HomeMy WebLinkAbout14050141 Application - . CITY OF CARMEL / CLAY TOWNSHIP PERMIT # � �{'0����
A � COMMERGIAL/INSTI"I'UTIONAL GMPROYEMENT LOCA'CION PIiRM17'APPLICATION
�xoi_��x�� Por Nc���Structures,Additinns,T¢nant Finishcs, Rcmodcls,and Acccssorc Structures
BUILDER NAME PHONE eX� �S'� FA%
OF V � Sc.h00 � C�'Q Gi (317 733-4 75 �31� 733— 4$
RECORD �TREET ADDRE S CITY STATE ZIP
2825 W. i"� S Carw� � 1 N �f(�032
E-MAILADDRE55 BEST MEfHOD OF
CONTACT
$SVmmiE�YVlAylv� Vh V C d • �YVI 1
PLUMBING NAME TE OF INDIANA
CONTRACTOR �ICENSE NUMBER
PROPERTY NAME PHONE FA7C
ex+ is�
OWNER Uh�V2VSi�Y Nfq�U�� c� 1v1clIGv�01 �317� 733-`E4�rS �317 733-4�F&�
STREETADDRE55 CITY STATE ZIP
2825 w. 11 �^ s � Cc. w�el � N �l(�C�3Z
PROJECT PROJER OR TENANT COMPLE%AND/OR BUILDING NUMBER OF FLOORS ELEVATOR
LOCATION airba���S -} l ❑ YES � No
STREET ADDRE55�INCLUDING SUITE NUMBER CITY STATE ZIV
2815 �,J. � I(y�'' Hoc.(� C'a.rm�, � Z� H6a3Z
HAMILTON COUN7Y PARCEL NUMBER ZONING+ 2 (�'iLO�ZpIJ�/�5 �'[
q�13•OS-00 -OO-Do3:oo z -c�� ��<�;��5� �` � '� `�, �h c�
p� U S
LOTSPLIf SEWERUTILIfY WATERUTILITY SEWER/WATE
� C�a TOW�nSH UTILIfIESEX O
❑ ves No �4 � �,,,�,yk�' S4,,,�,F '(�ime� �.1� (��S '�uIAY 2 1 2014
TYPE OF TYPE OF CONSTRUCTION Number af Units
PERMIT � COMMERQAL ❑ INSTITUTIONAL-�Municipal/Pu61ic Building I�School ❑C ch ❑ MULTI-FAMILY
EARLV RELEASE TVCE OFIMPROVEMENT
� ❑ YES ❑ NO � NEW STRUCTURE ❑ NEW TENANT F[NISH ❑ ATTACHED GARAGE �I ACCESSORY BUILDNG ❑ CELL TOWER
❑ADDITION-�ROOm/5❑POrch❑Deck ❑ REMODEL ❑ DETACHED GARAGE ❑DEMOLITION ❑ CPLOCATE
PROJECT P�N COMMISSION/BZA/BPW DOCKET NUMBER/5 AND/OR ESTIMATED COST SQUARE FOOTAGE
TAC DATE/5 � OF CONSTHUCTION, � 1 , �!,Q O�, ,���
CDFPLANS TYPE OFFOUNDA J �- EXCLUDING LAND �J
MANUFACTURED SUMPPUMP VORCH
❑fD�E-MAIL � CRAWISPACE ���9�� 'N A�tJ Jn�r^ TRUSSES❑ YES�NO ❑ YES I,�NO ❑ YES �NO
Ptpli iJ
STATE OF CDR NUMBER R P��TLf���S}0 �ONSTRUCTION TYPE OCCUPANCY CLA55
suoge�nEa���e „
INDIANA 4,,�n aaueydwo�
CDR SCOPE OF RELEAS � � 110� ryl���� ❑ HO00 TVPE OF RELEASE
4 111
❑ FDN❑ SfR❑ ARCH❑ ELEC❑ MECH�1- PKLR ❑ OTHER
Class 1 structurc permits are��subject to the State of Indiana General Administretice Rules (GAR 675 IAC R) rebardinb
c���inlion timc framcs for bc�innin�.and cumplctin�const�vction.
I.Ihe widersi�ned,abree that a cun.truclinn,recunslruc�iun,enlarsrment,reloaation,or alteralion ul'a.lruc�ure,ur anc uhange in�he use u(land ur
vlruclurrs royursted b�'Ihis applicalion will iomply�vitli and cunfonn tu all a�>��licable larrs o(�he.titate uf InJiana auJ the•LuninS Ordinana•u(Carmel
InJiana-IYY3^('/.-2tlY)unJamcndmcuts�adu�rtcJundcraut6uril)'nfI.C.36-7c1 scq.GcncraFAsscm5lcof�LcStatcu(Indiana.andnllAc[e�mendatur�.
�hereto. I I'urther cerliF t6a1 nnh�kiKhen,balh,anJ Iloor drainsare runnected lo t6e sanitarv uo�cr. I funher cer�il'v tha�Ihe mnslructiun�.'ill not bc
u.��orjf�up�e w� 'I erti�icate ufOccupanec or ul'Substanlial Cnm�ilc�li"m'`� has been i�vued br the UNenparlment o(Commm�ih�ticrvie'es,Carmcl,Indiana.
!S/�G� � -�..__�---^�' CJ1'OCC4 �Vn.n, �'f'!�'IWIn .�-a�-/� .
Signature o/ eror AuNorizetl Agent _~�- YrinteA N e Da[e
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REQLIIRED BASE [NSPECT[ONS * •' � PERMIT FEES
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