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HomeMy WebLinkAbout14050069 Application .�✓iita�f.`r��� �` � _ CITY OF CARMEL ! CLAY TOWNSHIP PERMIT # iyoSo06 ' � COMMF.RCIAL/INSTITUT[ONAL IMPROVEMENT LOCATION PERMIT APPLICATION �xoinx�/ For New Structures,Additions,Tenant Finishes,Remodcls,and Accessory Structures BUILDER NAME PHONE FAX oF �a�. ��� �-� -� �-L� u� RECORD �REET ADDRE55 �TY STATE IIp �0 �' /J (au��G�l G- I �-1--N ^-.( �16Z E-MAIL ODR " BEST METHOD OF / ,� �I�1 ) O�S. . . ✓�'� CONTACT �� ]l-1"'I ',"'16" LN�7-7 PLUMBING NAME � $TpTE OF INDIANA ^ CONTRACTOR �'�i� ' � S� )�.� LICENSE�NUMBER �JG I OI OOZ'L I PROPERTY NAME ^ ��"� � PHONE FA% OWNER ,ttD� t-�."u✓� STREET ADDRE55 CIT'� STATE ZIV � o L,�WI l�s5 L'�2EL-��1��� GONBT �( y�zs� PRO]ECT PR03ECTORTENANT COMPLE%A fIC@ WI 8II f2glJI8IPiH�BEROFFLOORS ELEVATOR LOCATION __ of �{���efl� �a�e�,Cotles � ❑ ves [�No STREETADDRE�INCLUDINGSUITENUMB __ -^ � � Y SERVIIiCJE ZIP l Y�i S'' GITI' 0� �f3�1 - � ,f.< 6��z HAMILTON COUNTY PARCEL NUMBER YI ](�p� ZONE/S I �i ' o ° 33—c`i GS '731'-� . c6o " �,�v � VNS �lnalco� LOTSPLIT SEWERUTILIfY WATERUTILIfY SEWER/WA7ER ❑ VES NO UTILITIESE%CAVATOR TYPE OF T�PE Of CONSfRUCTION N�mbe�or um� PERMIT coMMeRC�n� ❑ MSTITUTIONAL-❑MUnicipal/Public Building ❑School ❑Church ❑ MULTI-FAMILY EARLY RELEASE TYPE OFIMPROVEMENT ❑ YES ❑ NO � NEW STRUCTURE ❑NEW TENANT FINISH ❑ ATTACHED GARAGE ❑ACCESSORY BUILDNG ❑ CELL TOWER ❑ADDITION-�ROOm/s❑POrch�Deck �.REMOOEL ❑ DETACHED GAR4GE ❑DEMOLITION ❑ CO-LOCATE PROJECT P�N COMMISSION/BZA/BPW DOCKET NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE TAC DATE/S OF GONSTRl1CTION, - EXCIUDINGIAND � �� OOC7 �e^"' J PDFPLANS TYPE OFFOUNDATION MANUFACTURED SUMP PUMV VORCH ❑CD ❑ E-MAIL � SLAB �BASEMENT-O WALK-OUT TRUSSES ❑ CR4WL57ACE POST&BEAM ❑ p05T&PIER O YES ❑ NO °,�J YES 0 NO ❑ YES [$(NO STATE OF CDR NUMBER RELEASE-0ATE CONSTRUCTION TYPE OCCUPANCY CLA55 INDIANA "'J�� Z� S�S I v — � �j , ('`� M CDR SCOPE OF RELEASE ❑ HOOD TYPE OF RELEASE ❑ FDN❑ STR� ARCH'��ELEC❑ MKH❑ PLUM ❑ SPKLR ❑ OTHER �� � ' Class 1 structure permits are subjcet to lhe State of Indiana General AdminisiratirrRu A��'�'S �� ���ega ec�iiration timc framcs fm�bc�inning and com�lcting cu�stru - iun. _ I,Ihe undersi�nwl,a�rec tlial am�cun.trui'�ion,recunstruaio�y enlargcmenq relocation,or alleraliomol'a>truct rc,or anv cLanbc in�he uec ofland ir s[ruilurce re��uem .I bv thisn���ilaaUOn will ��ly����itf and cnnlonn to ill�ir�lic361< h '-ofthe SUte uClnd�a in I tL•••"7_� b.Ordinance ul Car nel InJ�ana 1993"(! 28Y)ind amcndn+enh,ad �h 1 unilerauthord� ol I.(, 36 7'�t sey,6enen6Assembly ofthc St �� --- 1m v tlicreto. 1 Ciirthe certifv tliat.unF% i chin,balh,und Iloor d�amrare conneited lo thi anilary sewer. 6furiher acrtilj'[hat th ce �tructiuu��ill not be iued ur oc ed unlil i� erlil' . d.Occupancv or nfSubstantial Comrle�'onn h"as 6c n��wed�c the Deparhnen4ofCommuni�� Ser.ice�,Carmel.Indiana. �qri v�'1—,�<b F�v�✓� 'c, 1'-i eru.. z pgenf . VrintetlName Date �........................................................................................ :............................................................................................ REQUIRED BASE INSPECTIONS * � PERMIT FEES ? Pilin, / Rcvic�r 331•sa *A��iliona)ins-��ections.may� be required. � Re-Recic�r E Basc Ins�ections ,00 � ❑ l,o�ccr�Footin�* �Rough-In �Firc � Ccrt.ol'Occu��ancy •0O O�hcr : ❑ U���>cr Foptin� ❑ Mcicr[3asc ❑ Forestr�� _/ � P.R.Lf. :.��O Un<lerstab .��Fiiial ❑ Sitc .. j �,/� �� TOTAL 6Q7-SO • W V E . U 19 l� : , ��� R- . I/It I I D�:��vt � i CG' .`� A.r� �.: Dao. . : lu c 5�.1 D.p < r �(C i t � - IJai� .... .... ....... .. ... ............................. r..... . ......... ....... .. ......... ..................................... . idCV_ iVp�l.. ���n�Vt � I i pILPAppI,.). L010.f1] I'..tUptl��MlilAO/6