HomeMy WebLinkAbout07100100 Application?c`tv cf un?.
City of Carmel/Clay Township Permit #:
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
?. ,xoiaa? APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME" PHONE: FAX:
J N/ILYcJI l tOS? YC` Ai ow A Co. 4GG ',7q 7- z' 06 0 Z 97- 714L-2-
OF
OF
STREET ADDRESS: CITY: STATE: ZIP:
7,101 2w 22?,kilk A6611 ?h a?iana o/yr l4N 4Zl
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
e_hormgnn -edwa44lVfea fs. c+svr ekhd
PROPERTY NAME. PHONE: FAX:
6
OWNER: Q
o`?
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
& PROJECT
INFO: Address of Shell Bullring: (if different than Address of Consb u on) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: r r
M4fl,e ZONING:
OM-M/' TAX MAP PARCEL
16-09-26-00-00-015,001
STATE COMMERCIAL y
DESIGN RELEASE #: ?J 2 / ?J6 SOOPE(S)OF W/FDN ?STR •P"ARCH MECH GY"PLUM
SPKLR OTHER(S):
RELEASE: V ELEC O SQUARE G6
FOOTAGE: 7
WATER UTILITY
A,
q SEWER UTILITY
. Z
,t.
? ESTIMATED
EXCLUDING CLA DO VALUE)NSTRUrnoN: ?15.
C200
PROVIDER: /V ' PROVIDER
V r
(
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (i Applicable):
of Floors: / Elevator or Lilt: O YES NO BLDG. CONSTRUCTION TYPE: V- OCCUPANCY CLASSIFICATION: U -
TYP CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL NEW STRUCTURE
(Privately owned hospitals and medical O , ADDITION
ofhceslcenters are commercial) -?ko
O INSTITUTIONAL O Rom(s)
-; }C{t,.?G OPS O Porch
O Municipal
O O Mezzanine or Deck
_ ? y
3Oid H tee, Ii l Cc`1C5, OMODEL
,ct TENANT ISH
. ?YG1zt`D )-OC'2 ?j %??? 'c SSOR BUUILDING
$V eat, JI JON)O? DETACHED GARAGE
l7 ? lvFf' O ATTACHED GARAGE
FOUNDA E: C?ier as r O CELL TOWER (New)
ap?°? -A `'? O CELL TOWER CO-LOCATE
.,,,;"'s( Y O LRAWL SPACE O DEMOLITION
O POST& BEAM -PIER ? BASEMENT
Class I structure permits are subject to
I, the undersigned, agree that any cons:: s
this apoliadoc will comply uli6, aid conic
adopoed under authority of LC 36-7 et seq, l
connected to the sannazy sewer. 1 further e
issued byte Departmeyt of Community
at the construction will not be
Carmel, Indiana
Owner
M.
1011,r1107
Dam
OFFICE USE ONLY:******************** ********************* J??***/****************
CTIONS REQUIRED: Filing Fees:
Upper Footing owep ooting Under SlaBase Inspections: Q
Cert. of Occupancy' 00
Rough I Final site r -
-tte'll-IzI
0 0-7 TOTS 5'0
Reviewed/Approv : Dept. of Community Services (Date)
S:PemutVFmrWRY COMMERCIAL Fee Received by: Date
Early Release // Manufactured
Permit: Y `! N Trusses: Y_N
Lot Split: _Y ?/ N Sump Pump: _Y ZN
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X - on 54040c)
PLUMBING CONTRACTOR:
N/4
Plumber's Indiana State License #:
ate of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
or ahe=,,. of a seruccum, or any change in the use of land or structures requested by
ma. and fie -Zoning Ordinance of Camel Indiana - !993"(Z-289) and ameudments,
all Acts anamciatori thereto. I further cen fy that only Idtchm, bath, and floor drains me
d or occupied and a Cerairate ofOccupaocy orSubstaoday Completion has been