HomeMy WebLinkAbout07090134 Application/`Y M e4g?
?z ,?,- OR ` City of Carmel/Clay Township Permit r: O7?/1 /3
COMMERCLAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
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BUILDER NAME' PHONE: FAX:
OF c'v7ent LLC
GC/A
-io 31-O
3l-
8-w
RECORD: STREET ADDRESS:
`MN PEHNS LVANrA
PIC . CM: STATE:
Ant oU ZIP'
Y Z
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
Cq avyAq- Io In. ne? al 31 -(005-0M (Cell)
PROPERTY NAME, PHONE: FAX:
-
OWNER: C S - 3il _gqA_(?05nq 3i - 9146 - j6 5
11
STREET ADDRESS: CITY: STATE: ZIP:
L. A P? " oI 2 0
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If'gpplicable)
1
& PROJECT b t>L 5 /
INFO: Address of Shell Building: (if different than Address of nstmcuon) Lot # and: u5 lxl ionr-'(If Applicable)
I „N Ctfitf. 1.114-2 8 Twu
BUllDJ`N?, PRryECi, OR TEN NAME:
X7 ?dr?ct
'
t ZONING: TAX MAP PARCEL #:
l?pk 311 oq
A - Wf 0ii
4
?,
ri( i
STATE COMMERCIAL 2
DESIGN RELEASE #
L
3Z?R2 SCOPE(S) OF ?
RELEASE: X EL FDN C S R
EC ? SPKLR ARCM ?' ME 1 PLUM
OTHER(S): •? _ -.!'S SQUARE
FOOTAGE:
tl
:
i
t n 1
WATER UTILITY
PROVIDER: ! L
`r
t SEWER UTILITY
PROVIDER: C Mr,L
r
L
GO..Y ESTIMkIED COST,, 175 CONSTRU N.
• (IbMLLUDIN IANDGGAL?) .i
\
O?
PW DOCKET NUMBERS; AND/OR
B
PLAN COMMISSION I BZA //
li
ble):
PERMIT #S
If A
TI --fJ v
!! ?rVA
C'Ik..) i
2'?G ?Op??,v.1 `7?'
\\(0
b P?Li
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ca
pp
COUNTY WELL AND/OR SEP
C CY
-4 C1
Y
4
# of Floors: j Elevator or Lift: YES ;KNO . C tUfiA(?NV I ?C. ? OCCUPANCY CLASSIFICATION:
( COMMERCIAL ?(t?
(Pnvately owne add
offices/centers
O j
INSTITUTIONAL ?
4
r
? Municipa 1
L) School
? Church
? MULTI-FAMILY
Number of units:
TYPE OF IMPROVEMEyT:1Y P???rlnl-UNMwi1Vn:
FITV TR E ? GPEg lkelease
ON Permit: Y _NN
) RP Lot Split: _Y jZ/N
Porch
Manufactured
Trusses:
Sump Pump:
_Y 44
_Y 14
62007 Meaanlne or De:k
O ODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
TENANT FINISH
FOUNDATION TYPE: (Check all which
appy for the new construction area)
8' SLAB O CRAWL SPACE
Q ? ESSORY BUILDING
ACHED GARAGE
? ATTACHED GARAGE
O CELL TOWER (New)
C CELL TOWER CO-LOCATE
? DEMOLITION
D POST&_BEAM -PIER O BASEMENT (WALKOUT:Y-ZN)
PLUMBING CONTRACTOR:
(MT,eey?lam : (tv?ticaL k MEc
Plumber's Indiana State License
r
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LkC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree f=iat any construction, remisttvccion, enlargement, relocation, or alteration of a st. accure, or any change in the use of land or structures requested by
this apphadon will compk with, aid conform to, aU applicable lams of the State of Indiana, and the'Zocing ordinance of Carmel Indiana -1993' (Z-239) and amendue¢-s,
adopted under ant ority of I.C. 367 et seq, General Assernhiy of the State cf Indi ma, aid all Acts amexatory thereto. I furtner cerr&j that only kitchen, barn, and floor drains are
eennettzd [ the saniczT se•wm I further certify that the construction will not be used or occupied until a Certificate ofOceupancyorSubsrsntia/ Compktlm has been
issued yt DD";Ztmentof Community Services,Cazmel.Lndiana
Cr?aa (?2£IT Z4 0?
Sign n ent Print
OFFICE USE ONLY:****************** ****
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under SlabI tC?
Rough Meter Base F' al Site
-FI.Adht <1,
Reviewed/App'rts-?veo: pt. of Community Services (D e) 7 O
S:PermWFarmsn COMMERMAL
ing Fees: ?? /• ?O
se Inspections: ?O
Fee Received by: ware