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HomeMy WebLinkAbout07090095 Application City of Carmel/Clay Township permit #: © Q COMMERCIAL/INSTITUTIONAL/MULTI-FAMII-Y )MPROVENIENT LOCATION PEFC VfIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER NAOE 1,4c PHONE: 4ITr Corri-rACh 770 91b- FAX: 116,& 7701(d re otOb OF RECORD: s it) T AIf tF;s`s:5 - 5Fe 100 !1 A?A ?A. CITY 3 D3ZIP: 1 8 Ci A- STATE: BUILC- EMAIL ADDRESS: BEST METHOD OF CONTACT: 1-'ercoAt?ikitf= C.Io? eny4+1 'Or z70-OI16-5Z5? PROPERTY OWNER: NAME: ?HONE: FAX: TlneC4 )fA( 6m%/ Anle-5 -71t-1-a57-514b 71-;97-5a10o STREET ADDRESS: CL` : 5, St,A4t &Ile e Blvd greA ATE: ZIP: CIXS ZI LOCATION ADDRESS OF CONSTRUCIONi a o A45f 13J1iJJ,,r8Ne 6t d SUTfE C: (If Appl able) IN 003z &PR03ECT a ll) . err - ar t INFO' Address of Shell Building: (If different than Address of Construction Lot A and Subdivision: ([f Applicable) BUILDING, PROJECT, OR TENANT NAME: A f;j'A 1606 Vp 1G?, ?ANAP S E ZONING: TAX MAP PARCEL %: - oSl/iC eF AM?fgr/ -PltfA/*JVC4M V3 h1-- -to> [G-OF1^ 6-00?-O16.000 STATE COMMERCIAL DESIGN RELEASE s: 3 ' $ 3I SCOPE(S) OF A FDN S` STR A ARCM r> RELEASE: C FLED O SPKLR OTHER(S): MECH o PLUM 5-.UARE / 70 FOOTAGE: / 6 :'DATER UTILInY PROV[DER: C{uNe.l SEWER UTILITY PROVIDER: CAr,te. 1 ESTIMATED COST OF CONSTRUCTION: /? 5-000 EXCW DING LAND VALUE) 1 rr ,r PLAN COMMISSION BZA i BP'N DOCKET (J ARS AND/CR ` ?L lirable): +GR SEPTIC PERMIT CS QI NTY WELL AHD _??? r , J V pp , COU tl of Floors: 1 Elevator or Lift: O YES q, NO BLDG. CONSTRUCTION TYPE - V OCCUPANCY CLASSIFICATION: S- 1 TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: PU COMMERCIAL ?(`1?L67? C" RE Early Release Manufactured (Privately owned hospitals and med)Eafi`\1 A(?DIRONO Permit: _Y x N Trusses: _Y A offices/centers are Comm ,l alai I?]? Room(s) ?n-?.??ynfr??,[ O IN r?' INSTITUTIONAL Q n?a vGihCO?Q. POtr?r?rj ?e Lot Split: _Y R N 1 ?"'i= tl L5 O S9tt o0l CI LG Go" , a-\ FLOOD ZONE AREA DESIGNA (SS FOR THIS PROPER ,S&LI 1 OS C?a,.. IT U', EV M FINISH SEP 19 2007 O MULTI-FAMILY F 0O',Ah `l..,11MCCESSORY BUILDING Number o fIS0 ,?GVN\0- DETACHED GARAGE PLUMBING CONTRACTOR: FOUNDATION TY? peNk all la, whicF4NO,F ' ATTACHED GARAGE By apply for the ne struction area) O CELL TOWER (New) N' /t ? CELL TOWER CO-LOCATE 99 SLAB CD CRAWL SPACE O DEMOLITION Plumber's Indiana State License #: O POST & _BEAM -PIER 0 BASEMENT (WALKOUT:---Y=-N) Class I structure permirs are suhi,ct to the General Administntit Rules of the Stare of Indiana (.Ste 675 LAC 12) regarding ezplranoa time frames for begiming and completing construction. I, the undeaigad, agrr. [ha[ any construction, recorseruction. z?tlatgzmen[, relocation, ur alterdon of a scructum. or any change in the use of land or smuc[ums requested by [ha applicationx'ill- mplywich, .d tonformtu.allanphcablt lawsuf the Sr.[zu(Irdfana, and J:e-ZunfeyOrdinanee oECarnelftvliana-L993-(Z289)and an:zndmznts, adopcdundcra , fIC.3 rtt -q, i;erval.Assembly of ch<5[a:c of lndiaw,undall Acts amendamty thereto Ifunher cettiFi brat onk; ki:chem Each, and( loot drains as coWiecteda av'at we fu ercervfv [hat theconsvucnon wi Hour ed oroccunied a nia CerCSrnm ofOCCUpanevor Su(ur?ntial Completion hss been issued r to tyservic?s. Cirmd, ladlam. ` I n ` ri l' r L K rr yam' ! /% .....,,. ?.o..r .n.• prized Aaen/ Pont n to OFFICE USE ONLY: *******sx***********^ - n'? *z*#sT**`rP.d**tK*******x*******s*r.sa<:: 6 l0????"' iling Fees: IN Pf IONS REQUIRED: e 0 Charged Re:.- Upper otin Lower FooUn er Sl b ?tt?„c 1 Se Inspections: X r _ Reviews U*T" Cert. of Occupan Rough In Meter Base Final Site _ I r ?0 IOTA Additional Few Reviewed/ ved: Dept. of Commune / Services Date) ` S:?amRSiFOnnsil COMMERCIAL Fe=_ Received by: Date