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HomeMy WebLinkAbout08010070 Application0 1 C 4?Y q?'kF,'` Y" °` City of f Camel /Clay To"ship Permit # : 0,3 + CO1VMERCIAL/INSTITUTIONAL/MULTI-FAMELY INUROVEMENT LOCATION PERU ;pQ.kKa.. APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings) BUILDER NAME. PHONE. FAX. '5 7 - P ' 3 0 OF A n1c . 1 RECORD' STREET ADDRESS: ??// CITY: STATE: ZIP: 64 . ,2 8s-o v. 1 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: C ; S S o ?,%t r' SS o,v, . ri e,4 SAI7 - 9(030 PROPERTY NAME- PHONE: FAX: Ver 62 2- 5&o 4 -5s 16a A C OWNER: #-4 om LM VIn STREET ADDRESS: CITY: Z+ STATE: Z- ZIP: 1 57 LOCATION ADDRESS of caNSrRUCnON: SUITE #: (O.Applicable) -CE: & PROJECT N. INFO' Address of Shell Building: (If different than Address of Constmcbon) Lot # and Subdivision: (If Applicable) BUILDING, PROJECT, OR TENANT NAME: ?,[ r 20NING: TAX MAP PARCEL STATE COMMERCIAL DESIGN RELEASE ft: 2 ? 83 SCOPE(S) OF C FDN 0 STR ARCH P<MECi PC PLUM SQUARE +} RELEASE: , ELEC ? SPKLR OTHER(S): FOOTAGE: x,000 WATER UTILITY PROVIDER: C/ a " SEWER UTILITY PROVIDER: CAYZ M EL. ESTIMATED COST OF CONSTRUCrl N: (EXCLUDING LAND VALUE) T5 PLAN COMMISSION / OZA / BPW DOCKET NUMBERS; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *'S (If Applicab'=e): # of Floors: Elevator or Lift: C] YES X NO BLDG. CONSTRUCTION TYPE: 113 f CUPANCY CLASSIFICATION: 19 COMMERCIAL O NEW STRUCTURE Early Release Manufactured (PrivatElyowned hospitals and medical ? ADDITION,•,'`:~• Permit: Y YN N Trusses: Y X N cffKes/centers are commercial) ? Room(s). INSTITLMONAL Panful Lot Split: Y N Sump Pump: Y N ? MUnScipal fPUbl 9?dg " M arine pr Deck CD School 0 rOntP0f" REMODEL FLOOD LONE AREA DESIGNATION FOR ? Ch uvch ; * 0 c -3C,,ra• 1 NEW TENANT FINAI* r L ! - '- ? MULTI-FAMILY ,` i 11'a r. ' '? ACCESSORY BUILDING ?`GC Number of units: _ ? DETACHED GARAGE 0 ATTACHED GARAGE PLUMBING CONTRACTOR: C FOUNDATION TYPE: (Checl€aH tivitich p CELL TOWER (New) apply for the new ccinWaction area) ? CELL TOWER CD-LOCATE SLAB ? CRAWL SPACE ? DEMOLITION Plumber's Indiana State License ? POST & BEAM -PIER © BASEMENT (WALKOUT:_Y?N) Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time from s d a Completing constructiom cc 1, the undrtsigved, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struerure, or any change _n the use of land or struct tires requested by this application will comply with, and:onform to, all applicable laws of the State of Indiana, and the -Zoning Drdinaace of Carmel Indiana -1993" (7-289) and amendments, adopted ender aunccr ty of I.C. 36•'e et seq, General Assembly of the State of Indiana, and A Acts amendatory thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certifcare ofOccupanry ai-Substantial Completion has been issued he Department of Community Services, Carmel, Indiana. IWL? Ly DIE, Signa re of or Authorized Agent Print OFFICE USE ONLY' ************************» ****» ***************************>****?c**** INSPECTIONS REQUIRED: Filing Fees: ?lJLr? ? Upper Footing ? Lower Footing ? Under-Slab 0< Rough-In ? Meter Base Final Building ? Final Forestry 31? Final Fire Dept "NOTE: Above ceiling/grid inspection requirements will be indicated on your it placard Reviewed/Appr ed: Dept of Community Services (Date) S:Pe'm.WFormswILP COMMERCIAL Aug.2007 ,, # Charged Re- Base Inspections: L' Reviews Cert. of Occupancy: / 1 . Q Additional TOTAL : Fee Received by: bate