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HomeMy WebLinkAbout08010060 Applicationr.% CAS (? l l ' Permit City Of Carmell Clay Ta"ship COMA.LERCIALJINSTTTUTIONALIMULTI-FAMriLY MIPROVEMENT LOCATION PERMIT APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER OF NAME: PHONE: FAX: L&?rj4i (,arj-;?rrocnopd GGC 17-O -&SW r7 - ale -&5-11 RECORD: STREET ADDRESS: CITY: U!5 ` L )4 W STATE: T r-! ZIP: ? 2 0a BUILDER'S EMAIL DRESS: BEST METHOD OF CONTACT: 6qar(_e_+ t_ (0 1 AV In eit& e_vv-Ac?.i t__ PROPERTY OWNER: NAME: PHONE: Nrit'S _ D6t-40Y 4 FAX: C' N e, T+#??? ?? '31 - jr 3k 7- JIG fl STREET ADDRESS: CITY: STATE: ZIP: LOCATION & PROJECT ADDRESS OF CONSTRUCTION: C."'c' f' Cr ?r'? fC SUITE *: (If A.pfAcatie) 1 P iNnl5 L `.l 04-N ! ?4 r? O LS , { r' INFO: Address of Shell Building: (If di Brent than Address of Construction Lot * and Subdivision: If Applicable) (V caretep wre T. BUILDING, PROJECT, OR TENANT NAME: ZONING: TAX MAP PARCEL # : 014-10 M . re r tile 13 110 STATE COMMERCIAL DESIGN RELEASE #: ; 1 tff SCOPE(S) OF D FDN F_. SIR % ARCH MECH t PLUM RELEASE: I ELEC -D SPKLR R(S): SQUARE FOOTAGE: 7 t(1 02- WATER 11 PROVIDER: L SEWER UTILITY OHPAJ PROVIDER: E ESTIMATED COST OF CONMUCTICMd: (EXCLUDING LAND VALUE) oa PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELLANDlOR SEF'r1C PERMIT #'S (If Applicable): # of Floors: q Elevator or Lift: 17 YES NO BLDG. CONSTRUCTION TYPE: X1at?1 OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: TYPE OF IMPWVEMENT: PROLE INFORMATION: 1 COMMERCIAL ? NEW STRUCTURE Early Release Manufactured ;Privately owned hospitals and medical ? ADDITION Permit: _Y ?N Trusses: Y X N offices/centers are commercial) ? Rooms) 0 INSTITUTIONAL L-3 Parch{ Lot Split: ?YN Sump Pump: ? Municipal/Public Bldg © Mezzanine or Deck ? Schciol_ ? REMODEL FLOOD ZONE AREA DESIGNATION 5 FOR PERP ? Church NEW TENANT FINISH O KULTI.+AMItY!1 . ACCESSORY BUILDING - Number of units: `DETACHED GARAGE t? [? ATTACHED GAI GE PLUMBING CONTRACTOR: DUNDATION TYPE: (Check all which CELL TOWER (_Vew pply for the new construction area) Lt TOWER CU-LOCATE TO At I _ SLAB ? CRAWL SPACE L3' D1=MtOLMON Plumber's Indiana State License ? POST&-BEAM -PIER O BASEMENT {WALKOUT: Y N) PG I o26oo' R r Class 1 structure permits are subject to the Genctal Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any omstructiOn, reconstrac-ion, enlargement. MOM atien, or a'_teration of a structure, or any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana -1443' (Z-284) and amendments, adopted u er authority of I.C. 36-7 et sea, General Assembly of the State of Indiana, and all Aces amendatory thereto, 1 further certify that only kitchen, bat'a, and floor drains are 0o cted the sankary• sewer. I further certify that the construction will not be used or occupied uatif a Cerdfieare afDcrn neyarSubscanrial Completion hats been i e unitystrnic , armel,Indima- a 1 141 9AQ . Ag"qdmW0vv4i)prAuthpdzed agent 4 na **************************?*******?**?********?*?*?**************?****?* OFFICE USE ONLY: INSPECTIONS REQUIRED Filing Fees: : Upper fgaing Lower Footing Under Slab ?_ Rough Meter Base 'nal Site Reviewed/Appr ed: dep of community Services (Date) S:PermrWForrN1_P1 DMMERCIAL Base Inspections: Cert. of Occupancy: TOTAL: ??A?qr Fee Received by: O' () C .0o 6[? Date 6