IA No BLDG. CONSTRUCTION TYPE: r ..- OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
C4 COMMERCIAL O N;EVVF TRUCTURE
(Privately owned hospitals and medical G3,"-?A101tION
offices/centers are commercial y?IC,'(RU Room(S)
O INSTITUTIONAL {? G te`?J ' , al.
??$ r • r1 O Porgy
O ?tyyAL rt7 _ u d',li.h 4`' eg. O emnine or Deck
??-Xn001 r'OR+P)t ' LOOof GO`?OgsREM- NEW'
c 00
FINISH
O MAIFAMILY- _StGON,MU*t' ? 1 iL ij?S50RY BUILDING 0 DETACHED GARAGE
NumDsof-nrtLS? 'tyh i?N O ATTACHED GARAGE
FOUNDATIO P .?( all,. 3is O CELL TOWER (New)
apply forth 14 ?t4 construction Srea) O CELL TOWER CO-LOCATE
Y'C SLAB O CRAWL SPACE O DEMOLITION
O POs-T&-BEAM -PIER O BASEMENT (WALKOUT:_Y_N)
Early Release Manufactured
Permit: _Y ?N Trusses: Y _N
Lot Split: _Y _?_N Sump Pump: _Y _J_N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
UN5L1AWcj)
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 "r d? e4irViimFfl L es for beginning and
completing construction.
I, the undersigned, agree c_iat any construction., reconstruction, enlargement, relocation, or ahera¢on of a st=.u cu mychar eyye? toye qq{{ssp?IJland cures requested by
this apphcation will comply, %ith, and cordortc to, aB applicable laws of the Start of Indiana, and the "Zoning Ordt t 1 hdt'L'14u 1 r ( -o and -arenchents,
adopted uncle: authority of LC. 36-7 et seq, General Assembly of the Scare of Indiana. aid all Acts amencatot}•ther furier ceaify, that only lduheo, th, and floor drains are
connected to the savcary server. I in after certify that the construction uill not be used or occupied until a Ce tpte of0tvapancy or Subsomdal omp/et' has been
issuedbv eD artmentofCommuni Services,Carmel,Indiana. C ?T
Siuatefe razed Aoent Print DMe
OFFICE USE ONLY: ****s*****************************************r*?***********************
INSPECTIONS REQUIRED: in Fees: /? .
Zug
Upper,?ooting Lower Footing Under 71ab ' e Base Inspections: a
Roug Meter Base Fina? ert . of Occupancy: I
L n 1 TOTAL
wed: Dept. cf Community Services (jDate) 'cl
COMMERCIAL Fee-