HomeMy WebLinkAbout07100153 Applicationa Cqq
Permit #: O /O 6/s3
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
`?«un _.xn,.i APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME:
SHIELSExTO•-f Co. PHONE: FAX:
ail 47-3-60C?o C33? 4L3-b3oo
RECORD: STREET ADDRESS:
q02 14. CP.P)TOL._ AVE• CTY: STATE: ZIP:
i?1oLp.aapouS Itii 4b2e4
BUILDER'S EMAIL ADDRESS:
i 1oS.',kko S1ilelse+?Y, , covv? BEST METHOD OF CONTACT:
emw•11
PROPERTY
OWNER• NAME: PHONE: FAX:
CP%e Md R?PEv?cP MErT ?MM\°„pN
•
STREET ADDRESS:
ONE C-k r SO%awt2G CITY: STATE: ZIP:
Cr>e. Nek- IFt Lit. 03-L
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
& PROJECT
INFO: Address of Shell Building: (1I d feren ffian Address of ConstruRion)
591 W. s P Lot * and Subdivlslon: (If Applicable)
1
BUILDING, PROJECT, OR TENANT NAME:
E-NE2Gy C-l ZONING: G - TAX MAP PARCEL #:
STATE COMMERCIAL
DESIGN RELEASE #:
32-1 S9 3
SCOPE(S) OF ? FDN _yt/, STR
RELEASE: ELEC •7 SPKUR `,
ARCH X MECH X PLUM SQUARE
OTHER(S): FOOTAGE: 4 t Ow S F
WATER UTILITY
PROVIDER: CAPTf C-L SEWER UTILITY
PROVIDER: CARMEL_ ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) :? Sboa 000 , 00
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: 4- Elevator or Uft: 0 YES ?' NO BLDG. CONSTRUCTION TYPE: OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION: TYPE.AFSIMPROVEMENT:
COMMERCIAL p1r?`?i? `sCAIEVJ STRUCTURE
(Privately owned hospltals S_ria'mediWlt;jr?O` ADDITION
Dflices/wnte[? aT£Yopmtierdaq-`, . <`" [? Room(s)
O IN br;vj%r'E) ??Ppprch
rMunicipal/PutilicBldg"',.? ?1' ?9 hleaanine or Deck
OetSdioolnu:' ?4':? ?( REMODEL
$? Churc)-`, , I -t-j= O NEW TENANT FINISH
? MULTI-FAMILY fit O ACCESSORY BUILDING
N[Y(jtlfer of units:?.? c'\rN O DETACHED GARAGE
vJ ATTACHED GARAGE
T O
FOUNDATIVMTYPE: (Check all which ? CELL TOWER (New)
apply for the new construction area) O CELL TOWER CO-LOCATE
SLAB D CRAWL SPACE O DEMOLITION
O POST&-BEAM -PIER O BASEMENT (WA-
Class I structure permits me subject to the
I, the undersigned, agree mat any wnstmcdon, recor i tnon, en"U
[his appliztion will comply with, and conform w, ail d I:zbl
adopted under authority of LC. 364 er seq, General A o
mnna;ed m the sanitary sewer. 1 further certify tha[ Yie co <
issued by the Dgargpeptff)Zooptmunity Sersices, el, ndial
Signatumeof Owner or Authdr¢ed Agent
OFFICE USE ONLY: **************
P
/O-el-O;z
Date
Lev,-? OFiling Fees:
INSPECTIONS ED: Upper Footing ood Under Slab ase Inspections:
ert. of Occupancy:
Rough In Final Site
OTAL:
9 tp+?
Reviewed/Appro ed: Dept. of Community Services (Date)
S:Pern itstFornS/ILP OMMERZIAL Fee Received by:
PROJECT INFO RMATION:
Early Release
Permit: _ Y
Lot Split: _ Y
Manufactured
Trusses: _Y X N
Sump Pump: )<-Y -N
FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
X?5 h-ac A
PLUMBING CONTRACTOR:
1-e E R sst,ll 14-1e,chdn cal
Plumber's Indiana State License #:
sal;r ??J9.?'oodo
idiana (See 675 IAC 12) regarding expiration time frames for beginning and
idot cf a serv=o, or any change in tie use of land or strucvares requested by
the Zoning Ckdtnance of Carmel Indiana -1993- (Z-289) and atnendmenu,
amendatory, thereto. I further terrify that oily kitchen, bath, and floor drains are
upied until a Cetti6care of accuptmq, or Subsranria7Compkdon has been
Date