HomeMy WebLinkAbout07090138 Application7 C
City of Carmel/Clay Township Permit #: -- 0!_ 1D f ?*
COMNfERCIAL/INSTITUTIONAL/NIULTI-FANfILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes & Accessory Buildings)
BUILDER NAME: PHONE: FAX:
OF -,j tgqr,
P Z
RECORD:
STRAT ADDRESS: CITY:
n 9
_in
IIP:
3 -C-t- .
BUILDERS EMAIL ADDRESS: BEST METHODOFCONT J C
14. _
PROPERTY NAM PHONE: Y FAX,
J
OWNER: Burger King Corporation 614.4
.8934 866.543.9079
STREET ADDRESS: CITY: STATE: ZIP:
5505 Blue Lagoon Drive Miami FL 33126
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
& PR03ECT 9853 North Michigan
INFO: Address of Shell Building: (if different than Address of Construction) Lot # and Subdivision: (If Applicable)
N/A Lot #5, West Carmel Marketplace
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARC3::
Burger King B_3 17-13-07-00-25-002.000
STATE COMMERCIAL
DESIGN RELEASE #
328805 SCOPE(S) OF X FON X SIR X ARCH X MECH ?? PLUM
RELEASE
X E
SPKLR OTHER
S
EC
I SQUARE }}++??g??
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: :
(
):
L
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FOOTAGE: ?
WATER UTILITY Clt of Carmel
PROVIDER
Y SEWER UTILITY CTRWD ESTIMATED CAST OF CONSTRUCTION: 350sQOo
PROVIDER
: : (EXCLUDING LAND VALUE)
PSI N COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR 07050018 V, 07050020 V, 07050021 V, 07070014 V,
COUNTY WELL AND/OR SEPTIC PERMIT #S(If Applicable): 07040019 DP/ADLS
x of doors: 1 Elevator or Lift: 4 YES d(.NO, ?ONSTRUCrlON TYPE: VB OCCUPANCY CLASSIFICATION: A-2
aG COMMERCIAL
(Privately owned
offices/cerrb Cdr
O INSUTIIfd57NAC
O
F DA ON ' ?tlhhk all which
apply for the new struction area)
S' AB ? CRAWL SPACE
or Deck
W NEW TENANT FINISH
R PAOCESSORY BUILDING
DETACHED GARAGE
O ATTACHED GARAGE
O CELL TOWER (New)
O CELL TOWER CO-LOCATE
O DEMOLITION
0 POST&_BEAM -PIER ? BASEMENT (WALKOLTT:_Y_N)
PROJECT INFORMATION:
Early Release Manufactured
r
"
Permit: _ Y _ Trusses: Y N +
_
t
i
Lot Sprit _ Y __'?(N Sump Pump: _Y N (fi
(
N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPER TY:
PLUMBING CONTRACTOR:
1AVI
Plumb A Indiana State Lioert a #:
s&zo - ood - &(e
Class I structure pertains are subject to the General.Adrecru trative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning aad
completing construction.
I, the undersigned, agree sat any construction, recons=ntioq e:dazgement, reloeattoq or altercation of a s=cture, or any change in the use of ]and or strummers requested by
thus application will comply with, and conform to, allapplicable laws of the State of Indiana, and the "7wting Ordinance of Carmel Indiana -1993' (7-289) and mendmrats,
adopted undo authority of LC 16-7a seq, General Assemhly of the State of Ire iare, and all Aces i nendatory thcero. I fgndts cer:isy that only kitchen, bads and a" drains aze
cowceted cu d:esanitary sewzc Ifurther certify that the cunstructioa will not he used or accupicd until a CertrBcare afot vpancyor Sahs=tia/Compleooahas been
Issued by`rhe Depar®enc of C; se` es, Carmel,lomana.
i%? 'M'
Richard Sampson 09125/07
Signature a Owner m,mmaru aa, nt Prior BKC Construction Manager sate
OFFICE USE ONLY:********************
Under
`h, Rough In `Meter Base L Fin Site
*xxxxx*xxxxxxxxx:*xxxxx*xx*xxxxxxxxxxxxxxxxxx
Filing Fees: q0 1, 0()
?< Charged Rc-
Base Inspections: O Reviews
Cert. of Occupancy:
TOTAL : 4 Additional Fees
Fee Received by: Date