HomeMy WebLinkAbout07120047 ApplicationCity of Carmel/Clay To"ship Permit #: C771Z0 `7`7
COMMERCIAL/INSTTTUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
pd a„,,! APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME:
Gc?J Gg2K u PHONE' FAX:
r7 r4[-IIW 7 3- 3300
OF
RECORD: STREETADDRESS: Q crry: STATE: ZIP:
i
?
30> ?. DP[?(L "-dam a
Ga
5?lcc.c c -j
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
HonEPuh?G Y?rico. c"i n 52 -9 5 aR_ .51-t^e-
PROPERTY
OWNER: NAME: miii r?ts 7 ,141 FAX:
?C f VE2[r I. (( 3( $ o,$5 317- ?7.2-IS62-
STREET ADDRESS:
?r
5
cRY: STATE: ZIP:
-? dGZ$ra
? /
1 r
S7 0 .
LOCATION ADDRESS OF CONSTRUCTION:
` S?p,A 51 #: (If Applicable),
3
&PRO]ECT OCR . OGT
' $TXt--2 Z
, ?
INFO' Address of Shell Building: (If differeatthan Address cf Construction) Let # and Subdivision: (€f Applicable)
BUILD€NG, PROTECT, OR TENANT NAME 20NING: TAX MAP PARCEL
STATE COMMERCIAL SCOPE(S) OF Ic 5TR Vr ARCH er MECH ;7 PLUM SQUARE `?D t1 Sf C'?
DESIGN RELEASE #: RELEASE: / FLEC SPKIA OTHERS}: F4DTAGE:
WATER UTILITY
PROVIDER: SEWER UiRT Y
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ,t 3Spd q
GAXIIX,
PIAN COMMISSION( BZA JBPW DOCKET NUMBERS; AND/OR
COUNTY WELL AN D/OR SEPTIC PERMIT ='S (If Applicable):
# of Floors: ow2EE Elena or or Lift: ? YES W NO BLDG. CONSTRUCTION CYPt: EN/A3T- OCCUPANCY CLASSIFICATION: ra - Pzt!
TYPE OF CONSTRUCTION: TYPE OF IMPROYEMEHIT: PROTECT INFORMATI
Ly COMMERCIAL D SOTRUCTURE 'Early Release Manufactured
(Privatelyowned hospitals and madical N Permit: Y /N Trusses: Y i? N
offims(centers are rnmm2rcial) .`>?? ?S? 1 Room(s)
C Lot Split: Y ?N Sump PumP Y ti
INQ UM OcipalJPyy??}tBIE}g?'N5 g)I tJ or anine or Deck
Q 5ritmf4 Y`?',aroe 21 0121 pf0 FLOOD ZONE AREA DESIGNA_TIQIJ(S) FOR THIS PROPERTY:
L? 't ANT FINISH J j
C rpi? fu
it COg?e ?0? tUN1? D 71; SSORY 13UILDINC ? ? U h 5f? a ii <<
+brpS t.F: f- i ?p DETACHED GARAGE
nF PLUMBING CONTRACTOR:
FOl1NDA N hh?P I}wl i S?NP` Q ATTACHED GARAGE
'r 1FTY` D CELL TOWER CNoW)(L P(,vrrbl,?L, [n1 ?-.
apply for ttie _ c run aar?ea-I fl ALL TOWER CC-LOCATE
t[f SLAB 0 CRAWL SPACE D DEMOLITION Plumber's Indiana State License
C POST& BEAM -PIER O BASEMENT (WALKOUT: Y N) GP 480oL3S
Class 1 strncmre permits are subjtct to the General Administrative Rules of the State of Indiana (See (575 LAC 12) regarding expiration time frames lox heginning and
comPltting construction.
L the undersigned, agree chat any remrrrtma, recenstructioq erlarStntent relucattca,oralteration of a structure,,ranyrlei is the use oflandorsmcmresrequestedby
:his applicuion u3l comply:veth, andconformto,all.ppli lawsoS the Siare o(ladian4 and: e"Zonin¢Ordinarxe c: Csrmel[nd[ana-1993"(Z-?99) andareecdments,
adopted udder au[hariry- nE E C- 35-7 et see, Get eral Assembly of the State of Indiana, and all -Acts amendatory tt-rem. I lurthe.-certify that only fdtchcn, ba a, and floor drains are
connected tc aae sanitary sewer- I further certify that the construction will not be used or occupied until a Cutificate of 0cupaury or Suhstanval Completion has been
issued lie department oj?ornntututy Services, Carmel, I¢dia¢z
Authorized Agent Date
******************************x*********x?t?*ssssfisxaa:?sfissfia;??a<+?.+++++.
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: g 7.0 o
Up LGC r FOotin nder Slab Base Inspections: C? X. /? r7
Cert. of Occupancy: / . oc)
Rough in Meter Ba Fna site p
l TOT L: ?(%Od
Reviewed/Approved: pt, of Community Services (Date) hyk
S?Pennitslr s/1LP caMMERCTAL Fee Recewd bY/ Ddi