HomeMy WebLinkAbout07100066 ApplicationPermit#: Do/.,
City of Carmel/Clay Township 'Z1 O n n (
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of
RECORD: NAME PHONE 31'• 619 (o r I ;L FAX 314- 12GY - A5a9
-51A M M 'Y co v ST2u c I r o? ca • r IJC.
STREET ADDRESS CITY STATE ZIP
Ij O $ctRD54L K-w I0VIAWA at r S IrJ L}(oa o$
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
-UPL'vETL .• y- s,1 rneA t GoPJ ST. Co A% ?M A-t
PROPERTY
OWNER: NAME PHONE 3 1 58? -:K1 (O FAX 3 f :1 01M 1
?t_ Ho TXFa 581- T?a1
STREET ADDRESS CRY STATE ZIP
(35j 0 ?• 0%1 rDr/fj ST C'gJLMEL- 14 4(p0
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION SURE # (If Applicable)
I 35' N • .^?? A+,1 ST• csG#a.? t?_ Al 14 (0103 a
INFO: Address of Shell Building (If different than Address of Construction) Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL #:
C o E 4A- T3 ' 6 14 So 00 opo 00
STATE COMMERCIAL
DESIGN RELEASE #: 3a g 5 SCOPE(S) OF ? FDN ? STR ,T(ARCH M MECH X PLUM
RELEASE: >< ELEC 0 SPKLR OTHER(S):- I SQUARE
FOOTAGE: 500
WATER UTILITY
PROVIDER: CaL"?rAt?'L.-
?
1 SEWER UTILITY
PROVIDER: C?2MG.` ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 160, 000
A/ BPW DOOO=T NUMBERS; AND/OR
PLAN COMMISSION / B
Z
COUNTY WELL AND/OR SEPTIC PERMIT #'S (if Applicable): I./ A-
# of Floors: ' Bevator or Uft: 7 YES aKNO BLDG. CONSTRUCTION TYPE: I _A .5rK OCCUPANCY CLASSIFICATION: I - PL 'RC.M
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
COMMERCIAL O NEW STRUCTURE Early Release Manufactured
(Privately owned hospitals ? ADDITION Permit: _Y XN Trusses: _Y xN
and medical offices/centers
are commercial) ? Room(s)
h Lot Split _Y XN Sump Pump: _Y 2<-N
[D P
O INSTITUTIONAL
O Municipal/Public Bldg I?,
IV orc
O Mezmnine or Deck .ON+.+es any part of tfie property lie within a special Flood
REMODEL `?`" 06o
? School i?f, NEW TENANT FINISH designation area: _Y I? N
? Church O ACCESSORY BUILDING PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which
apply for the new construction area) O
O DETACHED GARAGE ?ij
S `ter ?L4.N
ATTACHED GARAGE
12< SLAB O CRAWL SPACE O ,a,,??7l
CELL TOWER (New) 1"' lumber's Indiana State License
O POST & BEAM ? BASEME
M r
r
? O LCCATE
c? g (O O 3 r $O
(or POST & PIER) WALKOUT: tl,, ; !I of j ma
Class I structure permits are
I, the undersigned, agree that an)
requested by this application will
289) and amendments, adopted u;
kitchen, bath, and floor drains are
OCis
reconscru an,'er
and conform to, all
of I.C. 36-7 et seq,
of the %ie of Indiana (See 675 LAC 12) regarding expiration time frames for
relocation, or alteration of a structure, or any change in the use of land or structures
laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana -1993' (Z-
'embly of the State of Indiana, and all Am amendatory thereto. I further certify that only
qw the construction will not be used or occupied until a CertZ6"te of
of cdinmuniry Services, Carmel, Indiana
the
Signature of Owner or Authorized
OFFICE USE ONLY: *
INSPECTIONS
Upper Footing Lower Footing, ?9?Underr Slab' -F
=oughIn Meter Base t5p81 Site ??-
U- NAak ? 0& U &I
Reviewed/ pproved: Dept of Community Services (Date)' i
S:Ptrmij LP COMMERCIAL
C>?
1 O S O
Dab! A
Filing Fees: J77 nn/
Base Inspections: # ReAewsRP
Cert. of Occupancy:
00 Additional Fees
Fee