HomeMy WebLinkAbout07080157 ApplicationZ`"6`"""E,. Permit: rnDgD/S7
"m City of Carmel/Clay Township
,,COMMERCIAL/INSTITUTIONAL/M-LLTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: pQIM$9SE f? ?S ?TF?CSCE. PHONE: ig Af_•j_/_4Z FAX: 814 ZZ3
I_ Q?(V if f7K L
OF
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
d3Z
/0/60 3"" ar 5d s ,?t/oo imsma __4J4
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
710• Z343
??5?s y ??. ?t>7
PROPERTY NAME: / PHONE: n FAX:
b &400 yY)WZiC Soy ry ??A ,75- &Z&O
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V
OWNER: 4
I
STREET ADDRESS: CITG Y: STATE: ZIP:
-ZOO i(fOkki- 1D2. 5il --T" E) 4&a3Z
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION:
So N, r?pn!(2rn/E /?D Utz SUITE #: (If Applicable)
0 46032,
INFO: Address of Shell Building: (If different than Address of Co on) Lot # and Subdivision: (If Applicable) -
BUILDING, PROJECT, OR TENANT NAME: `!}W Offill ZONING:
S TAX MAP PARCEL
Oq 2 5 08 02 oio D00
Jl
724V11D B?449,EK 4W o
STATE COMMERCIAL SCOPE(S) OF O FDN . -STR $ ARCH O MECH D PLUM
I SQUARE
DESIGN RELEASE #: N A
'f RELEASE, t Ot ELEC - SPKLR OTHER(S)
-n : FOOTAGE: 61'&
WATER UTILITY
PROVIDER: 1
C _['ZWER UTIL_Sf,J4S ,r ,,,,,y
PROVIDER? eAeZ'e •r•- ESTIMATED COST OF CONSTRUCTION: -t''
(EXCLUDING LAND VALUE) ?Of DSO,
PLAN COMNSYiyy a?Al BT;Yf•?OG(E1',NjJMf1ERS7ANDfOR 1
Sle):r
i
5'
l
SE
R
`rk
S40
07M&6
SDI
COUNTY W ANDl r
(
p?
m
?
PE
1
O_R
SH
7
`
.r.l l
6 of Floors: Z O vES_JNNO BLDG. CONSTRUCTION TYPE: ?$Jt?f
v evarroNLtiR: OCCUPANCY CLASSIFICATION:
t
PE OF Cdh11§T his1NHYPE OF IMPROVEMENT:
COMB CAL ? NEW STRUCTURE
T
(Privatey owned hospitals and medical _K ADDITION - jjJOFG.
offices/centers are commercial) O Room(s)
? INSTITUTION ? ? Porch
? Munic P FJJli lcI I C ? O Meuanine or Deck
? Scho I, MODEL
? Chur I EW TENANT FINISH
O MULTI-FAMI AUG I b moo }j
Q..• % CCESSORY BUILDING
Number of u 1 d1` ETACHED GARAGE
O TTACHED GARAGE
)UNDATION TYPE, all which ELL TOWER (New)
)ply for the cons
_ CELL TOWER CO-LOCATE
? S Si O CRAWL SPACE ? DEMOLITION
? POST &BEAM -PIER ? BASEMENT (WALKOUT:YN)
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y ?6 N Trusses: _Y N
Lot Split: _Y N Sump Pump: _Y _?O_N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
PLUMBING CONTRACTOR: (/ //A
Plumbers Indiana State License #:
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, crla_gement, rclocatioa, or alte=on of a structure, or any change in the use of land er structures requested by
this application will comply with, a_id conform to. all apphcablc laws of the Sure of Indiana, and the'Zonirg Ordinance er. Carmel Indiana -1991 (7_-289) and amendments.
adopted ender authority of I.C. 36-7 et seq, General Assembly of the State of indana, and all Acts amendacery thereto. 1 further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer, Ifurther certify that the construction will not be used or occupied until a Certificate ofoccupam:v or Suhsractiai Completion has been
issued by the Department of Community Services Carmel, Indiana
?J FF & -f S S
n. A.r.Mgd t Print Date
OFFICE USE ONLY: ***************
INSPECTIONS REQUIRED:
. r
Upper Footing Lower Footing Under SI
Rough Meter Base Final Site
67
ReviewedAppr ed: Dept. of Community Services ate)
S:PemuWForrru/ILP COMMERCIAL
Filing Fees:
Base Inspections: ?/ 0 g r OV
Cert. of Occupancy:
TOTAL
Fee
Date