HomeMy WebLinkAbout07100038 Application/iv of csirq?.. ?y
aF, , Permit #s07-14.A- 2S
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
?/NnlOM>?'
BUILDER NAME:
7741i PHONE: _ FAX:
OF ll n
e-
RECORD: STREETADDR 5:
I C ZIP:
BUILDE 'S EMAIL ADDRESS: BEST METHOD OF COQ A :
PROPERTY
OWNER: NAME:
/Je PHONE: FAX; J 1) -773
-10S-1- 1? f
ET
DD S5 CITY: .
STRE
A
:
irle-io R ;
61
?
le
LOCATION ADDRESS OF CONSTRUCTION: n
-A ?? SUITE x: (If Applicable)
& PROJECT 2 J F.
INFO: Address of Shen Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable)
LDING, PROJECT, OR TENANT NAME: / ZONING: TAX MAP PARCEL #:
STATE COMMERCIAL SCOPE(S) OF O FDN STIR O ARCH O MECH •_• PLUM SQUARE
,
41
z
DESIGN RELEASE : RELEASE: O ELEC O SPKLR OTH FOOTAGE: /
2
WATE0. UTILITY SEWER UTILITY
PROVIDER •f
f
?
( ESTIMATED COST OF CONSTRUCTIf
f
O
H
1
/
EXCLUDING LAND VALUE) U
PROVIDER: : L/ i
C
„
?
, (
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL ANDJOR SEPTIC PERMIT #'5 (If Applicable):
' ,J
S(3 I GC. K?V- C?
# of Floors: Elevator or Lift: -D YES NO B . CONSTRUCTION TYPE: lCra'A a OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
COMMERCIAL
(Privately owned hospl
Early Release Manufactured
Permit: Y N Trusses:
offices/centers ar ifn(e)cial)v vjttY, c" -2S (5)
O IN re pd ,0 ' O.t _-/- \ Lot ht: _Y N Sump Pump:
STITU) gg :TaU cl Gi 015 ?
r aiic Bidg Q "-or ? ?rOnl mine or Deck
P- <9 V
t 8 0
y. HD
0 Sd0 of SL,'e'.. UN`?1_Q_ (REh1?f?EL FLOOD ZONE AREA DESIGNATION(Sl FOR THIS PROPERTY:
O MUO -FAhurch O GatsFL I GvrrU NEW TENANT FINISH
PMT NF[] ACCESSORY BUILDING
Numbe?rl1 O DETACHED GARAGE
FOUNDATION 7? eck all whi h O ATTACHED GARAGE PLY B
a7I1 for the new construction area) O CELL TOWER (New)
O CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE O DEMOLITION PI W
O POST&_BEAM -PIER 0 BASEMENT (WALKOUT:Y-kN)
YyySINN--
_YQ?N
zro
?c
461v, CyOnR-
a ?
t
Class I structure permits are subject to the General Adntinisvative Rules of the State of Indiana (See 675 LAC 12) regudidg expiration time fumes for beginning and
completing construction. /t
I the undersigned, agree t_-ut any conscracdon, reconnructioq enlargement, relocation, or almtacien of a strucure, or aiy change in the use of lard ar structures requesed by
this anplieatioc w?!L ecmply with, aid conform co, all applicable laws of the State of Indiana and the 'Zoning Ordinance c: Carmel Indiana - 1993"(Z-239) and amendments, i
adopted and authority of LC.36-7e[s-,General9ssemS!y of the State of Ird!a,a, and all Acts a-nendare_y tbereen. Ilunher certify, that only kitchen, bath, and floor drains a re
connectedt he sanitay sewer 1(u er certify tha[che construction willnot beused ofoccupieduntila Certificate ofoceupancy orSulsstantia/ Completion has been '
issued eDeputmen?Com pity Services, Carmel.lndiana tLtie- 77 A?zlll, &y DOJO
Sia h of OA& or Auth d AYeut li T Date, I
OFFICE UgE ONLY: **********{******** *******************
/ ?IR91ipCTIONS REQUIRED: Filing Fees:
\\ pper F?ooti Lower Footing Under Slab Base Inspections:
Rough In Meter Base Final Site Cert. of Occupancy:
O ' tl 1 _.. - TOTAL : .,
Services
?' - F ltEceNCd W'
s ,'?,0o..-6a P
############
Indiana State License #: