HomeMy WebLinkAbout08010047 ApplicationPermit # OCR I-0-0-Y7
City of Carmel /Clay Township
COMMERCIAL/INSTITUTIONAL/MiJLTI-FAMELY IMPROVEMENT LOCATION PERMIT
?xoiAM?- APPLICATION (For New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings)
BUILDER NAME:
R B A? R o eCRqTe C'o NE: FAX:
? 9 76)55- l8 e.
r
OF .
RECORD: STREET ADDRESS:
S BOG trF'C P'0- CITY: STATE:
?CJp/ mc; ZIP:
0 6 Z
BUILDER'S EMAIL ADD S:
'
p BEST METHOD OF CONTASf:
31
y
L
Q
s
M^ o 7
r
1 d
PROPERTY
V Kt?
NAME: ? 1s 1H
FAX:
PHONE. 61+1E-bill
OWNER
:
STREET ADDg?s; ?L
• crrY: STATE: ZIP:
LOCATION ADDRESS OF CONSTRUCTION: GD C ?L
O t v ?? S /yD SUITE #: (If Appli
fl
2 AA CL 5
7 9 ?
& PROJECT A i?XC
C R L' ts CA -1
O
J
-
INFO: Address of Shell Building: (If different than Address of Construction) Lot # and Subdivision: (If Appl
1, 1 71
)
JAN IL7 u ?i
BUILDING, PROJECT, OR TENANT NAME: 6--
e e LA i/V ZONING:
- TAX MAP
tCE
y #:
L
STATE COMMERCIAL
DESIGN RELEASE : 3 3 13 SCOPE(S) OF C FDN C STR
RELEASE: V? ELEC C SPKLR ?/
C ARCH fc MECH V PLUM
OTHER(S): SQUARE O
FOOTAGE:
WATER UTILITY oA?
PROVIDER: C R M fi VL t SEWER UTILITY r ESTIMATED LCOST OF AN CONSTRUCTION:
PROVIDER: ER: L? (EXCLUDING LAND VALUE) 1 O
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR
COUNTY WELL AND/OR SEPTIC PERMIT *'S (If Applicable):
# o(Ftoors: ' Elevator or Llft: 0 YES V NO BLDG. CONSTRUCTION TYPEC/ lUt OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
. COMMERCIAL
;Privately owned hospitals and medical
offices/centers are commercial)
O INSTITUTIONAL
D Municipal/ Public Bldg
O School
D Church
O MULTI-FAMILY
Number of units: „•tr
a!
to
O{
O
O NEW STRUCTURE
O ADDITION
? Room(s)
? Porch
O Memnine or Deck
?.,/? REMODEL
1s0 NEW TENANT FINISH
O K&ESSORY BUILDING
fr-T I'
-0 ACHED GARAGE
$TOkCHED GARAGE
CELL TOWER (New)
C) CELL-TOWER CO-LOCATE
Early Release / Manufactured
Permit: _Y ? Trusses: _Y ?
Lot Split: _Y Sump Pump: _Y N
FLOOD ZONE AREA DESIGNATION[S] FOR THIS PROPERTY:
X70 0?
PLUMBING CONTRACTOR:
-ra- pi L< gC4 f.
Plumber's Indiana State License #:
Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
1, the undersigned, agree that any construction, reconstruction, enlargemrnt, relocation, or alteration or a structure, or any change m 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 -1993- (Z-289) and amendments,
adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendarory thereto. I further certify that only kitchen, bath, and floor drains are
connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Orcupvncy or Substautid Compkdon has been
issued by the Department of Community Se , Carmel, I ndiana. _
nature or ar AuUtorized Aga Print Date
OFFICE USE ONLY: **************************************************7***-*1*******************
INSPECTIONS REQUIRED: Filing Fees: = 7 7 U
Base Inspections: o o D
Upper Footing Lower Footin nder Stab E? , tfl 1 7 q - - Cert. of Occupancy: 1 I l, d J
eter Fina Sr TOTALA f o 9 3. C 0
by: