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HomeMy WebLinkAbout14040233 Application '.�,y1y ai ca be ' ' ="`�p`� CITY OF CARMEL / CLAY TOWNSHIP PERMIT # IydY0Z33 I � COMM�RCIAL/:WSTITUTIONAL IMRROVEMENT LOCATION PERM'IT APPLICATION � OI�NP� � �For NcH+-Structures,Additions,TcnantCinishes,Remodels,and Accessory Structures ,yo�o,Zy se��-�w�.� BUILDER NAME PHONE FAX � UF �dhf!1 LfnG� ��-+��K COI:ISiI'�-Tioti1 l-3��-4z3 - io"u> ( -j17-'-123•- IOSS RECORD �REETADDRESS CITY STATE ZIP 5�2r P�a���s Rv�o ;Z'N�rAN���s �h/i7iRn1A �/G�z�{/ ': -E-MAIL ADDRESS BEST METHOD OF G�U� •�a5�►-a berfsa»Cv�'vn,�k.,d bi.,,�`� �NTAR E-Wr r�i� �i� l -317 -93l-y�f�'/ PLUMBING �NAME LI ENSE NUMBERA � 31�D ��(�D CONTRACTOR ��� PROPER7Y N�AlM�E� �'�ry1fs fA�LS PHONE FAX OWNER TIDW�t-j �OciJK �LI� "S� - Zp� i�i- SZy- `i"ZvL STREETADDRESS. E ZIP 5�Z YI�MLLIN' S'r MIG!}�v � ��,i� `� /-�(a3Cov PROJECT PROJERORTENANT COMPLE%AND/ORBUILD BEROFFLOORS ELEVAT02 LOCATION f�o(L��� t?�K APR 2 S Zp� � YES ❑ NO STREETADDRESS,SNCIUDINGSUITE NUMBER C1TY TE ZIP �21 �' �h�� LARt-'� tL 1"J2. C HGL Il�1 i7iAc�tA yG;o3� HAMILTON 4QUNTYPAi�EI�NUMBEA FL ODZONE/S �SW'(N I�F"CG'.S7+C('i^OC -ULW►ICS/ �� X Ilor+h IL—o --7�c°G�—:iC—oi`4•1�1 LOT❑PYES ❑ NO S���Y�V' I/ C�ILMC�..�.����. SEWER/WATER �T�� '-'�/� V TILITIES�EXCAVATOR � TYPE OF T�'PE OF CONSTRUQION Subject ta com lia�e Number of Uni[s PERMIT �.COMMERCIAL ❑ INSTITUTIONAL-❑MUnicipal/PUbfcBUildfng0 ' Cho������8}IOfIS � MULTI-FAMILY EARLY RELEASE E OFIMPROVEMENT rn[(�� AApn''��'7� ❑ YES '❑ NO' �N�STRUCI'URE ❑ NEW T RNISH �4_'M�2npy q+ V�C' ACCESSORY BUILDNG ❑ CELL TOWER ❑.ADDITION-❑Room/s❑POrch❑Deck ❑ REMO� �OF�CA T �DEMOLITION ❑ CO-LOCATE PRO]ECT P�N'COMMISSION BZA/BPW DOCKET NUMBER/S AND/OR E��{� /,� �.��^� [n SQUARE F007AGE .,.�5/�y� ,7 7-� OPCO �CTION� �W�j !.(��-' _� � I�j(-� I�'wG'� Qr �1� 5��.(i 1 1. Z(}1 EXCLUDING LAND �'3�Z POFPLANS TV EOFFOUNDATION MANUFACTURED SUMPPUMP PORCH ❑ CD � 6MAiL SLAB ❑ BASEMENT-❑WALK-OUT TRUSSES 'CR.4WLSPAGE ❑ POST&BEAM ❑ POST&PIER ❑ YES NO ❑ YES �NO ❑ YES � NO STATE OF �DR NUMBER RELEASE DATE �i CO STRUCTION TYPE OCCUPANCY CLA55 INDIANA �4�� �' �J ��/ �''-f' �� • S�� CDR SCOPE OF,�R./ELEASE [j HODD TVPE OF RELEASE ��FDN LE� STR� ARCHI� ELEC�G MKH f� PLUM � SPKLR ❑ OTHER �� Class I.struc[ure��ermits are subject to the Staie of Indiana General Administrati�-e Rules(CAR 675 IAC 12� re�arding ec�iration time Frames for be�vinning and compleling construction. 1.�he underyip�ued,agree Ih�t an�'construcliun,reconsiru�Yion.enlarKCment,relocation,or alleratiou ul'a structurq ur auy uhan�rrin 1he usr ol'IanJ or etn�ctures requcsteJ 6v this application will mmpl��a-ith xnJ ronGirni'to all applica6lc laws ofthe Stute ol'InJiana and the"'/.oninp OrJinance ofCarmd Indiaua-19')3"(l-289)andamendmenLs,aduptedunderauthorityofLG.36-7et se<�.GencralAssembly'o(thcSiatroflndiana,nndallACtsamendaturv thereto. I Cur�he curlil� that onlr I.itchen,bath�and Iloor dram�are ionne ted to thi nitar�iewer. 1 furiher - rt�l tha�tli u t 'tiun �JI nu�be ns i ccupi - ut 1 a Ce �it � )ccupanc�o fSub�Un�ial Com�>IcL�on hzs bee i e:m I hc the De�artme 1 ul Cummw LL�Sen�ce�,C I.InJiana. � � f�i�.�L_ Gi�R.I.S"[�-F�(z- �� (�jR.a`(I�K-- 2n� � q-' SignaSUreofOwner rAU[horixed� PrmteOName . ate :...........................:..........................................................� ,..............................................................................................� REQLiIRED BASE INSPECTIONS * '• '• PERNIIT FEES *Additional�inspections�may be rec�uired. : �Filin�/Review �� � Re-Hci�ic��- +�,� : Baso InSpections 7� Q� i ❑ Lowcr Pootin�* �Rou�h-In I� Pire / � : Ccrt.of Occu��ancy �� •� pthcr ;�ll�Pcr Footing �Mctcr Base Porestry �_ ,,,���,,,/// � P.R.I.I. : �Undcrslab �Cinal Sitc .�` TOTAL Z �-3.5 D�qx�,c9+.� S�/z 1¢ � b6 oL /Y ; R � �ca� ie�c. ��-i�ep��tmcn�orca.m� ,�i 5� ,� �r oam E P,•,�u, �-ncpa�i»�morcomn, iytie-cl,o, n�.,te ........................................................................................ �............................................................................,,.........'•"'.., -crmits\Fim�.AAppliaiio�nViceiticn(r.JAII P AppllamlonC011H1] _ Lasi UpJmcJ UI/IU/li