HomeMy WebLinkAbout07080243 Applicatione Gq'`
Permit #: 050eZ.?
City of Carmel/Clay Township
- I COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
tap APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME:\ PHONE: FAA:
OF 1?v L x`31 _ ?oe- oo -?12--FoB--G 9
RECORD: STREETADDRESS: CITY: STATE: ZIP:
(cion C
BUILDD1ER's EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY NAME-
i PHONE: FAX:
3i?-
:
OWNER: F
t l?? 2c u -
3i
? -9-0e- ooa
STREET ADDRESS:
(D o D CTO1 STATE: ZIP:
:
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applfcahie)
9 L S
& PROJECT
INFO: Address of Shell Building: (If different than Address of Con ction) Lot # and Subdivision: (if Applicable)
0 ?s
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAY MAP PARCEL
STATE COMMERCIAL
S SdOPE(S) OF C1 FDN -D
RELEASE: l ELEC O SP STIR ARCH T- MECF PLUM
KLR OTHER(S): SQUA0.E
FOOTAGE: IO -} C
DESIGN RELEA
E
WATER LMLRY SEWER UTILITY ESi(MATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: f ,
v (IXCLUDING (AND VALUE)
PLAN COMMISSION / BZA / BP DOCKET NUMBERS; AND/OR
COUNTY WELL ANWOR SEPTIC PERMIT #S (If Applicable):
# of Floors: Elevator or Lift: /, YES O NO BLDG. CONSTRUCTION TYPE: , OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL -(O EW STRUCTURE
(Privately owned hospitals and caedlifiIl O?fADDITION
offi[es/CEnters are fOfrlrr}et'6181h ' "'S6 ? Room(s)
O INSTITUTIONAL pGV•' ." C,P A(`t'Q Porch
O Mfuei?RPubliC s-ldg GOC•c~n\j\G?`. pMeuanirie or Deck
QQ ,?Lo01 ??V ??OC;?'.?.t ,"G• O DEL
?tF_`L`?'P,ChurttimE aC? , ?j;;\? ` yet NEW TENANT FINISH
? ?,N(fLY_. n1 ICr,v ACCESSORY BUILDING
3VGmber OF'units;_.?" 1G{?` ? DETACHED GARAGE TOWER (New)
apply for ?^bnstr u[tio?ISarea) O? CELL LL TOWER CO-LOCATE
O SLAB'\ O CRAWL SPACE O DEMOLITION
O POST&_BEAM -PIER O BASEMENT (WALKOUT:_Y_N)
PROJECT A FORMATION:
Early Release Manufactured
Permit: Trusses: _Y'? N
Lot Split: _Y K N Sump Pump: _Y -", N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
PLUMBINGBING CONT'RACT?? ????
__?i_ rah o?rJ
Plumber's Indiana State License At:
? P 8g (Do(?1,?
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any constmcdon,reconstruction, enlargement, reloador oralceacan of a structure, or any charge in the use of land or structures requested by
this application will comply with, and conio ii to, all applicable laws of the State of Indiana; and the "Zoning ordinance of Carmel Indiana -1993" (L2E9) and amendmears,
adopted under authcdty of LC. 36-7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory thereto. I further eeml y that only kitchen. bath and floor drairs are
connected to tiesanitary sewer. Ifurther certify that the construction vilI not be used or occupieduntil a Cetti&steofaccupancyof Substanoa/Comp/etionhas been
issued by the Department of Com unity Services, Carmel, Indiana
?-?-o?-
Signa' o caner or thtdi ed A*nf Print Date
'o
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***********s***********************************f?**:*s?sc:D:::a==fi==+?fi..-.
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: 7 ??J O r?
Upper F ling Lower Footing Under Slam Base Inspections:
Cert. of Occupancy: G?. bra
Rough n Meter Base. al Slt
n I TOTAL: O
Received trot: Date