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HomeMy WebLinkAbout07100138 Application4a Y C f City of Carmel/Clay Township Permit #: ,r COMI4ERCI4,L/INSTITUTIONAL/N ULTI-FAIVULY IMPROVEMENT LOCATION PER-MIT t•,,, an?pap?.APPLICATION (For New Structures, Additions, Re oriels, T nant Finishes, & Accessory Buildings) - no BUILDER NAME: a PHONE' --511 ,fo / a r 7) / S r Y C ( r 1- OF 01 ( O 1 (?? ? ! J?7 ( h 1 t RECORD: STRE ADDRESS: ©? . I 4& / CITY: STATE: ZIPS z 5- BUILDER'S EMAIL ADDRESS: (( BEST METHOD CONTACT: ?? r-e bae o. Lso (o I. y8. dr PROPERTY NAME: •? G 4 PHONE: 31 'T - o a5.470 r 7.85 53 i OWNER: ` 6 CC Izl5-floc 6714-I i STREET ADDRESS: 1025 DOA-Z110 ST CITY: STATE: ZIP: CI J? CrIYo G 4 LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable) &PROJECT 601 C -AS-7 CAeMl L/C INFO: Acdri of Shell Building: (If different th an Address of Constructi on) Lot # and Subdivision: (If Aopllable) BUILDING, PROJECT, OR TENANT NAME: ZONING: . TAX h1AP PARCEL I Vle. G ?lUE55 dJ / 0 3 DO OI (e O 18 STATE COMMERCIAL SCOPE(S) OF ? FDN C• STR J 'jQ ARCM P MECH )ePLUM SQUARE OO DESIGN RELEASE #: 3181l RELEASE: )( ELEC ? SPKLR OTHER(S): FOOTAGE: r WATER UTILITY PROVIDER: LI ,,?a,'.' t)F/?,? t•,.rsf r4&L SEWER UTILITY PROVIDER: C)7 ,,I y LF ?Rtta,16L ESTIMATED COST OF CONSTRUCTION: _ (EXCLUDING LAND VALUE) A Z-?.> QOl7 PLAN COMMISSION / BZA j BPW DOCKET NUMBERS; AND/OR 0-40600 ACL.S bM EVO COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applic bble): # of Floors: ' Elevator or l 4 YES {{ NO BLDG. CONSTRUCTION TYPE:_3c"8 OCCUPANCY CLASSIFICATION: a TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: COMMERCIAL ? NEW STRUCTURE Early Release Manufactured Y V "NI (Privately owned hospitals and medical ? a ADDITION Permit: _Y ? N Trusses: offices/centers are wmmercial) ""•i'_IL O Room(s) ) r` l: F ?, ? ? J?. Lot5Plit: Y X -N Sump Pump: Y YN r ,? • / r• D INSTTTUIIONAL,r (1 Porch ? a , , , C}"rMUrikipel)PubIiC61t1g CJ Me> anineor Deck `•? - C" ' P • rhool•?•; ?'_-REMODEL QSlS FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: ? Church f--- NEW,TENAN?jFINISH I ' f\WIr BUILDING ? MULThFAMILY CF d0' ACCESSORY •. Numb(Po`f units;, _ . r-. •• r, `1_ I C-I ' ? DETACHED GARAGE 1 0' v,-., ,•,. Ip,NA? ATTACHED GARAGE ch N w PLUMBING CONTRACT-OOR?r::? / : (Check all hi FOUNDATIO ? CELL TOWER (New) l • ?? y?^ i3b yil?K apply for the new construction area) ? CELL TOWER CO-LOCATE i x SLAB ? CRAWL SPACE O DEMOLITION Plumber's License Sr: diana State n EJ POST&_BEAM _PIER ? BASEMENT (WALKOUT:_ _N) f y [7 I & D 6 Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing coostmcrioo_ h the undersigned, agree that any eonstruetion, rectorstruction, enlargoienc-eloeation, or altemtien Of a structure, cr any c`unge in the use of land or structures requested by this applieaeion will comply ayith, and eordorm co, al apo!ic_ble iaws o: the Scate of Indian:, and the'Zonvug Oduaxi el Carmel Indiana - 1993" (7-289) u_d arrendinciri adopted under au&.Dnty o_ i C. 36-7 et seq, General Assembly of tb State of Indiacu and all Acts amendatory, thereto. I further certify thatonly kitchen, bath, and floc- dl are connected m the s_ karysewer. i further certify that the construction will not be used or occupied until a Certiheare ofoccupaog•or Sulasommal Complexion has been issued by the Department of Community Services, Carmel, Indiana t/ s(q i tfu\it tuner or Authorized Agent Print I pat? L,?,/ONLY **********s******s` **** *1***********m*s*********?*l***n****************z i'sil ??e7I PECTIONS REQUIRED: L?4hN1(? 1Filing Fees: 7 t I? d O ?" ooting Lower Footing UnderSl F/`e ! Base Inspections: 3 1 a • ?? •• --'' Cert. of Occupancy: a Rqghln Meter B Final r r'W.Ca R, l i DD TOTAli / 2Sa67 R ed ved• Oe t f Community Si (Date) O I03= evlew /Appr p . 0 S:Pe.ts/FormylLY OMMERCIAL if Fee Recl by: Date i 10177-.1 U