HomeMy WebLinkAbout07100133 ApplicationPermit #: 071'n r) IS
City of Carmel/Clay Township
CONLMERCIAL/INSTITUTIONAL/MULTI-FAMIIY IMPROVEMENT LOCATION PERMIT
RO pare, .'. APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME:
' PHONE: FAX:
?
D
g
OF Z v r
RECORD: STR DRESS: CITY: STATE: ZIP:
0
BUILDER'S EMAIL ADDRESS: /BEST METHOD OF CONTACT:
PROPERTY NAME: - PHONE: _ F
OWNER: `4"r` Z° 7,(0
STRE ADDRESS ;.._ CITY: STU_ ( ZIP:
D JRi.Jt
LOCATION
ADDRESS OF C NSTRUCTION: I
??
S (If App e)
IZIJ
& PR03ECT LV
INFO: Address of Shell Bu dl- : (If different C Address of ConstnxLon) Lot # and Sebdtvisid2jlf Applicable)
LNG, P ]ECT, OR NA NAME: ZONING: TAX MAP PA CEL
STATE COMMERCIAL SCOPE(S) OF TfG FDN y?(STR ARCH ; MECH PLUM
I
t SQUARE
FOOTAGE: RZ
DESIGN RELEASE RELEASE:
V SPKLR Ufl
ER(S)
??Q ELEC -
:
NJO
WATER UTILITY
PROVIDF1t: SEWER UTILITY
PROVIDER: / A.?yyS? L
lll/?«?? ESTIMATED COST OF CONSTRUCTION:
(IXCLUDING LAND VALUE)
ecoo
'w
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
licable):
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If A
"
_ '
9 sr-
9
pp 0
710
_ )L
W(
1
# of Floors: Elevator or Lift: Q YES NO _
BLDG. CONSTRUCTION TYPE: v_ is !5j* I OCCUPANCY CLASSIFICATION: A-2-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
COMMERCIAL >Wll NEW STRUCTURE
(Privately owned hospitals and medical D ADDITION
offices/centers are commercial) -.G{-,1{p?6rn(3)-N
D INST)TUTIONAALLU BAs 9p itOn CONt i1 P.dr .,...T.S
D Munic, W+'.awiC^BI (lancewith s? Meaadfrie or Deck
D SchooGubject to comp L
D Church Of Slate and 1 aNEWCTENANT?FINISH
D MULTI-FAMILY r' NitAM 'IA' ESSO Y;BUILDI
Number of unitPEPT Q F vC J C?"?O?lfA6F1E-0 6ARAGE
??77y pyFCARMELATTACHED GARAGE
FOUNDATION TYPE:C(Check all which )NDENCLLL TOWER (NEW)
apply for the new construction area) D CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE D DEMOLITION
O POST&_BEAM -PIER O BASEMENT (WALKOUT:_YN)
Early Release Manufactured
Permit: _Y _2<__/N Trusses: ?Y N
Lot Split _Y _ N Sump Pump: _Y '<N
7
ROOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
PLUMBING CONTRACTOR:i
A'D FR
Plumbers Indiana State License #:
Class I 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 construction.
I, the undersigned, agree that any construction, recortstruction, enlargement, relocation, or alteration of a str acmes, or any change in the use of land or uructures requested by
true application will comply with, and conform to, all applicable t ce of Carmel Indiana -1993' (Z?289) and amendments,
adopted under ambority of I.C. 36-7 et seq. General Assembly ot@I:e?[?te 1 < e . If urther cettity [hat onl}' kitchen, bath, and floor drains are
cone tell to the smr' jsewer. I further certify that the cone to in a n s o u t C to ofOccuparrcyorSulunaba/Completionhas been
issu rte Depkruri of Co 'ty Sen9ces, Carmel, Indiana.- \
?t \ xr 9-17-07
Date
OFFICE USE ONLY:*******************
REQUIRED:
Upper Footing
Rough In Meter
NR??4MC?
wed/Approved: Dept. o
as/Formsi P COMMERCIAL
Under Slab
Final Site./
OtjCe 24.o-I Q' o,
r Services (Dater)
Filing Fees:
Base Inspections: I 0 O
Cert. of Occupancy: 0
TOTAL : e OO
la! /
4, n 12 _T_ _-
Fee RBCelved
Date