HomeMy WebLinkAbout07070083 ApplicationPermit #: (777 O D S 3
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
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BUILDER NAME. PHONE: FAX:
OF 6, (/;A l CSn bag-3sss- Ck, -s
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
u IS & qra. 2 e is
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
3wc:42.
PROPERTY NAME' PHONE: ?U FAX:
OWNER: u? Cill&li. P e - 6 0 8iv- e
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STREET ADDRESS: QTY: 'y 4
"STATE./,pt ZIT:,
11( LA(cS6v brt'w F; 54e? "
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LOCATION ADDRESS OF CONSTRUCTION: SUITE #" (If Applcable)
t
1
& PROJECT l 3 1142.4 „ N
INFO: Address of Shen Building: (If different than address of Construction) Lot # ano Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING:
TAX MAP P?C
o
?,CD
0
W
1// JC
(J V
f P
M
4 L
-'
STATE COMMERCIAL ;2(s)OF ?x FDN >C`STR ARCH Co MECH 0 PLUM
sco
R OTHER
S
SPK SQUARE
FOOTAGE: B
5.4
DESIGN RELEASE +: 3 1
8 (
)
L
RELEASE: G ELEC O : ,
7
WATER UTILITY SEWER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
. 4S
(EXCLUDING LAND VALUE) L
.
PROVIDER: C?^? W, r, .? U fl ?tS a
Sx
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR S('jv D?a6G3y'?
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): PM
tXC 4V A?ie1
x of Floors: r Elevator ,Lift: ? YES iX NO BLDG. CONSTRUCT N TYPE: OCCUPANCY CLASSIFICATION
7 tf
TYPE OF CONSTRUCTION: TYPE O IMPROVEMENT: PROJECT INFORMATION:
>11, COMMERCIAL r r f`4!? NE}J STRUCTURE Early Release / Manufactured
(Privately owned hospitals and•rq?plcal OitA'[)DITION Permit: _Y l_ty Trusses: _Y
offices/curs art g L' e;dal)"
O INSTIMIONA} .?: 2?' tG ' l?, oom(s ?/
?e"' D Pre h ) Lot Split: _Y _N Sump Pump: _Y 1(_N
Y
• G'D` r. i`tl f§
?,?JQfticipdU,Public B?dg tMezzanine or Deck
TZ:Ld, S`oYg 3r`L' `GJ?`,jiEMCJDEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
Sg iurcyti.? NEW TENANT FINISH
O MU -FAMIL 0 ACCESSORY BUILDING
NO LmCi" Snits n• MIL II P P O DETACHED GARAGE ~ I'???h c
O ATTACHED GARAGE PLUMBING CONTRACTOR:
FOUNDA
the new co (Check all which )
apply ly for for t the new construction a O CELL TOWER (New)
0 CELL TOWER CO-LOCATE ??? Ple...t6lnri
r
11 SLAB D CRAWL SPACE O DEMOLITION Plumber's Indiana State License #:
D POST&_BEAM -PIER D BASEMENT (WALKOUT: _Y N) A-',I ye, o8S
Class I structure permits aresubject to the General Adnamistu dw Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construcaon, reconstruction, enlargement, relxarion, or alteration of a structure, or any change it the use of lard or structures recuested by
ttis application will comply with. and car-form co, all applicable laws of the State of Indiana, and the -Zor mg Ordinance of Carrel Indiana -1993' (Z-239) and amendmena,
adcpred under authority of I.C. 35-7 et seq. General Assembly of the State e`. Indiana, and all Acts amendataty thereto. I further certify that ealy kitchen, bath. and floor drains are
connected to the sanita7 sewer. I further certify that the construction will not be used or occupied until a Certificate of0rerrjvncporSubsrsntral Completion has been
issued by the DiPartment of Community Services, Carmel, Indiana.
JA sd.,J 5. WP, L? I 61z567
Print Cate
OFFICE USE ONLY: ************************************************:::::::::_•._.,.....,.,.,
Filing Fees: ? 3 ? ? ?' '
I SPECTIONS REQUIRED: 1.I
Upper Foo ' g Lower Footin Under Sla 30 Base Inspections: w ?(-7 i liL-? /I„t.,w ?,
p ert, of Occupancy: $ 41 07 '
ough In Meter Bas Final Site r • .??
OTAL : 3I2S• 9
Dd -
Reviewed/Ap roved: Dept. of Community Services ate) f
S:Permis/Forms11LP COMMERCIAL Fee elved {'I a, /