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HomeMy WebLinkAbout14020133 Application . �J"���` CITY OF CARMEL / CLAY TOWNSHIP PERMIT # /y0�1.33 I\\ COMMLRCIAL/INSTITLITIONAL IMPROVGMENT LOCATION PERMIT APPLICATION � \xoi�xa � For'Nc�s Structures,Additions,Tenai�t Finishes,Rcmodcl,s,and Accessor��Structures BUILDER NAME ON FAJ( oF J�G��� / �"�/�-� � � � � 3i - �:G�9 RECORD ST EET ADDRE55 CI7V S7A7E ZIP �. �' S� � `��`� E�-M1AIGADDRE55 � - BEST'METHODOF/ M�/� .L/�C:.�W/�i � �.. ,� ���!`G�I^ C. � CONTAR � '��I PLUMBING NA STATE OF INDIANA /� CONTRACTOR _ - :.�� LICENSE�NUMBER /� L� PROPERTY NA �� PHONE FA7( / /�/ OWNER �t-f'�� �� ' �C� .JI - L�J /fi� STRE rADDRE55'- . /,/ �•�� j ITY,- /� 5�E ` Z�� D � y�h .LJ PRO.IECT� PROJECTORTENANT � �COMPLE AND/OR ING NUMBEROFFLOORS ELEVATOR LOGATION � D ' fr � D � o ves o rvo REET�ADDRESS�INCLUDING 5 IfPNUMBE C V STATE IP = �. . � i ��vU .r/� ,CS /� `�_�� MAMILTON COUNTY C NUMBER ZON FLO00 ZONE/5 � -�3-� -�'J/.G�b' �' �o � �I-, LOTSPLIT S R� LTfY' WATER TILI�TYj SEWER/WATER ' m � ❑ YES � NO . p�� UTILITIES EXCAVATOR � /T� ` �.., TYPE OF PE OF CONSTRUCTION SuhjeCf t0 Cam liance ' all�re ulations Number of ur,�u PERMI7' -0MMERCIAL ❑ MSTiTUTIONAL-❑Municipal/Public Building�f c I � rc� ❑ MULTI-FAMILY EARLY RELEJASE TVPE OFIMPROVEMENT n ❑ YES VJ NO ❑ADDI170N��ROOm/s❑POrch ODeck;❑ REMO�O�C����A�VIC�A�MO ITIONBUILDNG ❑ COLLOCATER / PRO]ECT TAC DATE/SISSION/BZA/BPW DOCKET NUMBER/S AND/OR E�UDI�LANDN I��`/`�D�� SQUARE F�`i%E ni7 C��� J PUPPLANS TVPE OFFOUNDATION MANUFACTURED SUMPPUMP PORCH ' ❑CD ❑ &MAR SLAB ❑ BASEMENT-❑WACK-OUT TRUSSES ❑ CRAWLSPACE ❑ POST�&BEAM � .❑ POSf&P1ER ❑ YES ❑ NO ❑ YES ❑ NO "_ ❑ YES ❑ NO STATE OF CDR NUMBER RELEASEDATE CONSTRUCTION TYPE OCCUPANCYYLAS INDIANA �� � � - � �i� CDR SCOFE OFRELEASE •�f � HOOD .TVPE F RE EASE ° � ❑ FDN❑ STR ARCHM=A ELEC�.�MECH - � � ��- r Class 1 s_tructure permits are subject[o t6e Sta,[e of : and��P-� i nis a •e RiJes(GAR G75 IAC 12)re�arding ex�iration limc frames Co � mnin��,a��c���eti �isiruction. ,I,.the�mdcrsigncJ,aarrc thal anc construc�iun,reconeYruction,enla gement�relocali'ony or alteraliou of atructuri-,ur anc chany�e in'the use ofland or struiYUresr�quested6ytliisapplicatiim�villcum�ily�ithpudconfo .loalla�>�ilie�blelawsofthiState (b�dianaandthe°Zonin�+OrdinanacofCarmel Indiana-1993"(Z-28Y)andamendmen�e�.ado�>tedunderauthoritSC }Pj�. 3fi-7c15cq,GencralAssemblr f.tlic5tateoflndiana�andallActsamcndatun- thcreto. i fnrlhrr ccrtifv t at onh�kilcheu,bat and ilour drains ar. . . . �rlLer certifv t6at the aunstrucliun will nnt bc use . c ���i �I�i�i . _crtifiw� ol'Occupa -v or of5ubstantial Completiun hus been isvued be De�>art�ne� fCom t S rrices,C �I,Ina nna. �J`f�l ��l r c� � Signa[ureofOwnerorAU[horized� nt VrmtedName � . Date � �......................................................................................y ,..............................................................................................-. REQUIRED BASE INSPECTIONS * '• '• PERMIT FEES *Additional ins�ectionsmay bc rcc�uired. : Filin� /�Revicw �'70 Rc-Rcric�+� �,/ [ Base Ins�>ecCiona �`233 'Qp i� ❑ Lo�ver Footinb � Rou�h-In .IJjI Firc �-ZS-OG v � i Cert. of OccuPancy Other : ❑ U���cr Footin� ❑ Metcr Basc ❑ Foresiry `� � P.R.I.F. � ❑ Undcrslab �Final ❑ Sitc - . (� TOTAL � � "�`'�'�d -7� : �cm�����1L � � z�4� : =� � ; a � . iiu..'.� ' °....`.. . � rc �- �- � ti �� � : ��« : ir« < � o,° � r�- � s.- �-. ����,�. :... ... ..� . ......... ............................: �........ ........�. ......... ' ...............................................; .u ini�eAPOnnQAppGCUGone1Re+iJUninlAILP ApplicmionCU10-fq l�igi pppmc�01/I U/O I