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HomeMy WebLinkAbout07100057 Application4?t U ?aNF\ City of Carmel/Clay Township Permit:07/ Od DSO COMbIERCLAL/INSTITUTIONAL/NIULTI-FAMILY IMPROVEMENT LOCATION PERMIT mmax>,r.' APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME: {? L + tT LIZ,] N 7 PHONE: FAX: ,on /,rrt -3 i8 4ex?L 3/)-S95-`wn < RECORD: STREET ADDRESS: CITY: STATE: ZIP: `"e e,414 33 R' 1 ?, ?f,J '/(,2Z(o BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT. C? ' f ) 3/7 M) .533z Rr ?t • A C. A2n'[; PROPERTY NAME. PHONE: FAX: OWNER: e cos a 3n- Zito- Z09d STREET ADDRESS: CTTY: SATE: ZIP: A I s-- J- u 2c / 122 1 ?i[D. n ??n Ly LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable) & PROJECT I r: ,_1a6 INFO: Address of Shell Building: (If efferent than Address of Constructio Lot # and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: /? P) ZONING: AX MAP PARCEL +: ?S (Y)C}-t p,-J? C-And%n ;nr C.E.n1-ER STATE COMMERCIAL SCOPE(S) OF f O FDN STR XT ARCH ? MECH G PLUM R SQUARE FOOTAGE: © O 7 DESIGN RELEASE #: 3e-0 Z3' RELEASE: G (S): ELEC KLR OTHE © WATER UTILITY ROVIDER C SEWER UTILITY PROVIDER: ESTIMATED COST OF CONSTRUCTIO (EXCLUDING LAND VALUE) ` , O P : arL?w /O O PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): It of Floors: Elevator or Uft: El YES NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: fYPE OF IMPROVEMENT: ysy COMMERCIAL O NEV STRUCTURE - (Privately owned hospitals and i[r9ngk?Ti?irTa?t TFPCW N offices! p?etsare mrlfAtLkidrl}JNJ ?n.,¢oom(s) ? IN bNAL n,•r- wit aii rcaulac5 Pore ?,bdttnitips/Pt7blicBld9`nJCc1 Codes. ? 4enanineorDeck Chu ,F CpiJiPAUtJ1TY NR? f rch NT T FINISH ? MUC MILL ^ FL 1 CL?,{ L?Jv Ad ORY BUILDING Nego()q is ARM ? DETACHED GARAGE ??fD1A?A ? ATTACHED GARAGE FOUNDATION TYPE: (Check a which p CELL TOWER (New) apply for the new construction area) ? CELL TOWER CO-LOCATE SLAB ? CRAWL SPACE G694QM 6 J(f ? POST&_BEAM -PIER ? 6 MENT (WALKOUT: _Y 7 Class 1 structure permits are subject to the OFFICE USE ONLY: ****************** INSPECTIONS REQUIRED: PROJECT INFORMATION: Early Release Permit: Y Lot Split: _Y N Manufactured Trusses: _Y! Sump Pump: Y FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: i ? PLUM NG CONTRACTOR: Or T° Plu ber's Indiana State License #: Indiana (See 675 LAC 12) regarding expiration time frames for beginning and mien of a structure, or any change in the use of laid or stt'•acures requested by ? rhe'Zorung Ordiatui of Carmel Indiana - 1993' (Z-289) and aneadramts, s amendatorythereto . I Further certify that only kircher, bath, and tflocr drains ant :copieduntila CertihnteolOccupancyorSubsr tiddCompletionhasbcen nn / Arz?ija, ?,. t nrn, _!J ) b -9 Print Date Upper F 'ng Lower Footing Under Slab ?pfv Rough Meter Base Final ,Siitte tM?lhLfl Vctolt i Reviewed/Apps aaved: Dept. of Community Services (Date) S: Penails/FomiyT.IP1COMMERCIAL n, re con Ye 1, the tE ',agreethatanymnettuerrim :Itis appliCplication n w ellcomply wi[b, andconform , all 1 a adopted under aurhoricyof LC. i6-7 et sec, Gereal A t) connected to the sanitary sewer. I further certify, that the conetmetic iss(t?1d i6 a Depar ent f Community Services, Carmel Indiana. Si9na of Ow. or AUthorize0 Aaent `\\ ling Fees: l/Qn Dui Base Inspections: /?05 U Cert. of Occupancy: N11 Q TOTAL : Q S. 0Q_ Fee Received oy: Date