HomeMy WebLinkAbout14050020 Application "�' 1 GITY'OF GARMEL / CLAY TOWNSHIP PERMIT # I�IOSO D26
� COMMERCIAL/INSTITU"1'IONAL IMEROVEMENT LOCATION PERMIT APPLICATION
�
�xoiex> For New Structures,Additions,"Cenant�Finishes, Remodelsyand Accessor,��Slructures
BUILDER NAME FHONE FA7(
" OF ��.USSu �fi/�ou� 31 � �°Jl—�9//
REGORD �STREEf ADDRE55 CIT7 STA7E ZIP
l3 3S �� i, �,.,i c�� ; 'l�o y y6638
E-MAIL ADDRESS BEST METHOD OF /
�/,{o ' 7 q(. o� , C� ,.� CONTACT 3 I �: O 7( " I �I (
PCUMBING NAME STATEOFINDIANA
CONTRACTOR , S� ��� LICENSENUMBER' �C , 9 76�` I 27
PROPERTY NAME 5 L ��ry �p/ (�y.� PHONE't j �� �CZ _Y 76 2 FAX
OWNER � d , l rC C��+r � l
STREETADDRESS CITY STATE 2IP
Soo L- lt �� 5 c �.�d;�,��o�.�, �.� y62ao
PRO]ECT PRO]ECTORTENANT COMPLEXAND/ LDING NUMBEROFFLOORS ELEVATOR
LOGATION � ;� �`!? � ❑ res ❑ No
STREET ADDRESS,INCLUDING SUITE NUMBER' � ITY � '� STATE ZIP
`'��I 2 I 7 z/ 5 kc il.b�r � Y�� C�- \i✓
r i.t 6 �3 Z
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HAMILqTONCOUNTVPARCELNUMBER ` � I. FLOOD;O V�ns�q�C{'/'
, I'/— O°f—?�_ 00��00- �IS,00'C i i�
LOTSPLIT - SEWERUTILITV WATERUTILITY SEWER/WATER
� ❑ VES ❑ NO (_,b I°�'7 y.v. Cm.r,M�L BY ILITIES EXCA 70R ,5.J_ `���,u �
NPE �F ,T-,Y.,/PE OF CONSTRU,sCnTION Number of Uni6
PERMIT V��OMMERCIAL �o.INSTITUTIONAL-❑MUnicipal/Public Building ❑School �hurch ❑ MULTl-FAMILY
EARLY RELEASE �TYP OPIMPROVEMENT �
�ES ❑ NO � "�STRUQURE NANT FINISH O A CHED GARAGE ❑ACCESSORY BURDNG ❑� CELL TOWER
I❑ADDMON-❑Room(s❑POrch ODec � REM D CHED GARAGE ❑DEMOLITION ❑ CO-LOCATE
PRO]ECT ?�N COMMISSION /BZA/BPW DOCK N R/ AND I TED COST SQUARE FOOTAGE
TAC DATE/5 STRUCTION,
XC � TNG LAND � 1 H O p O St�
PDFPLANS TYPE OFFOUNDATIO,�N,� MANUFACTURED SUMPPUMP PORCH
�CD O E-MAIL � SLAB �tlASEMENT-❑ LK-OUT TRUSSES
❑.CfiAWLSPACE ❑ POSf&6EAM ❑POST&�PIER ❑ YES ❑ NO ❑ YES O ❑ YES ❑ NO
STATE OF �DR NUMBER RELEASE DATE CONSTRUCTION TV C ANC S
INDIANA 3' � Z7 2 'a/ 3 a I �P
CDR SCOPEbFRELE FQ��,.�� �p�J'�^t�.Tpy.�/�T ❑ OOD PE � EA
�FDN❑ 5T RALTft'7 �EL�OLNM�QIHIWJIyy�e� SPKLR ❑ THER
: a .regu a ions
of/S��tat�e�and
Class 1 strudimc��crnnt7� � eb6Nri����e��ii f�l Gener:�l A�ministrative Rul�s(GAR 675]AC 12� regardin�
C�kK�.'���EiLef�ti�1f fF�1e''y{p��•n � ig ancl c om��lctin�.conslrucl�on
I,l6c under�i�ned.axrec that ai � .�� 'trucliun,reqN��y�4 A ,enlarr�'%e11M��Iocabon,ur altera[imi ofa slructun r an�'ch :i�m thr.use ol land or
struihires re<�ue�teel b� thm ap�il i�t o� eill wm�������INIi��confonn l� all applirable la��a of thc$ta[c ol InJ�i >>i f[he"'/_onuig Ordinanie ofGrmcl
Indiana-1993°('L-289)nnd�amend�nents�adopted under autLuritv ol'LC.3h-0 et .e9.General A�srnibl��ofthe State nf Indiana,and all Acts mnemUlur�.
thercto. I fimtlier rertifv Ihat unl��kifehen,bath,and Iloor drains are aounecled tu lhesanitarv+ewer. I.fl�rtlier coRif�-tlwt Ihe constructionlrill nul be
�ed ur occu�>ied until a Certificate ufOccu��aucv or uCSvbstantial Com��le�ion hac bca.n issued.by the De�iartment ofCommrinity Scrvii�es.Carmcl.InJiana.
„ /V" ��� l�pu s�)C:�{o a�Yzy �
Sgna of w orrsed Agent Prin[ed Name —�./� Date
:........................................................................................ ..................................................................................................
� REQUIRED BASE INSPECTIONS * : : PERMIT FL'ES :
*AddiCiunil inspections mav be.rec�uired. � F��1°g � RevieH� ��y8. O [Ze-Review
i Basc Inspcctions � �- ,�7
: ❑ La�ret Footin�* �Rou�h-In � Fire
� Ccrt uCOccupancy 2 �d Othcr
: �U��cr Footing � Metcr Basc � Forest�y _�
� P.R.LE .. IS.OD E
: �Underslab [�Final �Sitc � � � �
� ���� r f . ToTA ��.�� N ��
: 5 z ,a- � ' �- as �g �
e.R�ri ' I/2i1a �6 Uepatn. [ ll.. ..- .t ti -� ..................Da�e : '. IecRu!i� I Dpartmnt I(, ummnl�.i.i..................................Uatc ;
......... ......... ......... ...: r......... ......... ...: � ...�
ennLe\Fum�dAppGcailnns\RCiJenii�lAILN AOV�iciuionL011F11] i aq Opdmed 01/I Ol l i