Loading...
HomeMy WebLinkAbout07100033 Application/YV M C5P4 Permit #:. ©7??Op -1 City of Carmel/Clay Township CONLMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT ,Nt • ,, APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER NAME: G/}PfjGL 4R.l157,WG7:0N PHONE: FAX: 3/7)571/'5`/$8" (3/7)574-5NSz OF RECORD: STREET ADDRESS: CITY: STATE: ZIP: 99" MIME JN018c1Au,1S L/ r/la ZSo BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: G 10) 2$1') L( G N Ga onffi,V Z 1 , Cam ( PROPERTY NAME: 7EL LFlz PHONE: FAX: 5*o-z-13o 3; 7)590.2`1 Z9 ALv"7) k OWNER I . _ : STREET ADDRESS: vcm: STATE: ZIP' IIll AI. iltEir-foI _1 i. 'r1Ar<tEL N K60 7 LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (if Applicable) ? & PR03ECT 6' Al' YAVVIA""'P '51 4d O 50 INFO: - Address of Shell Building: (h` different than Address of Constmchon) Lot # and Subdivision: (If Applicable)11 F W 0 P? -e-A in BUILDING, PROJECT, OR TENANT NAME: ZONING: B S TAX MAP PARCEL :, AR N PENAILL I STATE COMMERCIAL DESIGN RELEASE r: SCOPE($) OF C FDN C SIR % ARCH X MECH Y PLUM RELEASE: 'X ELEC D SPKUR OTHER(S): SQUARE FOOTAGE: `oz) WATER UTILITY PROVIDER: / ?? a SEWER UTILITY PROVIDER: ESTIMATED COST OF CONSTRUCTION,' (E(CLUDING LAND VALUE) NU 6? PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): # of floors: / Elevator or Lift: O YES NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: COMMERCIAL Gfl0NEW STRUCTURE i' i IT N k ) - Early Release Y ?N P it Manufactured Trusses: ?/ Y /? N (Privately owned hospitals aV,meQ IO ? .ADD l - offices/centers are commefbil ' ? R erm : _ ``'' ALrO? v O 1NSTITUTIO ooms O Lot Split _Y XN Sump Pump: Y?N N PMU@dpaVRubITc-BfdgGO pPorch C euanine or Dedc 6 - School S . R F OD EL FLOOD ZONE AREA DESIG NATION(S) FO R THIS PROPERTY: - ? t I v u?0 y?.^,,?'^,??y?yt , ' TENANT FINISH -? aV C3 MULTI-FAh11L '?? r 0 LDING ACCESSORY ? ACCESSORY BUILDING i ( T i Ofv Number nits; VV ?L-- G LI-" ? PNA ? DETACHED GARAGE G GE PLUMBING CONTRACTO R: (} r. l M ARA O ATTACHED ich all FOUNDATIOWTYPE: (check apply for'tffe new construction area) ? CELL TOWER (New) RDBI ii Aa. PGUMB1At /6 p CELL TOWER CO-LOCATE ' X SLAB O CRAWL SPACE ? DEMOLITION s Indiana State License #: Plumber L? POST& FAM -PIER ? BASEMENT (WALKOUT:_Y_N) weoouc/g ? Class 1 structure Permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 12) c C°Wg eWiiraaon time frames ginning and completing construction. ?(}t?'? I i, themdersigned, agse that any conscruction,=econswction,enlargement, relocsticn, or a'teramn of a strucvac, or any einr'?iFtt?e of la?azzZt?ar-ates-r qu-steel by this application will ecm2ly with, and conform to. all applicable laws or the State of Indiana and the -Zoning O:dinancc of U indiatm- 1993 (Z-289) aadame dments, adopted under authority of I.C. 36-7 at seq. General Assembly of tie State of Indiana and all Acts a-nendaro t}-Lhereto. I Eurth ify tSat only kncher_bath, and . : drains arc connected to the saaitaty sewer I further certify that the construction will not be used or occupied until a Certilecore o cupanevorSubstauti has been tss by the Departm c of?Co nmunity Services, Carmel, Indiana /? 'By w 49 S nahue w or Ac 'zed Agent Glint Date OFFICE USE ONLY: ********************` *Fv? INSPECTIONS REQUIRED: CarUp 'ng LowerFOOting Under Slab „jf ugh In Meter Base Final Site Off(-, 1,0? Reviewed/A roved: Dept. of Community Services (Date) S:Petmits/Far 3COMMERCIAL iling Fees: lase Inspections: :ert, of Occupancy. 1 l 1 Q TOTAL: Fee Received by; Date