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HomeMy WebLinkAbout07110168 ApplicationPermit #: 07 /it) Ala City of Carmel/Clay Township _ COMMERCIAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT \!xoiaaj APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER PHONE: k 121 FAX: NAME: I 317-S7y-WKS 3i7-S1` -r5- ( C 4 OF .tti & 5 OIIS ?G io RECORD: STREET ADDRESS: 4H CITY: SSlSg C. ("C 5t-. STATE: INaf/ &)k-Po4tr /fJ ZIP: 2,2,4) BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: 0.5i (- o C&lc-? c,w+I. cF itciaL PROPERTY NAME: Cear,ia T 5J5M F0,F PHONE: FAX: I t OWNER: aic, wed Laim 1 1. 07 - b J i SFe- 130 CITY: STREET ADDRESS: STATE: ZIP: s 37 L LVI LOCATION ADDRESS OF CONSTRUCTION: / 03$ cSUITE #: (if Applicable) o wle+rct r; 4e- i &PROJECT _ f C dd t i Lot # and Subdivision: (If Applicable) ?? i INFO: ress o ons ruct on) Address of Shell Building: (If different than A D lJ BUILDING, PROJECT, OR TENANT NAME: ZONING: r - TAX MAP PARCEL . . f NOV 19'2007 t 6,k 1 171 Q oo (I STATE COMMERCIAL SCOPE(S)OF C FDN 0 STR 419 ARCH a MECH 11111110 PLUM SQUARE B DESIGN RELEASE #: 3 RELEASE: 0 ELK 0 SPKIR OTHER(S) : FOOTAGE: WATER UTILITY G.?l ?L SEWER UTILITY ESTIMATED COST OF CONSTRUCTIOi EXCLUDING LAND VALUE) S s O PROVIDE ' PROVIDER: ( 1 e, l? C PLAN COMMISSION / BZA/ P1 N MBERS, ANDiOR C/1er I r COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): * of Floors: ( Elevator or Lift: YES X NO BLDG. CONSTRUCTION TYPE: V. OCCUPANCY CLASSIFICATION: r TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION: AN COMMERCIAL ? NEW STRUCTURE Early Release Manufactured Y X N T Y -N (Privately owned hospitals and medical O ADDITION russes: Permit: offices/centers are commercial) O Room(s) ,(N Sump Pump: Lot Split: Y Y ZN O INSTITUTIONAL ? Porch -> _ _ - ? Municipal/Public Bldg O Merzanineor Deck REM DEL C GNATION(S) FOR DESI FLOOD ZONE AREA THIS PROPERTY: SED FQR COIVSTd U FINISH -W O MULL AIL140 compliance Y BUILDING lGAE 1 ] a c£4£ f ffi %% X +mber o unt GARAGE :StPte and LOCBI Co S ?ET A PLUMBING CONTRACTOR: F (?? r+n ?.r tScP ATTACHED GARAGE E7teelc FOUNDA PE:` eHi1JITv( // 1 . ( ER(New) /t`'L vrt? r f I w C?f+tarlrLtt ? apply for n ?ttkaCea)f'LAY -Q y?T{?§R CO-LOCATE . EA DEMOLITION 0 SLAB O CRgIJL§t C Plumber's Indiana State te License #: v O POST&_BEAM -PIER ? BASEMENT (WALKOLfr: Y--N) c0Eo&©OO4I Class 1 structure permits aresubjett to the General Administrative Rules of the State of Indiana (See 65 LAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, rmonstr scuon, enlargeurent, relxatien, or ai[eration of a str accure, or aqv charge m the use of land or structures requested by :his application ,,-H comply with, and conform to, all applicable laws e: [he State of Indiana, and the "toeing Ordlnauce of Carmel Indiana -1993"(Z -269) and anendmenm adopted tinder authorky of LC. 36-7 u se xi, General Assembly of the State of Indiana, and all Acts azn,.datory thereto. 1 turher cetti[y Thai only kitchen, bat1L and Boor draass are connected [o tie sanitarysewer I further certify that the construction will not be used or occupied until a Cerr/fiore of occupanryor5ubsrurtial Campleoon has been i the Deputmerft unity Se 1ces,C1&rmel,Indiana. IGt/VUC ! tf C-fn ^ J l`I Ol N L_ V 1-2 h i fi Ln _ f Q Signature of Owner oar 4 t ditted Agent Print ba[ **************************************************?*tsq************::zIssas OFFICE USE ONLY: INSPECTIONS REQUIRED: Filing Fees: R /-Do Upp ling Lower Footing Under Slab Base Inspections: Cert. of Occupancy: Rough Meter Base Final Site / t ? TOTAL :l/? Reviewed/App ved: Dept. of Community Services (Date) G/ S:Permits/FarmN13 ON,MER".JAL Fee Received by: ale