HomeMy WebLinkAbout07120087 Application/: Jparu,?r .
t
I i
City of Carmel/Clay Township Permit #: J .
CODIMERCIAL/INSTITUTIONAL/MULTI-FA-WLY IMPROVEMENT LOCATION PERMIT
APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME. ' PHONE: FAX:
Sc ?` t CpasT c ?'?'? 1,VWIcfc_,_ 7445 74A4 .7 765 37 • 06`!2-
RECORD: STREET ADDRESS: CRY= STATE: ZIP:
tw-i MA
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
E- "IL.
AM
ST'EUEn1. SCHEL.L-Q JAly(afrBB • C
PROPERTY ,,.,?c
p
rc` &4ON[t' ?fU?/fI'/?/?/?D[/S,FAX' '• 5 U a 3
SST L? c So d
OWNER:
STREET ADDRESS: ?. d ;K- 600 ( CITY: a, L ((M?{ STATE: ZIP: r
LOCATION ADDRESS OF CONSTRUCTION: I SUITE(If Applicable)
CMaKEL 1f? ?t J'
R? SO
'
2
i
T (
p.i,I?Ly
6
.
loo l'
& PROJEC
INFO: Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: ZONING: s T'A?hMMP PARCF
Ki ?o??ct?w' At - h 4-8-1-9-74 ,aa'
STATE COMMERCIAL SCOPE(S) OF C 5DN O STIR ARCH '_ <Oi PLUM SQUARE
DESIGN RELEASE 33 5!/`7 RELEASE 0 _Ia'E{ G SPKLR I R(5): FOOTAGE: 14LO
V:ATER UTILITY SEWER UTILITY //Q L ESTIMATED COST OF CONSIRUCIWN: ems,
PROVIDER: EWf?xitx- PROVIDER: ?YJSTIfSt? (EXCLUDING LAND VALUE) 35oa
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL ANDi OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: ` Elevator or Lift: O YES NO BLDG. CONSTRUCTION TYPE: 1~yJrifilNb OCCUPANCY CLASSIFICATION: E
TYPE P0CONSTRUCTION:
COMMERCIAL
(Privately owned ho5p
D
O
bd rharic? v7dr
es, D m(s)
s)
%tao?oGa, codes-
Erb t
?c??'Ci'S']`'e`'anine or Deck
wwo GiLAY NEW TENANT FINISH
?kY H ?(?jl?l ! P O ACCESSORY BUILDING
s'GP_ ?NQ?P? O DETACHED GARAGE
'E: (Check all which D ATTACHED GARAGE
construction area) D CELL TOWER (New)
O CELL TOWER CO-LOCATE
O CRAWL SPACE D DEMOLITION
O POST&_BEAM -PIER D BASEMENT (WALKOUT:YN)
PRWCCI iNFORMA l iyin;
Early Release v Manufactured
Permit: _Y_N russes:
Lot Split: _Y _ Sump Pty
Plumber's Indiana State License
Z
739`S
3Y
v
_Y _ DI
Y -N
L 219
Class 1 structure permits me subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginningand
completing construction.
undersigned, agree that, av eensm:ction, reconstruction, eniargement, relocatiom or alterauen of a structure, or any change ur the see[ land or stnmtmes requested by
s a Ii 'c III cotnply with, and conform to, all applicable laws otthe State of Indiana, and the "Zoning Ordinance cf Ca ,tl Indiana - 1993" (Z-239) and amendments,
ajopte" therity of l C. 367 cc seq, General Amiably o. the State of Indiana, and all Acts amendatory thereto. IFurther certify that only ldcchen. path, and doe-drains are
e e t s Mmy sewer 1 furrher certify that the construction will not be used of occupied until a Certificate ofoccupancy, orSubsnntial Completion has been
i by a count of Community Senices, Carmel, Indiana.
S-MUf..y SC.}tt_La_ I:j zn ?'7
nature of owner or Authorized Agent Print Date
OFFICE USE ONLY:************************************************************************
INSPECTIONS REQUIRED:
0
Filing Fees:
D Upper Footing D Lower Footing
BaseInspedions: $ # Ch??Re
D Under-Slab Rough-In
ildin
Fi
l B
f O 11
1 Cb
g
na
u
D Meter Base
k ccupancy:
Cert. o -
D Final Forestry Final Fire Dept
in, ion requirements will be
=NOTE: Above ceiling/grid
TOTAL : r( ?
2--V 1 n Additional Fees
indicated on Your permit placard.
Reviewed) proved: Dept, of Community Services (Date) Fee Receive Date
12-0097
S:Permlts/Foms/aP NFIMERCIAL A ig.70d7