HomeMy WebLinkAbout07090074 Application' y of Carmel/Clay Township Permit #:1770 9D019
?. COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERWI r
1'' ; 01eH, APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: LAv-rNCoNM%JCrlo?zJL•L-C PHONE: 848-(,Soo FAX: 8y8-t sll
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RECORD: STREET ADDRESS: CITY: STATE: ZIP:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: 4RCAI /f ISE-k
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PROPERTY
R NAME:
C4-" TE7LJ2Rcr PrFRTiJtfZS L?C_ PHONE: FAX:/
e48-C0Soo FLt'B-Co51 1
:
OWNE
STREET ADDRESS: CITY: STATE: ZIP:
401 PE„ 1Nsy L r Y nIDIA??CPoLI S fJ Z o
LOCATION ADDRESS OF CONSTRUCTION: / s SUITE #: (If Applicable)
JECT SLD& 0-7--
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INFO: Acidness of Shell Building: (If different than Address of Construction) Lot # and Suodivision: (If Applicable) y
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BUILDING, PROJECT, OR TENANT NAME: lyt ) O
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" ZONING: TAX MAP PARCEL
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LAWbL.oXD WoPK -LIMITr=
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STATE COMMERCIAL
DESIGN RELEASE #: SCOPE(S) OF O FDN O STR >C ARCH $ MECH O PLUM SQUARE /,t,lr-15 Ov
RELEASE: X ELEC C• SPKLR OTHER(S): FOOTAGE: I`e?/1
3 ZS 5r1
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WATER UTILITY SEWER UTILTTY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
pew 1-
(EXCLUDING LAND VALUE) Sq
PROVIDER: f
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND!OR
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COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
/L t ?/ T Lt/sJ l I
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# of Floors: I Elevator or Uft G YES `m7 NO BLDG. CONSTRUCTION TYPE: G%$T-, 15 OCCUPANCY CLASSIFICATION: AA ^u'
:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL p1?I5 CTURE
(Privately owned hospitals and ??????{{e4'51 pJ ADD
a\i t,cy ? Room(s)
offices/( en[ers are m IJ?v y
C IN5Trr TITONAL.<)T" ,BOO VN t. (,iOnus-[)CPo?h
4ML.Lintipal/Wbligti&1g ,?ce• cG-_( p(?Lne or Deck
?sc1 Ow'.l0 ` ri I3( REMQ
OSGP?i irch Oi'.>c"t ,,,?5t•;1?J? I Q •CNEI)J TENANT FINISH
O MULTI-F IL G?C?C-?`-^+J1 ('? I C?O ACCESSORY BUILDING DETACHED GARAGE
r (lY LN?\P? o ATTACHED GARAGE
FOUNDATION TYPE:L (Check all which
apply for the new construction area) C CELL TOWER (New)
C CELL TOWER CO-LOCATE
(X SLAB O CRAWL SPACE C ?j
O POST & BEAM -PIER 0 BASEMEN L off C
PRUJtLTI LNFUKMAILUN:
Early Release L? ^ Manufactured
ses:
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Permit: _
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Lot Split: Y ?V Sump Pump: _Y .CN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
6, Kind a d
PLUMBING CONTRACTOR:
EnWA;i-Df ^Atc14A51MAr
Indiana State License #:
Class I structure permits are subject to the General
(See 675 LAC 12) regarding expiration time frames for beginning and
I, the undersigned. agtte c:-uc any wnstraaioa,recorrstructi o yenlargement,relouation,oraircratio of asrrucrure,oranyc? ein che'.iseof land orstrurmresrequcsted by
this appli?on will comply vitlr and conform t all applica softhe Scareof Indiana,andthe Zoning Ordinanceof Caredlnchma-1993-(Z?S9)andamendnena,
adopted under 3uthonry of LC. 36-7 er seq, General Assembly darory thereto. I Further certify cut only kitchen, bath, and floor drains are
mnaecteJ to the sanitary sewer I further certify that the construction will not be used or occupied until a Cerafreare ofoccupancy or5ubstandal Completion has been
issued by t tmen f Commnniry Services, Carmel, Indiana.
rTrp /l A5?% 15 Pf 9-(`7 -J -l
reof avmer o?rA thurlaed Agent Print Date
OFFICE USE ONLY: *****************9' ***************' i D***************
INSPECTIONS REQUIRED: Filing Fees:
Upper Footing Lower Footin a der Sla Base Inspections: $ e 0
Cert. of Occupancy: F • OLD)
Rough In Meter Base Fin SitDO
S I 10? TOTAL
Reviewed/App •ed: Dept. of Community Services ate)
S:Permits/FtrmWl COMMER? 1- Fee Received by: Date
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