HomeMy WebLinkAbout07100096 ApplicationCity of Carmel/Clay Township Permit #:1971 CObIlKERCIAL/INSTITUTIONAL/MULTI-FAMMY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, St Accessory Buildings)
BUILDER
OF NAME:
UICOI 12uc4-lor` PHONE: FAX:
5?3 8100 £ a3
573-5100
RECORD: STREET A ss:
0// t e tdt4 S?-, SOAC aorl CITY: STATE:
Tnd Is. fin/. ZIP:.
t1(??Lo
BUILDER's EMAIL ADDRESS:
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(' BEST METHOD OF CONTACT:
ce[l'" 3 51
wet
son (?tco2 . ow-
PROPERTY
OWNER NAME:
I161"S?Reel QeM?P? LAC PHONE: FAX:
573-8rob 573 9100
:
STREET ADDRESS:
g0il AJ. f4eaidiA., sG. S.,.ie CITY: STATE:
TNy IS. 1'Nr ZIP:
y6Zly e7
LOCATION
& PROJECT ADDRESS OF CONSTRUCTION:
69D Easy I/ f(S?2ee-4 SUr7 *: (If Applicable)
5
INFO: Adores of Shell Bullaing: (if different than Address o. Construction) Lot # and SubdNislon: f Applicable)
81C) &3f I I
BUILDING, PROJECT, OR TENANT NAME: ZONINC: TAX MAP PARCEL
WI1,"?r- bo
STATE COMMERCIAL [? p
DESIGN RELEASE #: C' 3OG1
1 SCOPE(S) OF O FDN O STR
RELEASE: k ELEC 'tA SPKLR T? ARCH 46 MECH t PLUM
HER(S): SQUARE
FOOTAGE:
?soo 5
WATER UTILITY
PROVIDER: Cae p-e.`
1 SEWER UTILITY / ?//TTTe I D1
PROVIDER: 'y I
l?la. ` C ESTIMATED COST OF CONSTRUCTION: .u
(EXCLUDING LAND VALUE) 3Q ???
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or UR: 5 O NO BLDG. CONSTRUCTION TYPE: ' 8 (L OCCUPA14CY CLASSIFICATION: W)
TY???P..EE??? OF CON&TRUCTION: TYPE OF I ROVE ENT: PROJECT INFORMATION:
p? COMMERCIAL Ch'( RUCTURE Early Release Manufactured
_ (Privately owned hospitah; and medta`?Q ' lOON Permit: Y ?N Trusses: _Y XN
offices/centers are comm oNA ? O Room(s) ?/?
O INSTITUTIONAL ^P, ,?(? ?1? g. 15rry, Lot Split: Y ?/N Sump Pump: _Y
O Muni' u`61PC BPQtye0 o GObe nine or Reek
h0 ??3.6 ard)'Uti,-(`{ R TENANT FINISH J?,Y FLOOD ZONE AA(R'EA DESIGNATIONS) FOR THIS PROPERTY:
O MU tFILYOt cif ' ACCESSORY BUILDING 11 ' `
Number of unjt G\?,?? f\PNPa ATDETACHED TACHED GARAGE PLUMBING CONTRACTOR:
FOUNDATION :1r(QhIl p/
apply for the coon area ED CELL TOWER (New) ?A I U ) h as
t" ? CELL TOWER CO-LOCATE
SLAB C] CRAWL SPACE ? DEMOLITION Plumber's Indiana State License #:
O POST&-BEAM -PIER O B j. 1MA(IJT:?3? ` (1 J -7C) r, 3?
Class I structure permits aresubject m the Geitsst,of istrati7ve Ru/?es?olEythh?, St e? Indiana (See 675IAC 12) regarding expiration time frames for beginning and
QCT 1 FyF}jng os coon.
L the undersigned, agree that any construction, recenlugemenr, relocador., o ration of a s.n:cmre, or any change m cbe use of land or stntcnms aqus[ed by
dtis application will comply urich, and conform to, alaws o(rioe Statn of indfana, the'Zoning ChdinmceofC. [Indiana-I99.T"(Z-2B9)mdameudmenL;
adopted a rhoricy of I.C. 367et .General the State of Indianall Ac amendatory hereto. Ifurthercertifi chat only kitchen, bath, aid Boor drains are 4ude tnn ed tcO et. I further certify th- cupied until a Certificate ofOccupa cyor5ubstantial Comphaonhas been
i ued e mmuairyservices, Carmel, Indiana
?wnl9 q l? ?tTSD? l0 Ib 07
Signature owner or Authorized Agent Print
OFFICE USE ONLY:******************* **********************************************
INSPECTIONS REQUIRED: Filing Fees: CIO 3,c;-
Upper Footing Lower Footing Under Slab t Base Inspections: ?2-oe. 60
Cert. of Occupancy: z / /. 0 D
ough In Meter Base Fn Site z
TOTAL:
f 5 i Date) t01 /001.d-
Reviewed/Appr ed. Dept.O Community ernces
5:Permlts/Forms/ILP COMMERCIAL v` a ,.FEe Received Data
1? V