HomeMy WebLinkAbout05060111-Application
C;tyofCarmel/C/ay Township Permit#: {)SOfoOf/L
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Sb1Ictures, Additions, Remodels, Tenant Finishes, &. Accessory Buildings
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
Ff>X
3/1 So'O b7C;7
NAME
I
PHONE
C':) v') i1Lu L n 0 rJ J 11 '00 '3 ~&, 0'
Cj(..T} {11I"~r Itl: J/VOiM.J4,kL.~;TE
ZIP
tJ.&:,l-LJO
STREET ADDRESS
&00 [;.
BUILDER'S EMAlL ADDRESS
1"'1'""" V"lc.-I""..-dJ.<>.v
NAME
51<.01\,<-1
eLl.! I<:~
TAJ
BEST METHOD OF CONTACT:
.<Js-,L-uGilo(\}. Co ""1
Ff>X
li7_<),15-LL5L
PHONE
ILlS It:.- ..L.v f"'^-N.4 h oN"'" I
OTY
fov t' C,,-<>J! i-.J cl J "''U
STREET ADDRESS
Cf 2--0 (!)
~e
ADDRESS OF CONSIRUCTION
)'" 3 Co (' 5~I.V ^ L t?L-VV
Address of Shell Building (If different than Address of Construction)
51'<""
BUILDING, PROJECT, OR TENANT NAME:
St'CC-I'\. (7'SiL--
STATE COMMERCIAL
DESIGN RELEASE #:
r,.,J /--c ~N~h ~.,v<v)
SCOPE(S) OF ."...- FDNff SIR
RELEASE: 0 ELEC 0 SPKLR
309) (,5
ZIP
Lv '"H z-=
STATE
Lv oJI.\ ,J
SUITE # (If Applicable)
ZONING:
Lot # and SubdMslon (If Applicable)
/1e ILftJ/4N '''Gffll/OL<:.''
Tf>X MAP PARCEL #:
IG .. 0 '1" ) {- '" 0 -" I - 0 It) .<! 00
SQUARE
FOOTAGE:
,.erARCH
OTHER(S):
'13S J.j
o ME01 0
WATER UTILITY SEWER UTILITY
PROVIDER: 1/110/A/'.14 101.-/'> W4 tttl/ PROVIDER: LIe. ItJ D 3 500 000
PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; ANDIOR Ii
COUNTY WELLANDIOR SEl'TlC PERMIT #'S (If Applicable): ADLj j}!)'-'iUt 05'0 I Co 'i'Z- oe, AVL-5
# of Roors: '2--
Elevator or Uft: YES Q NO
~b FOR CON ENT:
0' CO~~~J~pliance with al .~CTURE
and medical o~and Local Co es. 0 J.5I."m(s)
o IN~~bF COMMUNITY SERVIlltbbch
CCI~iew/EilL'liAMtL j CLAY i!P~nlneorOeck
o School INDIANA 0 NEWTENANTFlNISH
o Church 0 ACCESSORY BUILDING
FOUNDATION TYPE: (Check all which 0 DETACHED GARAGE
apply for the new construction area) 0 ATTACHED GARAGE
JZl SLAB 0 CRAWL SPACE 0 CELL TOWER (New)
o POST & BEAM 0 BASEMENT 0 CELL TOWER CO-LOCATE
(or POST & PIER) WALKOUT:_Y_N 0 DEM0LIl10N
PANCY CLASSIFICATION: 'I 15 'f
Early Release ~ Manufactured v:
Permit: Y N Trusses: Y~N
Lot Split: _Y N Sump Pump: _yXN
Does any part of the pro~e lie within a special Flood
designation area: _ N
PLUMBING CONTRACTO :
K""vt:,lhl,u\-I MtG-114/J'I<AL-
Plumber's Indi'}n~ Sjjlte Ucense #:
'7?~(J)U 1// a,
Class I structure pennits are subject to the General 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 construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in tbe 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 dments, adopted under authority of lC. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
. , ba r ms ected to the sewer er certify that the construction will not be used or occupied until a Certificate of
cy OT SU tandal Ci tpletia n is e artment of Community Services, Cannel, Indiana.
L/lIUl..-,I 14t.'ilAII.PH;V
Print
06/ It)>
Date I
o EONLY:************************************************************************
CTIONSREQUIRED: ~i\ing Fees: .....1fflJ./1J, 55'
_ _ ~ " ~ ~I"'l # Charged Re-
Upper Footin Lower Footing nder Slab Base Inspections: ." I . v V Reviews
Cert. of Occupancy: _0 _' 0 D
T<fj~: j} 4P ~~~' ~ h~ditiO~
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