HomeMy WebLinkAbout07090101 ApplicationI
City of Carmel/Clay Township Permit #: 0
CO1M NERCIAL/INSTITUTIONAL/MULTI-FAMII.Y INi 1PROVEMENT LOCATION PERbIIT
to tK>. APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME: PHONE: FAX:
I2
RECORD: STREET ADDRESS: ,
a CITY: STATE: ZIP:
I ao VIA 5
BUILDER'S EMAIL ADDRES : BEST METHOD OF CONTACT:
Y
PROPERTY
OWNER: N E' PHONE: FAX:
3 5 16-:315-2-
A
DDRESS:
STREET _
ZIP'
CITY: STATE:
'
r
/O /
?
el J
LOCATION
& PROJECT ADDRESS OF CONSTR_U ON:
105 6 SUITE #: (If Appliable)
G -460-32-
INFO: Aedress of Shell Building: (if different tha Adcress of Construction) Lot * and SUbdWBlon: (If Applicable)
1
BUILDING, PROJECT, OR TENANT NAME: ZONING:
I-11 W04tial TAX MAP PARCEL #:
1713-07-00-lb-co .000
STATE COMMERCIAL ??J
D'ESIGN RELEASE SCOPEESE)OF FDN X M. 4(, ARCH ilk MECH PLUM
EC G SPKLR OTHER(S)'
RELEA: EL SQUARE ?/ c
FOOTAGE: ! / 10 ?T?
WATER UTILITY
PROVIDER: I
SEWER UTILITY Cla. dWNS ZI
PROVIDER: ESTIMATED COST OF CONSTRUCTION: /?/?
(EXCLUDING LAND VALUE) 500t 000
PLAN COMMISSION/ BZA / BPW DOCKET NUMBERS; AND/OR 07ooo6 PP/AVLCJ
-'COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): 1414
J of Floors: I+ Elevator or Lft: El YES p NO BLDG. CONSTRUCTION TYPE: I? B OCCUPANCY CLASSIFICATION: _-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
Ck COMMERCIAL V+' NEW STRUCTURE
(Privately owned hospitals and medical O .pON
offices/centers are commercial) Ci, 1S SROom(s)
0 INSTITUTIONAL r .,?Q GQ, 21` tG J,•,y?.?r0- Porch
a ?rB & gq?'r1 O Mmanire or Deck
t c co nP1ar REMODEL
CcFINISH
O MULTI-FAMIL4'i g\a n W UILDING
Number -xr?= CG,'i ??AU? I Cl W Q D?BJ DETACHED GARAGE
FOUNDATIO ? ({GtreDCk?`al,,t_ry1t?tlyA O ATTACHED GARAGE
apply for dleA" construction! O CELL TOWER
O CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE O DEMOLITION
? POST&_BEAM -PIER ? BASEMENT (WALKOUT:_Y_N)
PROJECT INFORMATION:
Early Release
Permit: _Y _X_N
Lot Split: _Y _)LN
Manufactured
Trusses: Y _)(-N
Sump Pump: _,)(_Y _N
FLOOD ZONE AREA DESIGNATIONS FO THIS PROPERTY:
)( UAk-5rO?AQA
PLUMBING CONTRACTOR:
Ckr16s 5121
Plumber's Indiana State License #:
Cf7 /07Z ;:59
Class I structure permits are suhject to the General Admfnistcttiwe 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 construction, -. econstiuenon, enlargmant, relocation, or alteration of a struc_are, or any change in the use of land or structures reouesced by
this a !'cation will comply with, and corfurm to, all appli?ble laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993'(7-239) and amendments,
peed un r authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amend tety thereto. 1 further certify that only:dtchen, bath, and floor drains arc
mmectedt th v? en I rtber certify that the construction will not be used or occupied until a Cettificam of Occupancy orSabstantra/Comp/etion has been
iss.-Or
ed byt a fC mmity Serwices,Cmmel,Indiaua.
.,IJf T-fz IL ?3 0
$igna of lr arm riaed Agent Print pale
OFFICE USE ONLY *******************vl***
rG
oottng Lower Footing Under Slab
In Meter 8ase Final „Rite,
7, v7
?A\1?
g Fees: q-6?
e Inspections: g??y r 00
of Occupancy:
?I s'1 1 CY I 1? L/
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