HomeMy WebLinkAbout07120036 Application°""F Permit #: 071 O036
City of Carmel/Clay Township
COMMERCIAL/INSTITUTIONAL/MULTI-FANffi.Y IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME: PHONE: FAX:
OF K 6 ec &tPold CiiCi a '317-16-35 -Ilmo
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
I+7 S. PFNN LV Su I A4041 5 rN 492o
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
?k<_n oNE-cvRP cost ?-Nktf.
PROPERTY NAME: PHONE: FAX:
OWNER n GDN62fi55xcNAi ?uV - LLG 3 7 - -?7
:
STREET ADDRESS: CM: STATE: ZIP:
ID nE N V r _rNi%rAwApi;iT!T :t N6?9D
LOCATION ADDRESS OF CONSTRUCTION: SUITE #: (If Applicable)
&PROJECT S50 c-oN6RFSsroNA1_ LoVLtVAKD 115-1- FL_ _
INFO: Address of Shell Bullding: (If different than Address of Construction) Lot # and Subdlosion: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING
9 TAX MAP PARCEL
55O GON o -2- 16- -av--b -
STATE COMMERCIAL SCOPE(S) OF C FDN C STR 'A ARCH )( MECH R PLUM SQUARE
FOOTAGE
5x78 SF
DESIGN RELEASE #: 3306os RELEASE: I ELEC Z) SPKLR OTHER(S): :
WATER UTILITY ? n ^ ^(
PROVIDER: V 1 l
10
` SEWER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION: ^
(EXCLUDING LAND VALUE) Olo?Sr 0420
U BERS; AND/OR
PLAN COMMISSION / BZA / BPW DOCKET
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: .-3 Elevator or Lift: -x YES 0 NO BLDG. CONSTRUCTION TYPE: I I-B . EXST OCCUPANCY CLASSIFICATION: 13 f M
TYPE OF CONSTRUCTION:
l? COMMERCIAL
(Privately owned hospitals and medical
of loeslcenters are commercial).,,. r
?
i I
apply
O
`or the new
SLAB
O NEW STRUCTURE
? ADDITION
Room(s)
1L-[[??rrFT????
n1j1 Porch
1i t890(auO
?
2a
/PUDIIC jd@Ith a
mp O Meaanine or Deck
,nd l C18S. R ODEL
and Local OD
Cza TENANT FINISH
Bte
C
S
TY
A ?SORY BUILDING
^OMMUNI
N
?
ts: CiLr`Y TO
R L1 D ACHED GARAGE
O
ylc
l
h ATTACHED GARAGE
;?
a
? CELL TOWER (New)
stru c4t? r ea) ? CELL TOWER CO-LOCATE
0 CRAWL SPACE O DEMOLITION
POST &_BEAM -PIER O BASEMENT (WALKOLfT:_Y_N)
Lod by remtdE-? ?/2 b2?s
Early Release Manufactured ?f
Y
N
Permit: _Y __)?,_N Trusses: r?
_
Lot Split: _Y _)CN Sump Pump: _Y ?N
FLOOD ZONE AREA DESIGNATION( S R THIS PROPER :
W
PLUMBING CONTRACTOR: rn
M.cv'AY tie n
Plumber's Indiana State License #:
v o
C O SD G Opo Al 0
Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time trame{ for bep'n °^=
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or srvclr res requested by
this application will comply with, and conform to, all applicable laws of the State of lndianry and the -Zonmg Ordinance cf Carmel Indiana - 199 (Z-289) and amendments,
adopted under authon 1-y of LC. I6-7 et seq, General Assembly of the Smte of Indiana, and all Aers arre dater thereto. I further certify that only kitchen, bath, and flog drains are
comnecsd to tie sanitary sewer. I further certify, that the construction will not be used or occupied until a Certificate ofOecupancyorSubsrantia/Compferiouhm been
issued by the Department of Community Services, Carmel, Indiana
(9/1C?sfasy 'k2,e UE(ook-l A MooRF 19-7-t>7
Signature of OW"Vor Authorized Agent Print s.,,/a 7 aid C Cj7 - q ? Dam
OFFICE USE ONLY: *x******x**x***x****x********x*x********x******x****x*******************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Bas Final Site
Reviewed/Ap ved: Dept. of Community Services (Date)
S:Pm ts1FOrntg7_ Ce N.MERU'AL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
13 41 i)
aoS 0
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by: