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HomeMy WebLinkAbout07100067 Application,?1°rtanye Permit #: ?'z/?D7?67 -` ` Cary of Carmel/Clay Township COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY NIPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER NEE' PHONE : FAX: OF n i , - RECORD: STREET ADDRESS: CITY: STATE' IIP' S O S+e l n BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT: PROPERTY NAME: CI r/ 2rG PHONE: r1 g-(e 5 DU FAX: ? OWNER: STREET ADDRESS:/T/ Of /'e0Wrd4( Ple Crrr:Zn,J,'"jpa(f5 STATE:?q/ ZIP: -/(,2t7 0, LOCATION ADDRESS OF CON UCTIO . SUITE #: (if Applicable) \aO & PROJECT `? D C errrxc INFO: Address of Shell Building: (If differ" than Address of Construction) Lot A and Subdivision: (If Applicable) _ 6L- t ge, 1 I BUILDI G, PROJECT, OR TENANT NAME: ZONING: I/? TAX MAP PA m #: kl"A STATE COMMERCIAL SCOPE(S) OF O FDN O STR ARCH MECH PLUM SQUARE pq DESIGN RELEASE RELEASE: X ELEC- SPKLR ER(S) : FOOTAGE: WATER UTILITY OVIDER SEWER UTILITY PROVIDER: ESTIMATED COST OF CON TION: (EXCLUDING LAND VALUEUC `' , oD : PR ` • c U ` ;CTIfO PLAN COMMISSION !BZ0.1.?2W POCKET-NUMB_ERS.ANDfGR •• ? COUNTY WELL AND/OR S?FttiC PERMTr#'S(IEA?plkable):'.', ?•I rA 5•fp ('( , # of Floors: ua nr.._ _ Elevator or OT"`izdtcrSl. nt `?-,EI ^B(4)G{ONSTRUCTION TYP : ,P ?i OCCUPANCY CLASSIFICATION: M TYPE OF CONSTRULTION:T OF CM01,XPE'0FiIMPR0VEMENTY I COMMERCIALCITY OF CAPAAc-L.oCfvmY FFJegujLSHlP (Privately owned hospitals and medical' it -.0 (, DDITION etTices)centers are are commercial) Room(s) O INSTITUTIONAL O Porch ? Munidpal/Public Bldg O Meaarune or Deck O School O REMODEL O Church NEW TENANT FINISH O MULTI-FAMILY ACCESSORY BUILDING Number of units: O DETACHED GARAGE O ATTACHED GARAGE FOUNDATION TYPE: (Check all which O CELL TOWER (New) appI for the new construction area) O CELL TOWER CO-LOCATE SLAB G CRAWL SPACE O DEMOLITION O POST &-BEAM -PIER O BASEMENT (WALKOUT: Y_N) PRuim ihiFORMAMN: Early Release Manufactured Permit: Y?N Trusses: _Y, _N Lot Split: Y _)I_N Sump Pump: _Y AN FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: X - un s h a? PLUMBING CONTRACTOR: 7 209 10 ?OrU- dumlfl>1aFndiana State License #: Class Istructure penrots are subject to the General Administrative Rules of the State of Indiana IS _prp LAGIgregarAfityg,oetnd p? a frames for beginning and completing construction. IJ ?J U 1 I I) (? j U I, theundersia ed-a¢ree that any con;t-acdogreconswetion enLugemerc,relocadon,otalceraaoneEa [mcture, or anv charge in the use= dorsrvctures requested by this apphradon will comply with, and conform to, all applicable laws of the State cf lndi me and the "Zon finance of Catu:el ludiana - 199 (Z-289) and amendmen s, adonteduncerauthonty of LC.36-7ecseq,GeneraL4ssemhlyofd:e State o€lndiana, and all Acts amen - certify that onl)• tehea bath, and floe: drai-ks are xnnecred to r}e sanit2 y sewer. I further certify that the construction wi6 not )R used or occupied until a Cerr' icate stanairl Completion has been issued .?` `Deep encof Community Services, Carmel, Indiana ? o? a ern f (10 a V,6wnerar'AtmttorieN'Agen PFT'Y 1--? ************************z*********************************************** OFFICE USE ONLY: INSPECTIONS REOUIRED: G Fling Fees: O Upper Footing O Lower Footing 0 * Charged Re- 0 Under-Slab kiection Rough-In ID?19 Base Inspections: © Reviews ? Meter Base Final Building Cert. of Occupancy: Q O O Final Forestry Final Fire Dept. Additional Fees -NOTE: Above ceiling/grid requirements will be TOTAL : ' indica don your permit placard. ?usA ?lo.,?c)nw?l otic 1? o-? Reviewed Reviewed/App?ept. of Community Services (Date) Fee Received by: Date S:Pem ityFOkms,73 COMMERC''AL Aug.2Co7