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HomeMy WebLinkAbout07110092 ApplicationCity of Carmel/Clay Township Permit: Cl?a?/Z COMAfERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVrIVENT LOCATION PERINJIT nL ay APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME' r{ s ( PHONE: FAX: G. 0317 )31 - 5300 X31 t?3! Sa` RECORD: STREET ADDRE5S: CRY: STATE: ZIP: ,6 r BUILDER'S EMAIL ADDRESS: w BEST METHOD 0.- CONTACT: PV .,\e (3I) 34l-S9_D PROPERTY OWNER: NAME: -Fie n PHONE: FAX: 317- q -q II I - 3-?37 STREET ADDRESS: 1010 CJLAL4OL450 > CITY: STATE: ZIP: Q_ e IN *623 LOCATION & PROJECT 1 ADDRESS OF CONSTRUCTION: 149 P-r j7ec,) r" B SUITE #: (if Applicable) INFO: Address of Shell Building: (If different than Addres<of CUPAru lion) Lot # and Subdivlslon: (if Appliuldle) SU11-6ING, PROJECT, OR TENANT NAME: L Ccu-M I?OOJS 4 ZONING: 43-? TAX MAP PARCEL #' 14101%0t96023.oobi STATE COMMERCIAL DESIGN RELEASE #:3 ?Q 3-7 C) !J SCOPE(S)O RELEASE: F 0 FDN ar-M Mr ELEC 0 SPKLR PARCH ;'MECH PLUM -Lr OTHER(S): SQUARE FOOTAGE' 1016 7b WATER LTnLM PROVIDER: ?1 -y- - i? ( SEWER UTILITY PROVIDER: ?t / r I-l?p / ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) DOCKET NUMBERS; AND/OR PLAN COMMISSION i BZA I BPW COUNTY W ELL AND/OR SEPTIC PERMIT As (If Applicable): # of Flows: Elevator or Lift : O YES )< NO BLDG. CONSTRUCTION TYPE: 'Waad OCCUPANCY CLASSIFICATION: - •? [?µ TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION- 0 COMMERCIAL O NEW STRUCTURE Early Release Manufactured (Privately owned hD5pitals and medical CD ADDITION Permit: _Y #N Trusses: _X-Y N dfficWcentem are mmrerciali © Room(s) Y N Sump Pump: Lot Split: Y X N ? INSTTFUrIONAL ? Porch _ ? Municipal/Public Bldg ? Me anlne w Deck ? School ! REMODEL FLOOD ZONE AREA DESIGNATIOWS) FOR THIS PROPERTY: Church 'LJ NEW TENANT FINISH / . MULTI-FAMILY ? ACCESSORY BUILDING Number of units: I Q ? DETACHED GARAGE ? ATTACHED GARAGE PLUMBING CONTRACTOR: lrti FOUNDATION TYPE: (Check all which 0 CELL TOWER (New) elf ` CD apply for the new construction area) CJ CELL TOWER CO-LOCATE ? STAB ? CRAWL SPACE ? DEMOLITION Plumbers Indiana State License #: ? POST&BEAM -PIER ' BASEMENT (WALKOUT: V Y_N) (i 1,3;5 c Class I stnrrtute Permits az?stet;Lter'?lr•.dmCitistiav?uRnl¢solth?`Siate o?Indiana(See 675 LAC 12) regarding expiration timeframe or 6eginn?Lg ands {` l ,t to ecmplianeg witn s6' 1 i ea%,. LRN I, the uudersigued.agree -ha:a MrtStlvoT., re ons[rSttien e[1s?,l?a???tA'????aoccation,or alttia.ona:as=ctvre,orsey change In:ne•ase 30mciet s, res ue tLi .T'lfeati0nwi?I conply u-i[ aid corformCto. d> f l?}S nIthA'SYa?e oF'7n9i y the Zowng Chcir ante ofCz-nel lnd:ana-1993"(7-2e9) adepcedutmeraurhoaty ofiC -7?gsFxtreral'.ASSCrn'gl q.?r[}re i13 ldd}anara ?ctl arrenda[ory Lke-eto. IfurthttcentLy That only kitchen, bath, and Flow dtazna are conoectedmrt-s tarysewelr 1 certifyrthai the rnnstrucd• tviU m[bavsgI= [eduntilvCertifinte ofOccupuecy orSuGstaatial C.ompleoon hss beeu issued Le mentolc ,?Ce ees;Cai(veY; [nduna J' Ivry Ig5t ?, ?T•<A Mi??e Nir?S Il !? a , igttature o/Owner nr AuNer¢ed Agent Print Dam OFFICE USE ONLY' ***************************** z** kx***********x**x k*k**s******x*a *****sas INSPECTIONS REQUIRED: Filing Fees: Upper g Lowe no der Slab Base Inspections: . . 0 C) Rough [ eter Base Fin Site Cert. Of Occupancy: - TOTAL : r7 ks/ -Z) C) 0 .2 ,0'j 72ir? ?!7 d7 Reviewed/Appro d: Dept. of Community Services (Date)f t S:Per.,WFarautiLP MMEZCTAL Fee 'ed by: t Date i i