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City of Carmel/Clay Township Permit #:012-D11
CONLIERCLAL/INSTITUTIONAL/MULTI-FAMILY IMPROVEMENT LOCATION PERMIT
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APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER
OF NAME. PHONE: FAX:
RT U)?DE?s INC. 3(7-872"`118 317"33 -014
RECORD: STREET ADDRESS: CITY: ` SPATE: ZIP:
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' BUILDER's EMAIL ADDRES {{-f- ,/Y1a r?(j/2G BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
NAME: ? PHONE:
t? 1 FAX:
F\ MVV?1 tJ is Co. K)C 317- 81 - os27 3 7 803 -V7o2
STREET ADDRESS: C CITY: STATE: ZIP:
x22 CRlDI JT ttrzmEt- 603
LOCATION ADDRESS OF CONSTRUCTION: SU 1W e
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INFO' Address of Shell Building: (If different than Address of Construction) Lot OF and Subd : ,(,{fAPplikdbR),tt _ i .
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BUILDING, PROTECT, OR TENANT NAM E:
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STATE COMMERCIAL ?
DESIGN RELEASE #: 33D 78
V SCOPE(S) OF FDN C STIR ARCH MECH PLUM
RELEASE: EIEC 0 SPKLR OTHER(S): SQUARE L
FOOTAGE: 1 &55
WATER UTILITY /?1
W
DER SEWER UTILITY
PROVIDER: CTR?tID ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 75 060.00
PROVI
:
PLAN COMMISSION / BZA / BPW DOCKET. NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: Elevator or Uft: Cl ?, LDG. CONSTRUCTION TYPE: )?-g SP
_uk OCCUPANCY CLASSIFICATION: fY? I ?Ff1'?
TYPE F CONSTRU " A ,Nish gT'N MPROVEMENT: PROJECT INFORMATION:
%rc{ n (\ance Ood1 wUCTURE Early Release / Manufactured /
dPr?ed eCq r I I SV Permit: Y ? ?I Trusses: _Y ?
Ot\ .?; INSTO e? \v`?r11 -vol O Pwd(s) Lot Split: _Y N Sump Pump: Y AN
;;ivry,1 5 5I/ "g j C? O Memanine or Deck
_??c'I VFF'vI TT't»??••,ND\, (?Na` a/ REMODEL FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY:
?I E Th- NEW TENANT FINISH - ?LAC? 1 A
O MULTI-FAMILY O ACCESSORY BUILDING L ?1' l2 c1
Number of units: - O DETACHED GARAGE
O ATTACHED GARAGE PLUMBING CONTRACTOR:
FOUNDATION TYPE: (Check all which O CELL TOWER (New) (, C_AAR MIF-C"Art i
app for the new construction area) O CELL TOWER CO-LOCATE
SLAB O CRAWL SPACE O DEMOLITION Plumber's Indiana State License #:
O POST&-BEAM -PIER O BASEMENT (WALKOUT: Y_N) ?LS 10`5j 210(O
Class I structure permits are subject to the General .Administr ive Rules of the State of Indiana (See E75 IAC 12) regarding expiration Ume frames for beginning and
completing construction.
1, the undersigned. agree that anv construction, reconstruction, eulanyement, relocation, or alteration rife structure, orany change in the use of land or structures requested by
this application will comply with, and conform to, aJ applicable Taws c' the State of Indiana, and the "Zoning Ordinance o:C=tl Indiana - 199 (Z-239) and amendments.
adopted under auchorryof I.C. 36-7et seq, General Assembly of the state of Indiana and all Acts amendatorythtrem. 1 further certify that ouly:dtchen, bath, and floor drains are
ccnnetted to the s itarv sewer. I further certify that the construction will not law used or occupied until a Certificate of0ccupaney crSubsranoal Completion has been
sued by the D tment of Community Senices, Carmel, Indiana. J
?u??uZ RQIQGn?ST,N?
hink M D J t
onsture of Oemer or Authorized Apent
USE ONLY:************************************************************************
INSPECTIONS REQUIRED:
U Lower Footing Under Slab
Rough in Meter Base Final She
Um t`lrimrhwj? Reviewed/App ved: Dept. of Community Servic (Date)
S:PermlS)FO COMNERO L
Filing Fees: / as O y
Base Inspections: ?6 0 6
Cert. ;=0 /l l DO
TOTAL: '100
?414- Z y
Fee Received by
Date