HomeMy WebLinkAbout07080223 Applicationa `" : n 70 ORLU 3
City of Carmel/Clay Township Permit #
`?+; COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of NAME
L
T PHONE FAX
C 573-x
033 573- 5
RECORD: .
Com?5-MUCTI-Q14
i.F ,
STREET ADDRESS
F'
V CRY
5
C STATE ZIP
46o3Z
IN
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A! 5 V,4AI //q ti
1) 7 l/ I 17.
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i-I-
EMAIL ADDRESS ,
BUILDER'S BEST METHOD OF CONTACT:
,
Pl r y. ??
I 1. (-
a co rn
PROPERTY NAME
- PHONE FAX
Z S X80 - 24 9S
849 -C
OWNER: 2-
v 14 /? LQ IL r f ,
STREET ADDRESS rrf
zoo !_. f1C? ST.. SUI r CITY
?Oil STATE ZIP
nmr lN. 46o-:3
LOCATION ADDRESS OF CONSTRUCTION l SUITE # (If Applicable)
& PROJECT 15 W C I-, L. On .
INFO: Address of Shell Building (If different than Address of Construcdon) Lot # and Subd 0slon (If Applicable)
? T
er-rMO ?ut
CAlzmec. sc/? ? -
ME:
BURRING, PROJECT, 0 ZONING: TAX MAP PARCEL
r ??
7& i'Vl 3 Iln093lo00020CJc
STATE COMMERCIAL SCOPE(S) OF a FDN Z( SIR (3 ARCH W MECH 'ra PLUM SQUARE
DESIGN RELEA R: 3 7 . _S RELEASE: V ELEC o SPKLR OTHER(S) : FOOTAGE: 23 UO4 o
WATER UTILITY SEWER UTILITY Y
I ESTIMATED COST OF CONSTRUCTION: 00
#
PROVIDER: Gj R r?) C L V T I L I Ty I PROVIDER' CLAY I d'v iJ S I-Il 1?
(EXCLUDING LAND VALUE) *
5 Z
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Z Elevator or Lift: 7(( Y5 4 NO BLDG. CONSTRUCTION TYPE: (1- B 5 p K OCCUPANCY CLASSIFICATION:
?/ZK
)a
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
tE? COMMERCIAL IR NEW STRUCTURE
(Privately owned hospitals ? Ivi "
and medial offices/centers ??STLtd?. Ifoom(s)
are commercial fli4CMh
O IN S? L,,IOC2 7nY, 8':1 ln ""`O Meaanine or Deck
O u
VPUbtl6131dg - t peal COQf'MODELS
? pi Spate a"° ' `' 1-(-.)?,ICNEN?'f?NA NISH
? ChurdlTl(?F(`rPAPAU?? itA?CXFSSAR
-'tIDING
FOUNDATION TYPTm:F(ChECk alr`whtrh L,Lr•0 DETACHED GARAGE
apply for the nGW,r?t jctiori'aiea " (HI`N O ATTACHED GARAGE
IN SLAB ll???t ? CRAWL S?A€ O CELL TOWER (New)
O POST & BEAM O BASEMENT O CELL TOWER CO-LOCATE
(or POST & PIER) WALNOUT:_Y_N O DEMOLITION
Early Release Manufactured
Permit: _Y IN Trusses: _Y Y
Lot Split: _Y --)!L-N Sump Pump: -X--Y _N
Does any part of the property lie within a special Flood
designation area: _Y XN
* t\/14171` W1 yra ff )rc 14 -
Plumber's Indiana State License
I PC j_?I q Q o O P S
Class Ise cvure 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application mil comply with, and conform to, all applicable lags of the State of Indiana, and the `Zoning Ordinance of Carmel Indiana - 993' (Z-
289) and amendments, adopted under authoriy of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendamry thereto. I P.,r..her certify that only
latchen, bath, and floor drains are con ed [o the sanitary sevw. I further certify that the construction wilt not be used or occupied until a Certificate of
OccvpaacyotSubs tlal C pl as been issued by the Department of C//ornmunity ServicesFR Carmel, Indiana
/r/li cu?1. ??oAntir/1 Z7 - // e/-/OF (/N/",j
ca....-.«..e ti....e.... a?.Fr... ?.t .. . / Print Date
OFFICE USE ONLY:*********************************************************************
IONS we, REQUIR Filing Fees:
? n
[ r # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: (q Reviews
P?t
D
ough In Meter Sa Final Site ?'\Cert. of Occupdjicy:
7 ran. n rt __ Pin Additional Fees
rued: Dept. of Community Services (gate) Fee Received by:
COMMERCIAL