HomeMy WebLinkAbout07090139 ApplicationCity of Carmel/Clay Township Permit #: 61 q0
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
„ For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of NAME PHONE FAX ??? t? L 7
LG 573-C-033 SS-
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- C
RECORD: )J
f2UCT1Or
om5T
STREET ADDRESS CITY STATE ZIP
0711 N• PfffNJJS- LVANf4 ST. ConMx(- I& 9Gr?3Z
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
mhri)riiriq e e i C5 ci:)
PROPERTY
OWNER: NAME PHONE FAX
Cotiss-ct) SElIVIGFS LLC 80--Z7So
STREETADDRESS CITY STATE ZIP
5e- 0 N. ot-Lr ti Dr. ConinTL AV. 4Gc73Z
LOCATION ADDRESS OF CONSTRUCTION SUITE # (If Applicable)
D
N
& PROJECT 2,
- CO L-L - E-
S 3 5
INFO: Address of Shell Building (If different than Address of Construction) Lot Y and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL
omshcc 6tzvlccs LLC
STATE COMMERCIAL
DESIGN RELEASE R: 3 Z 8 q J Ce q J SCOPE(S) OF G FDN O STR (& ARCH o MECH O PLUM
RELEASE: C ELEC C SPKLR OTHER(S): SQUARE q
FOOTAGE: / ke / 319
WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONSTRU ON:
PROVIDER: VJ rZMFL U/LI TI CI S°WDER `/Unm IF L (EXCLUDING LAND VALUE) P949,
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT tt'S (If Applicable):
# of Floors: Z EJeva[or or Lift: YES O NO CBLDG. CONSTRUCTON TYPE: Eyler - SPK OCCUPANCY CLASSIFICATION: n EM
TYPE OF CONSTRUCTION: ^Lr,'?P•T'YFEOF?`IM PROVEM ENT: PROJECT INFORMATION:
2,_w
0 COMMERCIAL fn NEW LICRIRE Early Release Manufactured ?7
(Privateh/owne9,nospitais Q ?A61H Permit: Trusses: _YrN
and in I FlI s/ryent4?rs?"? Ft?` 0=L Rbom(s) q?,,v '
a} rdaq CrS 'y ;CL• l?O"• pow Lot Split: _Y n Sump Pump: _Y ?N
SYF ON.4 0n t
O IN ??' L(?? O Meaamne or Deck Does any part of the property lie within a special Flood
O C$tMuniapalJPuf2licBldg` `G REMODEL
NEW TENANT FINISH designation area: _Y _N
/J? ?In,S ri
ND Tr ON ?DhecGlL all wtY chO\? ACCESSORY BUILDING PLUM rNG CONTRACTOR:
apply for then nstructlon area) O DETACHED GARAGE
? ATTACHED GARAGE
XTJ SLAB O CRAWL SPACE O CELL TOWER (New) PI tier's Indiana State License #:
POST & BEAM ? BASEMENT ? CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N ? DEMOLITION
Class I structure pirmirs are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for
beginning and completing consu lion.
L the undersigned, agree that any construction, reconstruction, enlargemeac, relocation, or alteration of a strucrure, or any change in the use of land or structures
requested by this application }vill comply with, and conform to, all applicable laws of the State of Indiana, and the'Zoning Ordinance of Cannel Indiana -1993" (Z-
289) and arr-endments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and El drains art connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a gate of
Occu o Su tra/Completion has been issued by the Department of Community Services, Carmel, Indiana.
/1TiLt/!+/I ?//,i," "? -/A 9 -15- 0 7
Signature of Owner or Autho3110 Agent Print Date
***************** s?rk\*******,*******s***************** **************
OFFICE USE ONL
INSPE ONS REQUIRED: r?e \ Filing Fees: Charged Re-
Upper Footing Lower Footing Under Slab r(`?'p(7I1? Base Inspections: Reviews
Rough I Meter Base Flnal Site F 1'? Cert. of Occupancy: I '
Qb Additional Fees
TOT L : • V
Reviewed/ ved: Dept. of Community Services?(Oate) L Fee Received
S:Pam COMMERCIAL
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