HomeMy WebLinkAbout14050100 Application t�SY o.�-qA � .
CITY OF CARMEL / CLAY TOWNSHIP PERMIT # I���d 10'�
COMMERCIAC/INSTITUTIONAL IMPROVEMENT LOCATION PERAIIT APPI.ICA7'ION
iHO�pK� For New Structures,Additions�Tcnant Cinishes,Remodcls,and Accessory Struclures
BUILDER NAME /� PHONE FAX
oF �-sl�'u �T �r�- 7I�� 3 7 �-y.3`�
RECORD 5T ETAD E55� ' � J f� C STATE ZIP
.� �� g «� v �tiopls — y� �
E-MAIL ADDRE55 BEST METHOD OF
�����r . Go'iN d�'�T.C�I�I. CONTACf ^J.-7 �� _ ����
I�
PLUMBING NAME STATE OF SNDIANA n / JbNN
CONTRACTOR ✓��l(����`����s CENSENUMBER /�/� [3/'Y'�'J )[/
� �_.. r�-ti<� 7
PROPERTY NAME PHONE /� FA%
OWNER Sr7 Cv� —S'�'� `i /bZZ-
STREET ADDRESS / —� CITV STAT ZIp
`� Z� �i .. c�r /.�o^�C�.�1 ��r�Z�Z �'`� i���`
PRO]ECT PRO]ECT OR TE ANT COMPLEX AND/OR BUILDING NUMBER OF FLOORS ELEVATOR
LOCATION L`'� ,jcL�v��D� /rJ�CQ��'I��z� "< RO �Z�bl_ ❑ ves ❑ No
STREET ADDRE55,INCLUDING3UITE NUMBER CITY STATE ZIP
1 o S°oS/vo,�Na h✓f' � ��ry�L -Z�'✓ �Z�
HAMILTON COUNTV,PARCELNUMBER ZONING FLOOD ZONE/S
l�/3- � -GO-C� -al°-c+�/ �3-S ' _rv.S �9✓J�
LOTSPLIT SEWERUTILI'fY WATERUTILiTV SEWER/WATER
O YES ❑ NO UTILITIES�EXCAVATOR
TYPE OF T�'PE OF CONSTRUCTION Number of Units
PERMIT COMMERCIAL ❑ INSTITUTIONAL-❑MUnicipal/Public Bullding ❑School ❑Church ❑ Ml1LTI-FAMILY
EARLY RELEASE TYPE OFIMPROVEMEN7
❑ YES ❑ NO � NEW STRUCiURE ❑ NEW TENANT FINISH ❑ ATTACHED GARAGE ❑ACCESSORY BUILDNG ❑ CELL TOWER
❑ADD1710N-❑ROOm/��r��� . ❑DETACHED GARAGE ❑DEMOLIT[ON � CO-LOCATE
PROJECT TAC DA E/SISSION/ BZA$j�q�(��rvc�qIIMBE E57IMATED COST SQl1ARE FOOTAGE
1� omuNn OCB WIIl18 /@gU d110fIS OF CONSTRUCTION `�/.,� �/
� 9'���o-f�SF�afeandLocalCotles EXCLU�INGLAND� /Cxi���� /�
PDF PLANS TVPE OF FOUNDATION ���� � V� l��/ SERVICES MANUFACTURED SUMP PUMP PORCH
❑CD ❑ E-MAII � 5�8 � �y�'�L����T�NSHI TRUSSES
❑ CRAWLSPACE ❑'YES O NO ❑ YES ❑ NO ❑ YES ❑ NO
STATE OF CDR NUMBER RELEASE CONSTRUCTION 7YPE OCCUPANCY CLASS
INDIANA l�-� 5.�� � ���'%
CDR �SCOPE OF RELEASE ❑ HOOD TYP OF RELEASE
❑ FDN❑ STR❑ ARCH ELEC� MECH PLUM� SPKLR ❑ OTHER
Class 1 structure permits are�subject to the Sta�c of Indiana�Cbneral Administra[i��e Rules 6ASr1Al1I�) �itttdi
es�iration Li�ne frames for beginning and com�leting conslructic n.
I,the.undersi�.ncd,agrec that auycunstruaimi,reconstruiYion,enlargemcnt,reloca[imi�or altoraliun ufa e'tructure. �r an�'rhange in t6e usc ul'land or
structure.rcyuosted b��Ihis a���ilicatio��vill mmpl�����ith and confurm lo all a�>plicablc larvs ofthe State ul'Indiaua ai g�he'Zonin�Ordinance.ufCannrl
InJim�a-1'N3"(%-289)anJamendmc L.adupte�lunderm�IForityn(I.C.36-7e[ ace�.GcneralAssemhlvnffhe.5lale� " r _.
ther�to. 1 �vnher u tJ;r ffiat o I �Ai heu�bath�and Ilnor Inm rcu � ec1eJ tu th i tary si�� . . I turther i�ruA�thal tlic u n tr A�o� �ill n t bc
used ur�. cu unbl �r�i iaa fOvuu�iAnccorofSuhztan��al Compl t�on h. ' n ' c II . epartmi 1 0�U n mm � Si.n�aes.Car al. diana.
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Signahre of Owner or Aut orizeE Ag¢ [ Printed Nam¢ aIe
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REQUIR�D BASE 1NSPECTIONS * � PERMIT FEES
t : Filin� / Rccic�c ��V73.76 Rc-Rcvic�v
Additional ins�ections ma,y bc rcc�uircd.
S Baselnsrcctions Z3g'��
" [ ❑ .Lowcr Footing � Rough-In �Firc
: Cort. ol'Occu��anc�• 2 .O� pthcr
' ❑ UNper Footin� ❑ MMCr Bxse ❑ Forestry �
' P.R.
� ❑ Undcrslab � Pinal ❑ .Sitc TOTAL ` J •��
$� 2E �q— E : / �.:� � :
; k, � ��a i ii.�i�� i u,i�sr��n,� � �i�� ��„��„��,s�„�. i���� � i.�,��i , ,.d—i�.��. � ,�����„r�,mm,���s� � ,�, n,n�
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�rinibAPOnmUpplbaiinns\Nc.lrlcntiulAILP)Applia�liunA2011r{q I a.i UpJ:nad UI/IU/13.
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