HomeMy WebLinkAbout07090136 ApplicationCity of Carmel/Clay Township Permit #:e)70q Q (a
_ COAInfERCIAL/INSTITUTIONAL/MULTI-FAMELY IMPROVEMENT LOCATION PERMIT
i APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
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BUILDER
OF NAME: /? 1 d PHONE
Wel T'r1 ,clV LLC- 317 : FAX:
673 - (002- 17 -573 - (&6
RECORD: STREET ADDRESS: CITY:
? STATE:
l ? ZIP:
?l?o3a
S ut?ru
( -
-" BUILD R'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME PHONE: FAX:
517, • ??6o
OWNER: STREET ADDRESS: 3 '
=Z-6 =j1 J5 STATE: ZIP:
Z?
LOCATION ADDRESS OF CONSTRUCTION:
5k
j
1 SUITE #: (If Applicable)
JECT z
om 4
l
& PRO
INFO: Address of Shell Building: (If dlfferen Man Address of Construction) Lot # and Subdivision: (If Applicable)
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BUILDING, PROJECT, OR TENANT NAME: 8 ZONING: TAX MAP PARCEL #:
STATE COMMERCIAL OPE(S) OF FDN -9? SIR b< ARCH MECH r PLUM SQUARE
FOOTAGE:
DESIGN RELEASE #:
Da
/
ELK C SPKLR OTHER(S)
RELEASE:
: ?3 ?
ER LITY I ,t
PSEWER UT1UT`Y ROVIDER:
?
(EXCLUDING LAND VALONSTRUC170N:
1An
PROVID
W .,.a,
=
W VVV
f? f/fL
/ BPW DOCKET NUMBERS; AND/OR
B
UA
PLAN COMMISSION
li?ble):
C PERMIT P'S (If A
??/
? v fe ,
\ o
COUNTY WELL AND/OR pp
SEPTI
# of moors: T? Elevator or Lift: YES 171 NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: `
TYPE OF CONSTRUCTION: T
COMMERCIAL rp'C
(Privately owned hospital a{rs?rCeedi 1, r
offices/centers are.co u enddl) •.It`
? INS ACC: r.? ?(h?;???r Oo
O ?*hiapal/Pu5eB(d r0
cg
` _
.,"(`( T("rrlY M@zanme or Deck
\
O wool G
G?St'4` .VhC.fA-) )
G
? REMODEL
SH
•?
O 'Church `?? ?,
t?L I NEW TENANT FINI
DING
? MULTI-FA., JLYD ( Faro (
t O
b ACCESSORY BUIL
DETACHED GARAGE
er o
Num
r\ ?
FOUNDATION TYPE: (Check all which ATTACHED GARAGE
? CELL TOWER (New)
appI for the new construction area) ? CELL TOWER CO-LOCATE
P7 SLAB O CRAWL SPACE ? DEMOLITION
O POST&_BFAM -PIER O BASEMENT (WALKOIJT:_Y_N)
PROJECT LNFURMA I ION:
Early Release ?/
Permit: Y /?N
Lot Split: YN
Manufactured
Trusses:
Sump Pump:
/y _L
XYN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
PLUMBING CONTRACTOR:
ivi,t •ht/A? ?„ ??
Plumbers Indiana State License #:
2&QD2 105
00f
Class 1 structure permits are subject to the General A lnunismtive Rules of the State of Indiana (See 675 LAC 12) regarding expiration time fratnes forbconnfng and
completing construction.
L the undetsigned, agree that any construction, reeomstruodon, eaargemen[, relocation, or alteration of a strc.mre, or any change in the use of land or srrecrjres requested by
:his appbcation w11 comply with. and conk=. to, all aaDhcable laws of the State of Indiana, and the Zoning OHinar,_e of Carmel Indiana - 1993- (Z 2E9) and amendments,
adopted and aurhorryef 6367 et see, Geac;at Assembly of the State of lndra.u and all Acts amendatory thereto. iEu*.thercerdfy[ha; only kimhen, bath, arc Eoordraus am
conr?ec-e e e sanitary e:. 1 further certify that the construction will not be used or occupied until a Certifinte ofoccup:mcyor Substantial Complexion has been
issued y th Departure of Community Services, Carmel, Indiana. ,
A)? M Ifs o
9anatu o/ r a Aunt Agent Print Date
OFFICE USE ONLY *s***************a a a a afi"" ""'""
INSPECTIONS REQUIRED: e Filing Fees:
7X Upper Footing ? Lower Footing '4?
?
yQ( Under-Slab Rough-In
1
Meter Base Final Building
Final Forestry (X Final Fire Dept
NO TE: Above ceiling/grid insp ection requirements will be
in Crated on your ermit placard.
I ft 2)? .? 5?.27rb?
Review e Approved: Dept. of Comm unity Services (Date)
5:PelmayFom[sJiLP COMMERCIAL Aug2 07
Base Inspections:
Cert. of Occupancy:
TOTAL, ?I
Fee Receiv
-70'?'4/- d 0
C /BOO x Charged Re-
b Reviews
/ ?l y QO
` 7717q. 90. Additional Fees