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HomeMy WebLinkAbout07090096 Application" - ` City of Carmel/Clay Township Permit: Od (D COMMERCIAL/INSTITUTIONAL/MOLTI-FAMILY IMPROVEMENT LOCATION PERNM Aw. APPLICATION (For New Structuresr Additionsr Remodelsr Tenant Finishesr & Accessory Buildings) BUILDER NAME: PHONE: FAX: / 3s9-G2 7S- X59-62 ? l ? OF ti51 z o RECORD: STREET ADDRESS' QTY: 1S , STATE:/ ZIP: W .zr79 •7 ?/ UG?'B/ Lrril( . 0f`. ?N L YG BUILDER'S EMAIL ADDRESS: ` BEST METHOD OF CONTACT: ;l k^ 7' ? 1 a lOn . [o•r, ek e Mar-k n eon Tr c PROPERTY NAME: / PHONE: FAX: Y ?% ?'? b'YY-?6 ?3 b e OWNER: . rb a cne STREET ADDRESS: t CITY: / STATE: ZIP: LOCATION ADDRESS OF CONSTRUCT ?ONJ: SUITE --: (If Applicable) / ' &PROJECT rI Q rrv C- 6Q Vo INFO: Address of Shell Building: (If different than Address of Construction) Lot C and Subdivision: (If Applicable) BUILDING, PRO] , OR TEN TNAME: p / ZONING: TAX MAP PARCEL Qn d g acs Ja{ati STATE COMMERCIAL SCOPE(S) OF C FDN C SIR kARCH &-RECH Ae-kUM SQUARE DESIGN RELEASE *3.2-88.2/ RELEASE: Ar-ELEC C SPKLR OTHER(S): FOOTAGE: 2 8 8 0 WATER UTIL7LY /J / SEWER UTILITY PROVIDER ESTIMATED COST OF CONSTRUCTION: i (EXCLUDING LAND VALUE) 40 U op PROVIDER: (? p 1 rrrG { : .: PLAN COMMISSION / SZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (If Applicable): # of Floors: I Elevator or LIft: 7 YES ?(,NO BLDG. CONSTRUCTION TYPE: IyIQ,? OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: t?( COMMERCIAL O NEW STRUCTURE (Privately owned hospitals and medical O ADDITION ,f of Les(centers are commercial) O^' Room O INSTITUTIONAL ,(' ? Shcgol ?,SE Iv.PC2 J' .,_MODEL ?? t, `• tO GO"}I',tG<rJ NEW,TENANT--_FINISH O MULTI-FAt$L101e0t ctT`e Number uni IAECESSORY, ILDING of tr: Oi _J V;i+h,'1 hDE9'AC+'OR'Y1 AGE FOUNDATION TYPELttck-all• iCh r`?,L I I©J ATTACHED GARAGE ELL TOWER (New) apply for the new pf???c{`tr?wz on`area) - LFO?CELL TOWER CO-LOCATE Vr` CK SLAB O CRAWL SPACE O^DEMOLITION O POST B -BEAM -PIER O PROJECT NFORMATION: Early Release Manufactured Permit: _YN Trusses: _Y ?O,N Lot Split: Y -IN Sump Pump: _yx_N FLOOD ZONE AREA DESIGNATION(SI FOR THIS PROPERTY: c L (B d eA PLUM/BIING CONNNTRAC/TOR / Plumber's Indiana State License #: Pc 9/a 5'7VO9 Class I structure permits are subject m the General ist tp R{?1 ofd (, tue 1 diana (See 675 LAC 12) regarding expiration time frames for beginning and J C 1' ka?[BIA con don. 1, the undersigned, agree that anv construction, reeorst . , enlargement. relocation, or don of a structur-,or any change in the use of land or structures requested by this application will comply with, and conform to, all app able laws of the State cf Indiana, and a "Zoning Ordirarce of Can el Indiana -1997" (Z-289) and ameodmenrs, adopted under authority of i C. Xr7 et seq, General Asse )pf the 5ta:e of l.'tdiama and all Ac endatorythereto. f further certify that only' kitcien, bath, and Noor drair_s are pieduntila CemlirareofOccupa eyor5ubst Lial Comp/eLioohasbeen connectedtothesanit sewer. Ifurthercertif}'tlut th wmrff? / issued by the Dep en f Co mu " erv?es, Carmel, i` aria. ?a j_(/( nature of Owner or Auth imd Agent r / .( r Print Date OFFICE USE ONLY *************** * * *********************************************** INSPECTIONS REQUI RED 41f/faP/? Filing Fees: n?17to? r (JiJ Upper Footing Lower Footing Under Slab f I re Base Inspections: ?/! r Cert. of Occupan . 00 ough In Meter Base F al Site rn TOTAL; Reviewed/Appr : Dept. of Community Services (Date) S:PennAa/Formyl3 C MMERt7AL j1 - w> Fee Received by: Date