HomeMy WebLinkAbout07100007 Application-tTA
., Permit #: Q76 s City of Carmel/Clay Township
! COMWRCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
,xuLeR*./ APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME' PHONE: FAX:
'S hC_ i? _ d- i a7s
RECORD: STREET ADDRESS: QTY:
? STATE: ZIP:
4? b
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
Mike JDC -
PROPERTY NAME ,:- PHONE: FAX:
1 ?, r loo
OWNER 11 al _
:
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STREET ADDRESS: qO - rf Pirl(JL1a?. C? Sn STATE: ZIP:
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LOCATION ADDRESS OF CONSTRUC?ry
S SUITE (If Applicable)
I
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& PROJECT A I A
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INFO: Address of Shell Building: (If different than Address of Construction) # an I Subdivision: (If Applicable) I
Lot
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BUILDING, PROJECT, OR TENANT NAME: ZONING:
?- -x TAX MAP PARCEL #:
O
STATE COMMEIRCIAL 5
S C STR O ARCH C MEE0i O PLUM
SPKLR OTHER(S): SQUARE S
FOOTAGE:
1
DESIGN RELEASE #: 4
WATER UTILITY
' SEWER UTILITY 1
VIDER
I ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PROVIDER: ?,l
M C, I PRO
: C l O
/20
-
PLAN COMMISSION J BZA / BPW DOCKET NUMBERS; AND/OR 7
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): ,
# of Floors: Elevator or Oft: S ONO BLDG. CONSTRUCDON TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
(d COMMERCIAL
(Privately owned hospitals and medlral
offices/centers are commercial)
O INSTITUTIONAL
O Municipal/Public Bldg
O School
O Church
O MULTI-FAMILY
Number of units:
FOUNDATION TYPE: (Check all which
apply for the new construction area)
O SLAB D CRAWL SPACE
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ADDITION
Q Room(s)
? Peed:
? hlemanine or Deck
O REMODEL
?,/
qo NEW TENANT FINISH
? ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O CELL TOWER (New)
O CELL TOWER CO-LOW
PROJECT INFORMATION: /
Early Release / Manufactured
Permit: _Y _/N Trusses: _Y _NN
Lot Split: _Y-N Sump Pump: _Y,?N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
V, 1, . A?, H;:?,/ r, n
PLUMBING CONTRACTOR:
of State
O DEMOLITION , Subject
O POST&-BEAM -PIER O BASEMENT (WALKOUT:-
ClassI structurepermits are subject to the General Administrative Rules of the ng expiration Clore fumes for beginning and
Complet vstructio t, JIDIAN?,
1, the undersigued,agree that any construction, reconstruction,enlargement, relocation, or alteration of a stmeHr-e,eranyc adge iatheuse o(latrd or stnamres requested by
this applicant. will comply with, and conform tq all applicable lass of the State of Indiana, and the -Zoning ordinance of Carmel Indizba - 1993"(-289) 269) and amendments,
adopted under authonryo(LC. 36-7 at seq, General Assembly of the State of l.diana, and all Acts amendatory :hereto. I further certify :haL oily kitchen, bath. and Soor drsirs are
connected to the sanitary sewer. 1 further certify that the construction win not be used or occupied until a Certificate ofOccupanry or Subsranna/Comp/etion has been
issued by the Department of Community Services, Carmel, Indiana
Cs97ril?t?P,! ?.<.Clh /lS?NAE/ swA/icy
gna[ure of Owner a Authorized Agent Pda Date
OFFICE USE ONLY:**********************************************************************
INSPECTIONS REQUIRED: Filing Fees: 3
O A rper Footing O Wijw r ting Base Inspections: Charged Re-
er-Slab Cpu n Q Reviews
7
L Meter Base F 1 Building Cert. of Occupan
O Final Forestry Final Fire Dept '30 a? Additional Fees
'NOTE: Above ceiling/grid inspection requirements will be T AL
indicated on your permit placard.
I?,,Is,=l2 to-4-01
Reviewed/Appr D t, of Community Services (Dater Fee Received by: Date
S:PermitstFornSRLP COMMERCIAL Aug.2007