HomeMy WebLinkAbout07080225 Application?'° ' Q •, _ Permit #: O 7
City of Carmel/Clay Township
COARv ERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
??Ixo3ext-' APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME: PHONE: FAX:
idwapd Ruse b lv a. 4c '7q7-3060
97-?14z
RECORD: STREET ADDRESS: CITY:
'qO/ GnaM' rdsvilGP /?? STATE:
??d,kv? o Y IN ZIP:
462-1
BUILDER'S EMAIL ADDRESS:
4?yyg_hot- rNahn -edkva4-dvwa BEST METHOD/OF CONTACT:
,Cowl
Mahe
PROPERTY
OWNER NAME: P ONE: FAX:
'S7A"-e 43' alwve
:
STREET ADDRESS: CTTY: STATE: ZIP:
LOCATION ADDRESS OF CONSTRUCTION: SUITE S: (If Applicable)
& PROJECT
INFO: Address of Shell Building: (If different than Address of Construe on) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: I'?k? /r?A l'/lO 3 ZONING: O
N _41F TAX MAP PARCEL
STATE COMMERCIAL n
DESIGN RELEASE 0: % Z 16 S 3 /
SCOPE(S)OF O FD (F/9M ARCH Z MECH ePLUM
RELEASE: sl/ ELEC •7 SPKLR OTHER(S): SQUARE
FOOTAGE: Q
lq, qob
WATER UTILITY
PROVIDER:
6du-weeI SEWER UTILITY /?
PROVIDER: L.eu A4el ESTIMATED COST OF CONSTRUCnON:
(IXQUDINGLANDVALUE) Sao, 000
PLAN COMMISSION J BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT d5 (If Applicable):
u of Floors: Elevator or Lift: O YES N° BLDG. CONSTRUCTION TYPE: 5 OCCUPANCY CLASSIFICATION: R - 2
TYPE OF CONSTRUCTION: Ty OF IMPROVEMENT:
O COMMERCIAL N STRU;i?URE
(Privately owned hospitals and medical CT4 C}?I7'IQ s
ofeces/cemem are commercial) \J \ -],ikfm m(s)
O [N O L ?
IBI , e ,J1in GCd Porch
or Deck
O OOtto °O REMODEL - \P
J/ D ChyD`?1 { y,?- q y t.i\D NEW NAIfiT?FINISH
ae MULTI-FAMILY ACEE Y BUILDING
Number of !1(ijtgdc- a ,,,• ;;'? D DETACHED GARAGE
Vim` y (' ht?? 1, ATTACHED GARAGE
IUNDATION TYP ?gFtQk a)f whicl?tAo D CELL TOWER (New)
Iply for the new struction area) D CELL TOWER CO-LOCATE
W SLAB O CRAWL SPACE O DEMOLITION
D POST&-BEAM -PIER D
Class 1 struaurt permits ate subject to the General
1, the undersigned agree that any mnstn:cuon, reconstr . e
this application wd! comply with, and conform co, all app e!aw
adopted under authority of LC. 36.7 et seq, General Asse ly of the
rb svu
connected to the sanitary sewer. I further certify that
issued bg{jhe DepartInent of 9ummunity Services, C
signature of Owner or Autl)brized Agent
OFFICE USE ONLY ****************
;blS ECTIONS REQUIRED:
Upper Fool n Lower Footing C'611
Final // Site
)ved: Dept.
COMMERCIAL
PROJECT INFORMATION:
Early Release / Manufactured /'
Permit: _Y _? N Trusses: Y _N
Lot Split _Y Z N Sump Pump: _Y ZN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X - w4e'hatoted
D
Plumber's Indiana to License M:
PC 10000080V
tat (See 6751AC 12) regarding expiration time frames for beginning and
edt, reL?+cTa ton, ben of a structure, cr any change in the use of land or structures requesred by
s of the State of Indiana, an he-Zoning Ordinance oFCarmelIndiana-1993'(Z-289)and amendments,
Scare of ladiana, and all Act aaenda:ory cherew, I further certify chat only kitzhen, bath and floor drains are
ttion w' z.be-ns piedurtila!-eiv'fitste ofOttrpanc?ot SuhsranGalCnngpkriohas beer
yeti M.rwlal?h '.r:;730 0
Print Date
tG ? ? Filing Fees: &1 00 -H, TIT- F
F%VC Base Inspections: LJ i
Cert. of Occupancy: g gge 00
U Pr?)/;pf{S N
Z067 TO 91?4)0l
fee Received t? Date