HomeMy WebLinkAbout07100009 Application`4.cxvxAl?'.
City of Carmel/Clay Township Permit #: 7f O flD
COMNIRCIAL/I NSTTtUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
?esEa # _?• APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
OFILDER NAME: PHONE: ?,V/ FAX:Z17• 5-7 -E7F
i IZ4.26 ?62541v e--Ar-an
RECORD. sTREETADDRESS: / CITY: STATE: j/
d?? dl6R u 1 _ . _ ZIP:
6 ?"L
BUILDERS AIL ADDRESS: BEST METHOD OF CONTACT:
I
@
nc . co
?GzzE -?
ees :?
PROPERTY NAME: i ' PHONE: FAY:
6h
-
R `c iE e
L
OWNE
:
STREbT ADDRESS: CITY: rr ! SPATE: /
-I S.Sr Gc/?ST 6 rM e.? def. L?G[rM?( J?J ZIP:
??3 ?
LOCATION
& PROJECT ADDRESS OF CONSTRUCTIO,'N:j f Sul #: (VAppIICa61e)
7S S
INFO: Address of Shell Building: (If different than Address of Construaionl Lot # and Subdivision: (if Applicable)
BUILDING, PROJECT,
f • OR TENANT NAME: !f j
?1 IiG?£lP f f1Y nc.??l c7I0 ZONING: TAX MAP PARCEL #:
? -
-
STATE COMMERCIAL
DESIGN RELEASE #:
"1 2A? .? 3
.? r ?
SCDPE(S) OF ? F O STR t ARCH ? MECHi LUM
RELEASE: GfLEC C SPXLt OTHER(S): SQUARE
FOOTAGE:. `?
ar,
5 DO
WATER U'TILI'TY
pROVpt-R
/ SEWER uttl:ffY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) vj 6 O
: rme-.
PLAN COMMISSION I BZ4! BOW' DOCKET NUMBERS; AND/OR
EPTIC PERMIT #'S (If A
licatle): '
COUNTY WELL AND/ pp
OR S
# of FICOrs: Elevator Cr Lift: 6 YES X NO BU)G. CCN STRUCTION TYPE: G OCCUPANCY CLASSIFICATION:
7
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PRO&U ]INFORMATION:
COMMERCIAL ? NEW STRUCTURE Eariy Release Manufactured
(Privately owned hcspitals and medical ? ADDITION Permit: Y =N sses: Y _N /
offices/centers are commercial) I-) Roonf,(s) C-
? INSTITUTIONAL ? Porch Lot Split: Y Sump Pump: Y _N
? MunicipaVPublic Bldg ? Merramneor Deck
? Schaal ( REMODEL ?QA ?-, A (FLOOD ZONE AREA DESIGNATION 5 FOR THIS PROPERTY:
? Church ? NEW TENANT FINISH
CT MULTI-FAMILY ? ACCESSO?BUILDING
Number of units: ? DETACH-D'?ARAGE
Ck,4TTACl1EDD•:GWGE PLUMBING CONTRACTOR:
FOUNDATION t TYPE: (Check all which - -,O ;? -
r, .. .GELL'?gOINER (New)
apply ly for for the e new construction area)?+ i: n CELL 70lh'F12?LOCATE
I-- SLAB ?j,06AWL SPACE-L ?L DEMOtITIONPlumber's Indiana State License
? POST& "'Pii A'' SE4NT .(WALKflI'l Y N) J
uE fl9 n?\h"\\. 1 " T
.
Class I structure"permits aJare\suti?ect ?to die General .AdmjAisaarive Rules of the Stare of 3ndiana (See 675 L9C 12) regandf rig exp7ratio¢ time frames for bee nniag apd
eompletingeonsecuetion.
€,thennders]gned, ag ar'q?ronsYiuction, e tzuaion, enla oeme:tt.te7xadoq or al:er¢on ola strvcrum, or anv changenthe ore of land ex ,tr.tc??rc5:equested 6y
this applicatiea will c6.0&-k It and ccntorm to, al I applicable law.; of the State of Indiana, and :'le 2onmg arclm ce of Carmel Indiana - 1993-- (Z 289) and amendments,
adopter uode-authoity e_ I.C. 36-7 et seq, Grnera] Assembly of tht Stare of in'uana, and all Acts a;nendamry rbereta. I -mr_IC_ certify that onk kitchen, bath, asd floor drains ze
coanectrdrothe sanitary aeu er. I further certify that the construction will not be used or occupied unttl a Cerrificm of0rcupvwc7or5tri?r Lai Cbmplennnbas been
issued bytheof Comm unity Services, Carmel, Indiana. /
417 7eSe' V ?A Z .4
tom/
Date
*s********x*KZ*ss********k***s**:****** M*******/*/**?** *******k*x***:
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: a
? Upper Footing O Lower Footing
Base Inspections: d? O Charged Re-
Reviews
? Under-Slab Rough-In
? Meter Base Final Building ??--f1
Cert. of Occupancy: J I V _
? Final Forestry Final Fire Dept. ` nn Addibonal Fees
xNOTE: Above ceiling/grid ms ction requirements will be
your permit placard.
n
indimted o TO AL ;
{
? f
G
06,11
?Q
` wtN Q&
-
..-
,
Reviewed/Approved: Dept. of Community Services (Date) Fee Received iy: D
S:PO•mllslronr IIIR COMMERCIALA4.2007