HomeMy WebLinkAbout07080227 Application?Jiy a'c5a4 Permit #: o I n O o?a`
__' .\ .Gty of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMMY AIPROVEMENT LOCATION PERMIT
01Pp;, -` APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME: p" PHONE: FAX:
sward 10fe Co, EGG X97-3060
29
RECORD: STREETADDRESS: QTY:
G> aw-?sv?%l< led.
71`01 STATE:
?vro?iatir fs ?N ZIP:
4621
BUILDER'S EMAIL ADDRESS:
d BEST METHO OF CONTACT:
n
ardFo Ea Co
?fife_ riVJd ? e
PROPERTY NAME. PHONE. FAX:
?
OWNER: OIiB
?tM? QS GC
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION ADDRESS OF CONSTRUCTION: 87
1z
b60 l/r
' 87 111d SUITE #: (if Applicable)
111d
& PROJECT
i
I
INFO' Address of Shell Building: (If different than Address Of Construc[irn) Lot # and Subdivision: (If Appliable)
BUILDING, PROJECT, OR TENANT NAME: le!` vQ?r/Q P71
/a4J ZONING: OM _ Al TAX MAP PARCEL
STATE COMMERCIAL
DESIGN RELEASE #:
Z l 6 S 3 SCOPE(S) OF C FD i/57R CF/ARCH LI/MECH PLUM
RELEASE: Z ELEC C SPKLR OTHER(S): SQUARE
FOOTAGE: ?t 2O
7
?j
WATER UTILITY // ,w, ``
'I SEWER UTILITY
PROVIDER:
;zi^ /V( r/ O?
ESTIMATED COST OF CONSTRUCTION:/ GG(J
(EXCLUDING LAND VALUE) ,
PROVIDER: C dr w1.e (? l
RAID COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or UR: O YES NO BLDG. CONSTRUCTION TYPE: 15B
OCCUPANCY CIISSiFICATION: R- G
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
O COMMERCIAL 12 NEW STRUCTURE
(Privately owned hospitals and medial O ADDITION
offices/centers are commercial) O Room(s)
omh
O INSTITUTIONAL ?ONS
O Municipal/Public TRUCT?' Me anine or Deck
1sEp F
CFu`rc}j COr,DtianC2 VJith all Q3 L
4 NEW TENANT FINISH
Number ?IFunt Ct, L nd 1_CCaI CO - A BUILDING
Number ofTTun(i' ? cpR`D'?PA1 ? GARAGE
FOUNDATI?lOPE: ?[?Cdrreck 111 r hUnj"i,-,'L3?Y GARAGE
appl or t?r? r,<tril'IrtioW air) CELL TOWER (New)
INrH(?IA O CELL TOWER CO-LOCATE
SLAB D CRA PACE O DEMOLITION
? POs-r&-BEAM -PIER ?
Class I structure perrriu are subject to the General . T
-Ph
I, the undersigned. agree that any construction, recors[rvc:i n!atg a
this applicsion will comply with, and eonforn or. apnliea s . e,.ateo to ? a
adopted under authority o: I.C. 36-7 et seq, General Assembh, State of Indiana, and all r'
connected to the sanitary sewer. I further comfy that the co struction will not be used or
issued by e De"parrt n of of Co unity?Sesrvices, Carmel, -
Signatureof er or 4th ed Agent GIs Print
OFFICE USE ONLY:********************
Footing
BONS REQUIRE/D:
Lower Footing lui
Final
PROJECT INFORMATION:
Early Release ? Manufactured
Permit: _Y N Trusses: YN?.
Lot Split _Y ?N Sump Pump: _Y _N
FLOOD ZONE AREA DESIGNATION(SI FOR THIS PROPERTY:
x- yKskad-e d
PLUMBING CONTRACTOR:
mod
Plumber's Indiana State icense #:
PC1000008o9
a (See 6751AC 12) regarding expiration time frames for beginning and
of a strucroue, or anychange in the use of land or savctures requested by
?wing Ordinmct cf Catmcl indima - 1993' (ZL289) and amendments,
idatorythereto. I further terrify that only lutchen, bath, and Boor drains are
d until a Certlb2are ofoccupmg or Subsex rial Completion has been
h
V{i 'lincl Fees:
Inspections:
of Occupancy:
6Ao107
Fro;
Rep w, , qj
Reviewed/Aggro d: Dept. of Community ity Services s ate ? d/L ,-?
S:Penr,WFO,ns/ILP ,ERCIAL Fee Received bY7