HomeMy WebLinkAbout07120064 ApplicationUtir ^f C4kaE.
City of Carmel/Clay Township Permit #; 07Ia00
COMMERCIAL/INSTITUTIONAL/MULTI-FAbffi Y IMPROVEMENT LOCATION PERMIT
,?.luni>ar...' APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME: PHOIJE: FAX:
J ( Y>e b ( 0 5L3 501- `IoZ-7 5o 3s3 - '1iqD
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
e) (r,6 W .Mill S? . A, {3p G[GvcS (OR 1454Dz
BUILDER'S EMAIL ADDRESS: rr SS BEST METHOD OF CONTACT:
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W SG Yom`Mf}t. q
PROPERTY NAME. PHONE: FAX:
CM(? OFF c Cc -lei ?Q LL 9e3.i,3f-36 30 5x3-iq7-12`ff6
OWNER
:
STREET ADD St CITY: STATE: ZIP:
4' l e,L 5 jab i ? p6ta &4-. 45 Z- l-4 2
LOCATION ADDRESS OF CONSTRUCTION: p #; (If Applicable)
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& PROJECT .'4
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31l{5 C zll
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INFO: Address of Shell Building: (II different than Address of Constru Uon) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME:
C r?C T31)sLY?, Arm ZONIN
`?-5 TAX MAP PARCEL #:
le e*-Z, 60-aL) -t;01002
STATE COMMERCIAL
DESIGN RELEASE #: - ?p1 SCOPE(S) OF d FDN 2t' STR CYARCH 2-MECH 3--PLUM
RELEASE: (1- ELEC O SPKLR OTHER(S): SQUARE
FOOTAGE: 3? { 3,0
WATER UTILITY (,PC-
PROVIDER: mf?` SEWER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ?' 2 ttH 5D
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND(OR /
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable): b !70 ?-W
# of Floors: Eievamr or Lift: 1. YES O NO BLDG. CONSTRUCTION TYPE: y py OCCUPANCY CLASSIFICATION:
TYPE FC-ONSTRUCTION: TYPE OF IMPROVEMENT: PROJECT INFORMATION:
MMERCIAL NEW STRUCTURE Early Release *' Manufactured ?
N
Y
(Privately owned hospitals and medical O ADDITION Permit Y 1/N Trusses: _
_
offices/centers are commerclal) O Room(s)
Y ?N Sump Pump:
Lot Split:
Y _N
O INSTIRfTIONAL O Porch _
? Municipal/Public Bldg O Mel anine or Deck
O School O REMODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
O Church O NEW TENANT FINISH
S
? MULTI-FAMILY O ACCESSORY BUILDING
Lh
Kit-tic°`
Number of units: O DETACHED GARAGE
PLUMBING CONTRACTOR:
O ATTACHED GARAGE
FOUNDATION TYPE: (Check all which O CELL TOWER (New) S Pq
?'.o/J
apply for the new construction area) D CELL TOWER CO-LOCATE _
-- -- r
ff?SLAB O CRAWL SPACE O DEMOLITION Plumbers Indiana State License #:
O POST &_BEAM -PIER O BASEMENT (WALKOLrr:_Y_N) C`? 8?5goDO?
Class 1 structure permiu are subject to the General Axiministrame Rules of the State of Indiana (See 6751AC 12) regarding expiration time frames for beginaingand
completing construcuan.
I, the undersigned, agrc any cDnscruc[icn, rec ns tlM enlugemeat,rc!xa[icn,orz[erazioa oEa s[[uc[ure_or any change ir. the use of and or stm=res requested by
this apphca:fnn will c ply'.?ith, 4d co -td) 1 appli ble aws of the State of ladiana, and [Se -Zoning Ordiwnce e; Carmel Indiana - 1993- (Z-239) and amendmeo¢,
adopted under aucho¢ry-oELC 36-7 e[ ,Gen Assemb o[ ?eS[a[e of irdiana, and all Acts atnendato^;[hereto. lfuaher ceaifythat only ldxhea, bath, aid Reor drains are
coeaec[ed to the saniLlC•.'•sewer.rJfu ere at the construction will not be used oroccupied until a CertlfiareofOccupwryorSubstsnoa/Comp/edon has been
issued by the Department of Qommu [ rvi t Calm , Indiana.
A ` e'oy l-PttJ D 12- 101 v7
e.---w..af..r r......e.... a..rw...:.w sae \ Print Date
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1FFTCF IISF ONLY:
PECTIONS REQUIRED:
Upper Foo ' g Lower Footing Under Slab
Rough I eter Base Filial Site
Filing Fees:
Base Inspections:
Celt. of Occupancy:
TOTAL:
t7 Yj `/, V U
5.0
rved: Dept. of Community Services (Date) _
coMMERCIAL Fee