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HomeMy WebLinkAbout07090133 ApplicationPermit #:?33 I City of Carmel/Clay Township COMMERCLAL/r STITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT rxe.x±n, i APPLICATION (For New Structures, Additions, Remodels, TenantTinishes,;& Accessory Buildings) BUILDER NAME: I ?L PHONE: ,,I! e'f IFAX: I` e ej Z )i S-7? 50b OF L ... ? f r eLI? Onl Y?l RECORD: STREFFADDRESS: em _ rs?A ZIP: O 3 G F ! 6R?/IG' _ j 1? i CGS r I I , ,? BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: F_" s-z I?A.L?? onl W?LIS . Coln I PROPERTY PHONE: FAX: w ' WNER - F ' : O STREET ADDRESS: CITY: STATE: ZIP: 11S EI-rA boo f"o I" o3z- LOCATION ADDRESS OF CONSTRUCTION: SIJITE #', (If Applicable 71 1 & PROJECT 7 r--4--)Or A-J 1 S - t INFO: Address of Shell Building: (If different;han Address of Construction) Lot# and Subdivision: (If Applicebl BIJ NG, PROJECT, ORTENANT NAME: ZON3NG: TAX MAP PARCEL #: STATE COMMERCIAL SCOPE(S) OF n FDN 7 7J10J C'F ? MECH O PLUM E ? Sf 04H13t(S): SQUARE FOOTAGE: DESIGN RELEASE 0: RELEASE: C: ELB n?tv- WATER UTIA7Y PROVIDER SEWER LJTILrfY Og. PROVIDER C MATED COST OF CON5TRLICTIrJ DING LAND VALUE) O 0 p : ?C.. a i - ?irIP7 R pr` ' Play COMMISSION JHZAJ C DOCKET NUMB ' 0 11 $ S (I ca?W COUNTS' WELL AND14P, R SEPTIC PERMIT p n r # of Floors: Elevator or Lift: D V D Nb. P?15'TR?1 S sTlPE: ry6?DGv?C OCCUPANCY CLASSIFICATICN: ? TYPE OF Q01NIMUMON: V q? COMMEPCIAL / \ (P,ivately owned hospitals and medical offices/centers are commercial) 0 INSTITUTIONAL O MunicipalIPublic Bldg ? school ? Church ? MULTI-FAMILY Number of uniLS: FOUNDATION TYPE: (Check all which apply for the new construction area) ? SLAB ? CRAWL SPACE £ MPROVE ERR ' G NEW STRUCTURE ? ADI)MON ? Room(s) D Porch D Mezzanine or Deck REMODEL NEW TENANT FINISH 0 ACCESSORY BUILDING O DETACHED GARAGE D ATTACHED GARAGE ? CELL TOWER (NEW) ? CELL TOWER CO-LOCATE ? DEMOLITION 0 POST &-BEAh1 -PIER O BASEMENT (WALKOLIT:_Y N) FKUJM I INMKMA I AVM Early Release Manufactured r Permit: Y _XN Trusses: Y Lot Split: Y XN Sump Pump: Y X!N FLOOD ZONE AREA DESIGNATION 5 FOR THI PROP PRTY: ? -, PLUMBING CONTRACTORt f J1 Plumber's Indiana State License #: Glass I structure permits ire subject to the General Adminis[rathT Rules of the State of Indiana (See 675 LAC 12) [5ganding expiration time Cxames for beginning and completing Construction- [, the undersigned, agree t} at any consttucROn, rzcons[ ac:ion• ealugemen[, re3xacon, or airreran of a sttx^ue, or my change in [he use o: land or structures requested by this application wil€romply with, and 20nlosm;0,3!1 aceDheable larva o£Coe StateoC Indiana, end the•Zcoaag Ordiwi,, .'Carmel indiana-5947-(Z-2B9)and amerdmen[s, adopter under auUreary c.£ I C. 36-7 et seq. Geaml Assembly of the State of Inciena, sad all Acts ameerdatoTy thereto. I Further eerd5y that owl}' la¢hen. oath, and float drains rJ'e connected to the sarara?sewer I further eettily that the construction will not be used or occupied until a Certificate ofOetu[ranry orSuhsrantialComp/edon has been issuedb pa?tmen[ f unity Services, Carmel, Indiana G-JFC. 9 Signature of Owner nr Aathor'.,.d Agent Ptlnk OFFICE USE ONLY: ******* *********** **** KS RS?s: a.....a«fifififi?fi+f TT r /? m . _ . _.... . o CJ f J N , INSPECTIONS REQUIRED: Filing Fees: D Upper Footing 0 Lower Footing P © # Charged Re- C-3 Under-Slab Rough-In Base Inspections: Reviews CD Meter Base Final Building cert. of Occupancy: _ ? Final Forestry Final Fire Dept. •NOTE: Above ceitinglgrid ins ection requirements will be TOTAL : mdica ed on your permit placard. 7 e ? Reviewed/Appr ved: Dept, of Community Services ate) Fee Received S:Pauni[5IF9r'?SRIP MMERCIAL FUg.2007 Additional Fees Dare